Wet Eyes

Question 1

Name two causes of wet eye.

Answer 1

Epiphora

Hyperlacrimation

Question 2

Define hyperlacrimation

Answer 2

An overflow of tears due to excessive secretion by the lacrimal glands

Question 3

Name another cause for hyperlacrimation

Answer 3

Foreign body or inflammatory disease such as hay fever

Question 4

Define Epiphora

Answer 4

Excessive tear production , not enough being drained away

Question 5

What can cause epiphora ?

Answer 5

Compromised tear drainage - puncture occuluded or out of position
Duct obstruction
Pump failure - when you blink pump opens the puncti and sucks tears into cannaliculi

Question 6

Label the following image

Answer 6

Image

Question 7

Name clinical tests you could use for wet eyes

Answer 7

Slit lamp routine
Flourescein
Jones test 1

Question 8

Explain what you would do in an flourescien dye disappearance test

Answer 8

Ask pt to blow nose with tissues
Pt to blink normally throughout
Instill equal amount of flourescein in BE and wait for five mins
After five mins compare the height of both tear meniscus on lower eyelids

You will be able to see in which eye there isn’t enough tear drainage

Question 9

Explain what you would do in an ‘Jones Test 1 ‘.

Answer 9

Examine one eye at a time
Moisten 2-4 strips of flourescein and instil into the lower conjunctival sac , wait for five minutes
Ask patient to blow nose into tissue and then check the tissue for flourescein using a burton lamp

Question 10

After conducting the Jones Test 1 , explain the two possible outcomes and what this could mean.

Answer 10

Flourescein dye present - lacrimal duct patent
Consider another cause for epiphora
Flourescein dye not present - lacrimal duct obstructed - syringing ( if there is a blockage you will get reflux ) may help or surgery may be indicated