Dry Eye in Children
A Journal Article from Contact Lens Spectrum: April 2017
By: Dr. Melanie Frogozo
Pediatric and Teen CL Care
Dry eye is not common in pediatric patients because a thicker tear film coats the ocular surface in comparison to adults. Nevertheless, children present with dry eye for various reasons, and it is our responsibility to properly diagnose and manage it. This can be challenging because children do not always accurately communicate their dry eye symptoms. This article will review some common causes of dry eye in children.
It is now common for children to use..
Addressing MGD in Contact Lens Wearers
A Journal Article from Contact Lens Spectrum: December 2016
By: Dr. Melanie Frogozo
Proactively managing and treating meibomian gland dysfunction allows for more comfortable lens wear.
Currently, there are more than 150 million contact lens wearers worldwide, and up to 50% of wearers report symptoms of dryness. Dry eye causes intolerance and discomfort in contact lens wearers and is thought to be a major contributor to dropout in patients under the age of 45 years old (Richdale et al, 2007). Although dry eye is multifactorial in etiology, there is a strong consensus that meibomian gland dysfunction (MGD) is the most common cause of evaporative dry eye (Schaumberg et al, 2011). Therefore, proactively managing and treating MGD will allow patients to continue to wear contact lenses comfortably.
What is MGD?
The meibomian glands are located at the margins of the upper and lower eyelids. Meibomian glands are large specialized sebaceous glands in the tarsal plates of the eyelids. Their function is to excrete lipids onto the ocular surface that form on...
How to Manage Dryness Symptoms in GP Lens Wearers
A Journal Article from Contact Lens Spectrum: July 2016
By: Drs. Melanie Frogozo, Edward S. Bennett, Matt Kauffman, and Brian Silverman
When GP lens wearers report dryness symptoms, management depends on a number of factors. With the help of some rising stars in the contact lens profession, this article will present some common and successful approaches.
The “Go To” Diagnostic Tests
Evaluating the lens-to-cornea fitting relationship is particularly important. An inferiorly positioning GP lens can result in more lid-lens edge interaction, which can impact the quality of the blink. Decreasing lens mass (i.e., ultrathin design and lenticulation in high-minus and all plus powers) and a lower-edge-clearance design, if appropriate, can be beneficial. Also evaluate the peripheral cornea, notably for desiccation staining.
Tear breakup time (TBUT) without the lenses can reveal whether patients have issues with wetting through the blink cycle. Lissamine green staining...
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