Certificate

Dry Eye Disease: A Try Not To Blink CE/CME Podcast

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Jointly Provided by the Institute for Continuing Healthcare Education (Institute) and American Academy of CME (Academy).

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1. Normal tear breakup time is___?*

Greater than 10 secondsLess than 10 secondsWetting of greater than 5 mmWetting of least than 5 mm

The correct answer is greater than 10 seconds.

2. What is the most appropriate dry eye survey to be used when suspecting inflammatory conditions?*

OSDISITA FASTDEQ-27OSMO

The correct answer is OSDI.

3. Meibomian gland dysfunction is involved in ___ % dry eye symptoms?*

Less than 50%Around 50%More than 85%100%

The correct answer is more than 85%.

4. If a patient has no symptoms of dryness, but has significant ocular signs of dryness, the best next step is to ____?*

Measure MMPsMeasure OsmolarityImage the Meibomian glandsMeasure corneal sensitivity

The correct answer is to measure corneal sensitivty.

5. Staining on the superior conjunctiva is indicative of what ocular finding?*

Filamentary keratitisPunctate keratitisAllergic conjunctivitisSuperior limbic keratoconjunctivitis

The correct answer is superior limbic keratoconjunctivitis

6. Debris found at the base of the eyelashes is indicative of what ocular findings?*

DiabetesDemodexExcess Visine useGram negative bacteria

The correct answer is Demodex.

CASE REVIEW

A 42 year-old-female presents for an emergent eye examination with chief complaint of foreign body sensation that grows throughout the day. She has, over the past two years, been placed in biweekly contact lenses from monthly lenses and now is wearing daily disposable contact lenses. She uses an artificial tear to help with the symptoms a minimum of four times daily and at a maximum of six times daily. She notes that her co-workers ask her why her eyes become red throughout the day. She is taking an oral anti-depressant and has seasonal allergies which she takes a daily allergy medicine for.

Findings

Her vision was 20/20 ou with moderate myopic correction at distance and 20/25 at near. Her OSDI was a 38. She had mild corneal staining that extended into her visual axis and moderate conjunctival staining mostly at 3 and 9 oclock on the bulbar conjuctiva. Her TBUT was 5 seconds. Her Inflammadry readings were strong positive ou with a 320mOsm Osmolarity reading in both eyes.

7. Her OSDI is significant for …?*

Mild dry eye symptomsModerate dry eye symptomsNormal symptomsSevere dry eye symptoms

The correct answer is severe dry eye symptoms.

8. Her corneal findings were___?*

ITF grade 1ITF grade 2ITF grade 3ITF grade 4

The correct answer is ITF grade 3.

9. Based on the findings above, what would be the best first step in treatment given the ITF guidelines.*

Start VisineStart warm compresses aloneStart oral doxycyclineStart topical cyclosporine and re-evaluate in 1 month

The correct answer is to start topical cyclosporine and re-evaluate in 1 month.

	5	4	3	2	1
The content covered was useful and relevant to my practice or education.
The activity was fair, balanced, and free of bias.
The activity improved my knowledge of this clinical issue.
I am better able to describe the optimal process for objectifying subjective dry eye complaints.
I am better able to describe how to best analyze the ocular surface.
I am better able to list the steps for how to best approach a treatment strategy.

POST-TEST

EVALUATION