Through the years, we have strived to evolve our dry eye protocol including properly identifying, diagnosing and managing ocular surface disease (ie blepharitis, MGD, dry eye disease, ocular rosacea, styes/chalazions, eye allergies and more).
We are EXCITED to share that we have a NEW addition to our diagnostic workup: The Tearlab Osmolarity System. Tear osmolarity is an important biomarker that analyzes the tear quality as well as the ocular surface health. After reviewing the detailed literature, we found it essential to incorporate this valuable in-office laboratory test during our workup.
Our current diagnostic plan: 1) evaluate tear stability, 2) measure tear moisture, 3) capture infrared imaging (meibography) of the oil glands, 4) utlilize vital dye staining of the ocular surface including cornea and conjunctiva), 5) check the function of the oil glands. AND NOW: Tear Osmolarity (which takes a small sample to measure the saltiness of the tear).
Tear Osmolarity testing is NOT painful and only takes about a FEW SECONDS per eye to perform. The results are revealed during the same visit within a matter of minutes.
Dry Eye Disease TFOS DEWS 2 Definition: "Dry eye is a multifactorial disease of the ocular surface characterized by a LOSS OF HOMEOSTASIS of the tear film, and accompanied by ocular symptoms, in which tear film instability and HYPEROSMOLARITY, ocular surface inflammation and damage, and neurosensory abnormalities play etiological roles."