Dry eye disease Flashcards
What is a effective antibiotic for treating aqueous deficient dry eye?
cyclosporin
What is the TearLab test for?
for the osmolarity of the tear. Is the tear salty or not. salty means dry eye.
T/F less than or equals to 308 mOsm/L is a normal TearLab test.
True
T/F The difference between both eyes in the TearLab test >8 mOsm/L is ok.
False, has to be <8 mOsm/L
What is another name for blepharitis?
anterior blepharitis
T/F Meibomitis is also called posterior blepharitis.
True
What are some signs of blepharitis?
collarettes, vascularization, trichiasis and irregular lid margin
What are the two stains you would use for dry eye patients?
- Fluorescent to stain for any irregularities of the corneal epithelium
- Lissamine green to stain for any dead cells in the conj. that are cause by dry eye irritation
A normal menicus height is _____mm with ______ shape.
more than or equal to 0.1, convex
A normal Ocular Surface Disease Index (OSDI) is _______.
<13
What is Sjogren syndrome?
It’s an aqueous deficient dry eye syndrome
autoimmune disease that attacks the salivary and lacrimal glands.
Sjogrens’ syndrome have a major long-term concern of developing _______.
Lymphoma.
5% lifetime rish NHL.
16-44x higher than normal people.
Sjogrens’ syndrome is diagnose with keratoconjunctivits sicca with ocular staining score ______.
3 or higher
What are the levels to dry eye treatment?
Level 1: environmental/dietary modification; lubricating eyedrops; eyelid therapy
Level 2: Anti-inflammatories (Tetracycline for meibomitis, rosacea); punctal plugs, secretogogues; moisture chamber spectacles
Level 3: Serum, contact lenses; permanent punctal plug
Level 4: Sytemic anti-inflammatory agents; surgery
Increase omega ___ fatty acids, and decrease omega ___ fatty acids in dry eye therapy.
3, 6
