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including osmolarity, the MMP-9
inflammatory marker, serum testing
for biomarkers of Sjogren's syn-
drome, Sjogren's diagnosis, and lipid
layer
analysis; he discussed specific
features of each. Some tests that are
already being used in the office can
help with dry eye diagnosis, includ-
ing corneal topography, wavefront
aberrometry, and OCT.
New tests increase the specificity
and positive predictive value of
diagnostic testing for dry eye,
Dr.
Kim concluded. Point-of-care
diagnostic testing allows the physi-
cian to make appropriate treatment
decisions more quickly.
Finally, Dr. Yeu discussed how to
implement point-of-care diagnostics
for dry eye into a practice. The
reality is refractive cataract surgeons
can't afford to ignore the ocular
surface, she said, discussing the tests
and protocols she uses in her
practice to diagnose and help
these patients.
Clinicians should increase
suspicion
of dry eye and MGD in the
cataract population and lower the
threshold for treating prior to sur-
gery, Dr. Yeu said. "Advanced point-
of-care diagnostics provide quick,
objective and highly specific results
that are easy to use and explain to
patients." Protocols are evolving,
however, clinicians don't have to
wait
for the perfect protocol to begin
implementing advanced diagnostics.
"New tests are commercially
available and can be integrated into
your practice now," she said.
EW
Editors' note: This event was supported
by unrestricted educational grants from
TearLab, TearScience, Rapid Pathogen
Screening, and Nicox.
ASCRS•ASOA SYMPOSIUM & CONGRESS, BOSTON 2014
Program chair Eric D. Donnenfeld, MD, polls attendees at the "Developing the Latest Point
of Care Ocular Surface Testing Protocol: Making Advanced Decisions From Advanced
Diagnostics" symposium.