Level III: Treatment: ALTERED TEAR CLEARANCE

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Differentiate etiology using the following additional tests:

  • Slit lamp examination
  • Jones dye disappearance test
  • Vital dye stain of ocular surface(e.g. fluorescein, lissamine)

Initiate additional treatment or diagnostic for the following:

  • Ocular allergy topical and/or oral anti-allergy medication, in-office allergy testing(scratch test)
  • Punctal stenosis and nasolacrimal duct obstruction dilation and irrigation, nasolacrimal probing
  • Conjunctivochalasis refer to corneal specialist for surgical repair
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