The following is a photograph after fluorescein staining of a 40 year old patient with complaints of gritty sensation OU for the past several months. All of the following might be expected except:

Tuesday, September 22, 2009
The following is a photograph after fluorescein staining of a 40 year old patient with complaints of gritty sensation OU for the past several months. All of the following might be expected except:
  1. increased tear break-up time
  2. decreased tear meniscus
  3. 5mm Schirmer test
  4. filamentary keratitis

Correct Answer: increased tear break-up time

The picture depicts aqueous tear deficiency dry eye. This condition is characterized by a decreased tear break-up time, decreased tear meniscus, decreased Schirmer test and increased mucus in the precorneal tear film and/or filament formation.

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