October consultation #6

This is an interesting scenario of unilateral recurrent epithelial breakdown. We would begin with meticulous examination of the ocular surface with emphasis on the lids to pick up even mild abnormalities on the lid margin and lashes. A comprehensive dry-eye workup for both eyes comprising a Schirmer test and tear-film breakup time, detailed analysis of meibomian glands by an ocular surface analyzer, and tear matrix metalloproteinase-9 detection will add to our understanding of the case.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Cataract Source Type: research