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TFOS DEWS II Management and Therapy Report.
The international workshop on meibomian gland dysfunction: report of the diagnosis subcommittee.
Diagnostic tests of meibomian gland dysfunction (MGD) and of MGD-related disorders are based on the demonstration of abnormal anatomy and physiology of the glands and the detection of specific
Lid Wiper Epitheliopathy and Dry Eye Symptoms
TLDR
Lid wiper epitheliopathy, diagnosed by staining with fluorescein and rose bengal dyes, is a frequent finding when symptoms of dry eye are experienced in the absence of routine clinical dry eye findings.
Lid-wiper epitheliopathy and dry-eye symptoms in contact lens wearers.
TLDR
A new clinical condition, lid-wiper epitheliopathy, an alteration of the epithelium of that portion of the marginal conjunctiva of the upper eyelid that wipes the ocular surface, diagnosed by staining with fluorescein and rose bengal dyes is described.
Nonobvious Obstructive Meibomian Gland Dysfunction
TLDR
This review presents the rationale and supporting data for a recent paradigm shift in the understanding of meibomian gland dysfunction, and presents the specific treatment of NOMGD, emphasizing that the success of treatment of all forms of obstructive MGD is dependent on the relief of the obstruction.
Correlation of lipid layer thickness measurements with fluorescein tear film break-up time and Schirmer's test
TLDR
The correlations demonstrated in this study support the premise that measurement of LLT is a reliable test for the diagnosis of dry eye, and that aqueous deficiency and lipid deficiency, as they apply to dry eye disorders, are not mutually exclusive.
Meibomian gland dysfunction and contact lens intolerance.
TLDR
Clinical and cytologic studies indicate that a syndrome characterized by deficient or inadequate Meibomian gland secretions, minimal or transient symptoms suggestive of ocular dryness, fluorescein staining of the cornea, and contact lens intolerance is due to obstruction of the Meiboian gland orifices by desquamated epithelial cells that tend to aggregate in keratotic clusters.
Survey of Preferred Tests for Diagnosis of the Tear Film and Dry Eye
TLDR
The importance of multiple tests in the evaluation of tear film disorders is overwhelmingly acknowledged, with patient history/dry eye questionnaires, FBUT, ocular surface staining, and the Schirmer test being the preferred diagnostic tools.
Comparison of Fluorescein Break-Up Time Measurement Reproducibility Using Standard Fluorescein Strips Versus the Dry Eye Test (DET) Method
TLDR
The DET strip provides a significant reduction in sensation upon application, improved single measurement reliability, and enhanced measurement precision, compared with a conventional fluorescein strip.
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