, Define dry eye. - Answer: it is a relatively common syndrome in age 40 and older characterized by
inadequate tear production.
What does dry eye occur as a result of? - Answer: mechanical obstruction, lacrimal gland malfunction,
or mucin deficiency.
Name four things a patient with dry eye might present with. - Answer: a feeling of sand in the eyes
especially when blinking. Eyes feel hot, irritated, gritty, and are red. They may c/o blurred vision, lack of
tears, excessive tearing, and sensitivity to light. Worsens in smoky or dry environments.
Name four potential differential diagnoses of dry eye. - Answer: conjunctivitis, blepharitis, hormonal
changes, or age-related changes.
What is epiphora? - Answer: it is excessive tearing and is often in response to dry eye. It is an especially
common complaint in elderly patients and patients with allergies.
What causes epiphora? - Answer: lacrimal malfunction, eye irritation, allergies, infection, trauma, pain,
or structural abnormalities, as in ectropion.
What might the patient complaints entail for epiphora? - Answer: excess tears, eye strain with neck,
shoulder, and back pain.
What are some differential diagnoses for epiphora? - Answer: allergens, dry eye syndrome, viral or
bacterial conjunctivitis, blocked lacrimal duct, glaucoma.
What is the most important thing for the clinician to know in the case of eye pain? - Answer: when to
refer the patient to an ophthalmologist.
What is important to differentiate when dealing with eye pain? - Answer: is the pain from the eye itself
or from one of the surrounding structures.
What is the most common cause of eye pain? - Answer: trauma.
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