Jan/Feb 2018

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Features

Coping with Contact Lens Discomfort

Lens material and solution choices are part of the equation, but there is more to be considered. Here’s how TFOS DEWS II can help.

Look Out for Iatrogenic Dry Eye

Surgery, medications and contact lenses are just some of the ways a doctor’s care can induce DED. Here’s what DEWS II recommends to prevent it.

Making the Diagnosis with the TFOS DEWS II

Here’s how the report’s definition, classification system and diagnostic algorithm for dry eye can be used in your practice.

The Global Burden of Dry Eye

This pervasive disease flourishes in the presence of MGD, especially in those made susceptible by age, sex, ethnicity and environment. Knowing these risk factors allows earlier intervention.

The Tear Film: More Complex Than You May Realize

What we once considered a three-part structure really has two highly interdependent layers in tenous balance, vulnerable to osmolarity and inflammatory changes.

Departments

Corneal Consult

MK: A Stealthy Opponent

Differentiating microbial keratitis isn’t always cut-and-dry. These tips can help.

Fitting Challenges

Double Trouble in Keratoconus

Lenticular astigmatism complicated an already-difficult case. This patient needed a little extra help before finding a good fit.

My Perspective

The Clinical Implications of DEWS II

Highlights: a retooled classification system and elevated awareness of neuropathic pain.

News

News

FTC Contact Lens Rule Workshop | Dry Eye | Pterygium Surgery | CXL | Keratoconus

Pharma Science & Practice

What’s New with Uveitis

Statins, dietary supplements and a new way to deliver steroids might become part of your treatment regimen, improving outcomes and reducing risks.

Practice Progress

Sclerals: A Blueprint for Beginners

With simple in-office tools and a few reliable lab partners, you’ll be on your way.

The Big Picture

Breaching the Border

HSV keratitis can allow limbal blood vessels to infiltrate the stroma, putting vision at risk.

The GP Experts

CLD? Consider Ortho-K

An unusual suggestion, but it may work for some patients with contact lens discomfort.