Certificate

Dry Eye Disease: A Try Not To Blink CE/CME Podcast
Please complete the following posttest and evaluation in order to receive your certificate.
Jointly Provided by the Institute for Continuing Healthcare Education (Institute) and American Academy of CME (Academy).
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POST-TEST

Please answer the following questions.
1. Normal tear breakup time is___? *

Greater than 10 seconds Less than 10 seconds Wetting of greater than 5 mm Wetting 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? *

OSDI SITA FAST DEQ-27 OSMO
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 MMPs Measure Osmolarity Image the Meibomian glands Measure corneal sensitivity
The correct answer is to measure corneal sensitivty.
5. Staining on the superior conjunctiva is indicative of what ocular finding? *

Filamentary keratitis Punctate keratitis Allergic conjunctivitis Superior limbic keratoconjunctivitis
The correct answer is superior limbic keratoconjunctivitis
6. Debris found at the base of the eyelashes is indicative of what ocular findings? *

Diabetes Demodex Excess Visine use Gram 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 symptoms Moderate dry eye symptoms Normal symptoms Severe dry eye symptoms
The correct answer is severe dry eye symptoms.
8. Her corneal findings were___? *

ITF grade 1 ITF grade 2 ITF grade 3 ITF 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 Visine Start warm compresses alone Start oral doxycycline Start topical cyclosporine and re-evaluate in 1 month
The correct answer is to start topical cyclosporine and re-evaluate in 1 month.

EVALUATION

Please answer the following to help us develop future education.

Please rate the following statements on a Likert scale where 5=Strongly Agree, 1=Strongly Disagree: *

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.

Based on what you learned, what will you do differently in the care of current or future patients? (check all that apply) *

Implement new information or skill in my current or future practice. Seek additional information. On average, I utilized the patient treatment strategies described in the activity prior to my participation. Do nothing-the content was not convincing.
Please provide a short reflective/commitment to change statement about what you will do differently in your practice, with your care team, or during an externship rotation. *
General comments/suggestions
What barrier(s) impact your ability to make the changes(s) you indicated in your practice or in your externship experience(s)?

What is your overall rating of this activity? *

5=Excellent, 1=Poor

I certify that I have spent the following length of time on this activity (0.50 = 1/2 hour, 1.00 = 1 hour) : *

0.50 0.75 1.00
Just a few personal questions to help us get more familiar with our audience.
How did you hear about this CE/CME activity?

Email Colleague I'm a regular Try Not To Blink listener My instructor required it (for students)
In what year were you born?
What is your current practice setting:

Private solo Private group Hospital Academic
Should be Empty:

POST-TEST

EVALUATION