Term
| What medical conditions will likely cause difficulty in contact lens wear? |
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Definition
1. seasonal allergies (can try disposable lenses to prevent allergen deposits) 2. Recurrent infection or inflammation, dry eye (in extreme cases of DES you can use a contact lens as a moisture bandage) 3. Hyperthyroidism-proptosis of the eye can lead to exposure keratitis |
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Term
How low of a TBUT time is indicative of dry eye? What size Schirmer? |
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Definition
TBUT <10 seconds Schirmer <10 mm |
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Term
| What are the potential treatments for Dry eye? |
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Definition
1. plugs 2. Steroids 3. Restasis 4. testosterone |
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Term
| Is Meibomian gland dysfunction caused by contact lens wear? |
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Definition
| No, but contact lens wear may make the patient more symptomatic |
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Term
| What are some symptoms of Meibomian gland dysfunction? Signs? |
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Definition
Symptoms are 1. dry scratchy eyes 2. blurry vision with lens wear 3. decreased wear time Signs are 1. clogged glands 2. yellowy secretions 3. red or inflamed lid margins 4. lipid deposits |
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Term
| What systemic conditions should you look for that are associated with Meibomian Gland Dysfunction? |
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Definition
1. seborrheic dermatitis 2. rosacea 3. blepharitis 4. accutane therapy |
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Term
| What are some possible treatments for CL-MGD? |
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Definition
1. warm compress 2. Mechanical expression 3. tetracycline if indicated, kills bacteria that breaks down lipids into irritating fatty acids 4. separate cleaner like miraflow or daily disposables |
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Term
What are five types of complications classified by where they are in the eye? |
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Definition
1. Eyelids/Dry Eye 2. Palpebral conjunctiva 3. Bulbar conjunctiva 4. Limbus/corneal edge 5. cornea |
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Term
| Name two complications of the eyelids. |
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Definition
1. Dry eye 2. Meibomian Gland Dysfunction |
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