Dry Eye Flashcards

1
Q

Dry Eye

A

eyes don’t produce enough tears or the right quality of tears to be healthy or comfortable

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2
Q

Keratoconjunctivitis Sicca

A

refers to any eye with some degree of dryness

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3
Q

Xerophthalmia

A

dry eye associated with Vitamin A deficiency

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4
Q

Xerosis

A

extreme eye dryness and keratinization in eyes with severe conjunctival cicratrization (tightening)

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5
Q

Sjogren Syndrome

A

autoimmune inflammatory disease which can cause dry eyes

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6
Q

Aqueous Deficient

A

part of Sjogren

age related, inflammatory, lacrimal gland disorders, AIDs

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7
Q

Evaporative

A

prolonged computer use, facial nerve palsy

contacts wear, allergic conjuncitivitis, Vit A deficiency

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8
Q

Patient Complaints

A
vision comes and goes
foreign body sensation
ocular irritation and dryness
excessive tearing
photophobia
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9
Q

Conditions that make Dry Eye worse

A

smoky, dry environments
indoor heating
fans
excess reading/ computer use

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10
Q

Height of Normal Inferior Tear Meniscus

A

0.25 mm

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11
Q

Treating Corneal Opacification from dry eye

A

can require corneal transplants

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12
Q

Diagnosing Dry Eye

A
Dyes- NaFl, rose bengal, lissamine green
TBUT
Shirmer and phenol red thread testing- tear production
tear film analysis
meibography
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13
Q

Interpalpebral Staining

A

shows dry eye is from a lack of tear production

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14
Q

Inferior Corneal Staining

A

dry eye from blepharitis or exposure

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15
Q

Rose- Bengal Stain

A

stings a lot

highlights dead cells

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16
Q

Abnormal Phenol Red Thread Testing

A

less than 10 mm of wetting without anesthetics, 6mm with

17
Q

Tear Lab

A

measures tear osmolarity

18
Q

Treating Meibomian Gland Dysfunction

A

expression
compress
LipiFlow

19
Q

Supplements for Dry Eye

A

flax seed
fish oil
omega 3
help make tears

20
Q

Rx Meds for Dry Eye

A

Restasis
Xiidra
anti-inflammatory
steroids

21
Q

Treatment for Mild Dry Eye

A

change local environment
omega 3
lid hygiene
warm compress

22
Q

Treatment for Moderate Dry Eye

A
topical lubricant
tea tree oil- demodex
punctal occlusion
LipiFlow
antibiotics/ steroids
Restasis/ Xiidra
23
Q

Treatment for Severe Dry Eye

A

oral secretion agonists
autologous serum
therapeutic soft contacts
RGP scleral lenses