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2014 ASCRS•ASOA Boston Daily News Saturday

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EW SHOW DAILY 57 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.

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