Glaucoma and dry eye

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Glaucoma and dry eye

Patients with dry eye disease need to be screened for glaucoma. It is not uncommon for steroids to be used in dry eye disease and is often used in a “pulsed” type fashion. As a result, while the pressure may be measured as “normal” in the office, the intra-ocular pressure could have been elevated during the previous steroid pulse and cause optic nerve damage. Even with mild steroids such as Lotemax. Alrex, or 0.1% FML, pressure elevations can occur especially in patients who are steroid responders. At Fishmanvision, we always include OCT optic nerve analysis as part of our new patient dry eye work-up. At risk patients should have a visual field and the below video snippet is visual field testing as seen from the doctor’s side.

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