Shire Test Prep

Diagnosis


The patient followed my instructions and ceased both lens wear and drop use. When he returned after 2 weeks, he reported no significant improvement in his symptoms. Fluorescein examination found punctate epithelial keratopathy still present in the inferior cornea in both eyes.

Based on all clinical findings, what do you think my diagnosis was?

a. Age-related dry eye
b. Dry eye secondary to incomplete blink
c. Contact lens-related dry eye
d. Dry eye associated with blepharitis
Jack L. Schaeffer, OD, FAAO

Jack L. Schaeffer, OD, FAAO, is president, CEO, and chief of optometry at Schaeffer Eye Center in Birmingham, AL. He is a consultant for Bausch + Lomb.

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