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| schirmer_test [2022/04/10 13:43] – created Scott Larson | schirmer_test [2025/04/18 20:40] (current) – external edit 127.0.0.1 | ||
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| ====== Schirmer Test ====== | ====== Schirmer Test ====== | ||
| + | * Schirmer I test | ||
| + | * Without Anesthetic | ||
| + | * Measures the basal tear secretion plus the reflex tearing from the main lacrimal gland | ||
| + | * Often used when suspecting [[sjogren_syndrome|Sjögren syndrome]] | ||
| + | * With Anesthetic | ||
| + | * Measures the basal tear secretion | ||
| + | * Use in children | ||
| + | * Schirmer II test | ||
| + | * nasal mucosa is first irritated with a cotton-tipped applicator | ||
| - | ==== Schirmer Test with anesthetic | + | ==== Schirmer |
| - | - Insert topic anesthetic drop | + | - Insert topic anesthetic drop (omit depending on tearing aspect being tested) |
| - Place a paper wick to draw up tears | - Place a paper wick to draw up tears | ||
| - Before placing the strip ensure there isn't reflex tearing present from the anesthetic | - Before placing the strip ensure there isn't reflex tearing present from the anesthetic | ||
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| * Tear deficiency | * Tear deficiency | ||
| * <5 mm wetting | * <5 mm wetting | ||
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| + | ==== References ==== | ||
| + | * Wolffsohn JS, Arita R, Chalmers R, Djalilian A, Dogru M, Dumbleton K, Gupta PK, Karpecki P, Lazreg S, Pult H, Sullivan BD, Tomlinson A, Tong L, Villani E, Yoon KC, Jones L, Craig JP. TFOS DEWS II Diagnostic Methodology report. Ocul Surf. 2017 Jul; | ||
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