Pitfalls of dry eye disease diagnosis

Listening to patients is key in diagnosing dry eye disease

Pitfalls of dry eye disease diagnosis
Roibeard O’hEineachain
Roibeard O’hEineachain
Published: Sunday, March 1, 2020

Prof Marc Labetoulle

Dry eye disease assessment has many pitfalls, but most can be overcome with a 10-minute examination, said Prof Marc Labetoulle, South Paris University, France, at the ESCRS/EuCornea Cornea day in Marrakech, Morocco.

He noted that the first step in the examination is to listen to the patient’s description of their dry eye symptoms. That involves having the patient complete an OSDI questionnaire while still in the waiting room and then hearing the patient’s spontaneous complaints as well as information about risk factors.

The second step is examination of the eyes themselves, starting with slit-lamp examination, first without fluorescein to determine tear break-up time. Lid evaluation should follow, to determine the main mechanism of DED, whether it is aqueous deficiency or meibomian gland dysfunction. One should also be careful not to miss signs of other ocular surface diseases such as limbal keratitis, he pointed out.

It is also essential to get an idea about the level of tear secretion. Research shows Schirmer test and phenol red thread tests are reliable, and assistants can be trained to perform them effectively. Tear meniscus measurement can be a practical alternative, although there are precisely validated normal values for the parameter.

Once these tests and examinations are complete the prescription may be formulated that specifically addresses both the patient’s symptoms and the underlying disease, Prof Labetoulle said.

Tags: ESCRS Marrakech 2020
Latest Articles
ESCRS Today 2025: Happy Anniversaries!

ESCRS celebrates milestones with pioneers in IOLs, LASIK, femtosecond lasers, and corneal transplantation.

Read more...

ESCRS Today 2025: A Congress for Everyone

From YOs to families, the ESCRS Annual Meeting embraces full participation through inclusivity.

Read more...

ESCRS Today 2025: All Eyes on Innovation

Watching out for obstacles and opportunities

Read more...

Beyond the Numbers

Empowering patient participation fosters continuous innovation in cataract surgery.

Read more...

Thinking Beyond the Surgery Room

Practice management workshop focuses on financial operations and AI business applications.

Read more...

Aid Cuts Threaten Global Eye Care Progress

USAID closure leads retreat in development assistance.

Read more...

Supplement: ESCRS Clinical Trends Series: Presbyopia

Read more...

Debate: FS-LASIK or KLEx for Hyperopia?

FS-LASIK has more of a track record, but KLEx offers advantages.

Read more...

Four AI Applications Ready for Practice

Commercial offerings may save time, improve practice and research.

Read more...

Perioperative Medication Regimens for Cataract Surgery

Randomised controlled clinical trial results provide evidence-based guidance.

Read more...