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The Future of Dry EyeDry eye has become a dry topic. With so many treatment options and so many diagnostic tests, it can become complicated to know when and how we should use what type of treatment. The Future of Dry Eye course looks at the current systems and the way that they miss the mark. We look at ways that new and innovative diagnostic measures help to reveal the nature of the patient’s dry eye. We will review diagnostic measures of meibography, interferometry, gland expression, non-invasive tear break up time and blink assessment. Additionally we will cover new ways to treat dry eye including selection of the dry eye drop which meets the problem, warm compress, lid compression, blink training, omega 3 supplements and patient education. Through the proper diagnosis and treatment, dry eye disease can become a preventable problem.Objectives:Attendees will leave having a better understanding of the complexities and simplicity of dry eye diagnosisAttendees will leave having a better understanding how to differentiate various types of ocular surface disordersAttendees will leave having a better understanding of the many types of diagnostic strategies.Attendees will leave having a better understanding of where to use each type of equipment to differentiate dry eye typesAttendees will leave having a better understanding of the management of inflammatory dry eye Attendees will leave having a better understanding Meibomian gland dysfunctionAttendees will leave having a better understanding of the impact of dry eye for their patients and practice. The Future of Dry Eye Dry Eye Stats Current stats about dry eyeTotal % of populationTotal % break down by demographic ageCurrent Dry Eye TrendsDEWS ReportClassifications of dry eyeUpdates form DEWS 2ClassificationDefinitionUpdate from TFOSThe World of a dry eye patientQuality of lifeWatering eyesHow does sysmptomatic complaints come into play with management and diagnosis of dry eyeThe TearsTear AnatomyAqueousCreation and understanding of Lacrimal Functional UnitMucous/MucinCreation.The GlycocalyxMucin and Goblet CellsLipid LayerComponentsCreation and aspects of the lipid layer CreationLipid Layer – Meibomian GlandFormation of Glands Aqueous Layer Lacrimal creatingLacrimal drainageCurrent Trends in Dry EyeOsmolarityWhat is the test How is it doneWhat does it tell usWhat to look for with OsmolarityPunctal PlugsWhy the hypeWhen they were bigWhy has it changedWhen should we useWhen should we avoidAny important tests that can show whether they will be more or less successfulDropsAqueous DropsMucin DropsLipid DropsWhen to use each typeDifferentiation of story brand and branded productsCorneal StainingDoes different areas of staining mean different thingsWhat does inferor corneal staining meanWhat does diffuse corneal staining meanIs contact lens staining different and howTear Break Up TimeWhy does it happenWhere does it happenWhat does different types of TBUT look likeWhat does this tell usMeibomian Gland DysfuctionMGD makes up around 86% of dry eye. What is MGD?How do we identify MGD?What are the effects of MGD upon the eye?How do we evaluate different than aqueous and how to we identify?The Future of Dry Eye diagnostic measurementsMeibographyEvaluates the current state of the health of the meibomian glandHow do we grade the status of the MGThe story of the OCT of the Anterior SegmentInterferometryEvaluation of the Oil upon the eyeWhat is normal? What does abnormality mean?How to relate Oil on the eye with blink rate/qualityWhat is the status of the tear film in its normal stateTells story of evaporationNon-Invasive Tear Break Up Time (NITBUT)NITBUT v. Standard Tear Break Up timeAdvantages v. DisadvantagesTear Volume TestingMeasurement of tear meniscusEstimation of tear meniscus in slit lamp Advantages and disadvantages of both.Evaluation with Slit LampCorneal EvaluationIs there staining?What does it meanFluorescence stainingWhat does staining mean?What does Tear Break Up mean? Point to lipid problemPoint to mucin problemLissamine Green StainingWhat does Conjunctiva Staining mean?What causes conjunctival staining?Evaluation of Marx LineWhat is Marx Line?What does it mean?When to debride the Line?Lid Wiper EpitheliapathyWhat is LWE?What causes LWE?How to evaluateWhat does it meanHow can we treat The Future of Dry Eye TreatmentsA paradigm of diagnosis: A Dental Model of diagnosis before problemsNon-obvious MGDWhat is NOMGDWhere did it come from?How to diagnoseNo inflammationPlugged Glands without rednessNo SymptomsObvious MGDA detailed history of MGDSymptomsDiscomfortDry EyeLook to the true causeSjogrens advanced TestingLab Test for dry eye screeningLacrimal TreatmentsMeibum TreatmentsWhen to usePlugsOmega -3s’HeatCurrent Views on massage following heatTreatment for MGDIPLAdvantages and DisadvantagesLipiflowAdvantages and DisadvantagesWarmthOmega-3sOil TearsLid ScrubsTreat the diseaseTreat early before it is a problemDon't wait for the cavity to treat the plaque (dental model)Treat the non-obvious even before symptomsTreat the type of dry eye Don't use a shotgun approach ................
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