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The correct answer is before starting the fitting process.
All patients should have their ocular surface evaluated prior to CL fitting. This ensures a higher chance of success not only related to CL comfort but to quality of vision as well.
The correct answer is all of the above.
All of the above could be appropriate options depending upon the clinical picture. Every patient will present with different symptoms and different clinical signs. A thorough ocular surface evaluation will guide the most appropriate therapy to address the issues.
The correct answer is all tests should be considered.
All of the tests listed would be appropriate to consider. Obviously, not all practices will have access to certain diagnostic testing, but a minimum should include lid/lash evaluation, TBUT, and vital dye staining. Any other point of service testing the clinic has access to could aid in the diagnosis.
The correct answer is to initiate dry eye treatment and once stable and controlled, refer the patient to a cataract surgeon.
Though many of these answers can be correct depending upon the clinician’s comfort level, the most appropriate answer would be to initiate dry eye treatment and control it prior to the referral. However, what is most important is the identification of the ocular surface disease. If the clinician chooses not to manage the patient, the referral information should include that diagnosis so the surgeon is aware.