9780750649780

The Dry Eye; A Practical Approach

by
  • ISBN13:

    9780750649780

  • ISBN10:

    075064978X

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2003-04-10
  • Publisher: Butterworth-Heinemann

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Supplemental Materials

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  • The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.
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Summary

This practical handbook contains complete information on pathophysiology, treatment planning, and therapy for dry eye an uncomfortable, sometimes severe condition that may be caused by factors such as disease, contact lens wear, environmental conditions, or equipment. Clear and concise yet comprehensive, it adopts a clinical evidence-based, decision-making approach to the subject with practical advice on setting goals, planning treatment objectives, and managing conditions. It serves as an essential pocket reference for anyone involved with the treatment and management of dry eye conditions. Clear discussions explain how to set priorities and establish guidelines for treatment based on the patient's presenting symptoms. No other book presents a succinct, practical guide to treatment and successful management of dry eye. All factors that can cause dry eye conditions are addressed, looking beyond the most common contact lens complications to factors such as disease, the environment, and equipment worn by the patient. Clinically relevant approach makes this unique resource extremely useful in the patient-care setting. Practical advice outlines succinct methods for the most effective management of dry eye conditions. Comprehensive information is presented in a quick-reference, synoptic format that's convenient and easy-to-use. Well-referenced chapters present evidence-based information and point to original sources for further research and investigation. Both common and severe dry eye conditions are covered, prioritized so clinicians can see the treatment implications associated with each. Clear illustrations and line diagrams show key visual concepts and help readers see the real-world clinical applications.

Author Biography

Sudi Patel BSc(Hons) MPhil PhD FCOptom FAAO: Optometric Adviser to the Common Services Agency, NHS Scotland, Edinburgh, UK; Visiting Professor, Institute of Ophthalmology, University Miguel Hernandez de Elche, Alicante, Spain Kenny J Blades BSc(Hons) PhD CBiol MIBiol: Clinical testing at an International Pharmaceutical Company, UK

Table of Contents

Preface vii
Introduction
1(12)
Role of the tear film
1(1)
Structure of the tear film
2(2)
Tear film composition
4(5)
Dry eye syndromes
9(4)
Patient Self-Assessment
13(10)
Questionnaires
14(1)
Visual scales
15(1)
Examples of dry eye questionnaires
16(7)
Laboratory and Clinical Tests -- a Balance
23(4)
Laboratory versus clinical
23(2)
Features of clinical tests and techniques
25(1)
Features of laboratory tests and techniques
26(1)
Stability of the Tear Film
27(10)
Tear film stability and break up
27(3)
Tests of tear stability
30(5)
Summary
35(2)
Assessment of Tear Volume
37(10)
Invasive tests for tear volume
37(4)
Non-invasive tests for tear volume
41(6)
Assessment of Tear Quality
47(10)
Tear quality in general
47(1)
Slit lamp
47(1)
Lid margin, canthi and staining
48(2)
The lipid layer
50(2)
Meibomiometry
52(1)
Evaporimetry
53(1)
Lactoplate test
53(1)
Refractometry
53(1)
Tear ferning
54(1)
Osmolality
54(3)
Ocular Surface Health
57(10)
Hyperaemia assessment
57(3)
Ocular surface staining
60(1)
Conjunctiva cellular status assessment
61(3)
Summary
64(3)
Treatments of Dry Eye
67(16)
Artificial tears
67(3)
Oral antioxidants
70(2)
Punctal plugging
72(2)
Ointments, sprays, lid scrubs, lid therapy, sideshields, compresses
74(2)
Watery eye
76(3)
Pharmacological intervention
79(4)
Index 83

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