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Clinical Challenges –
Practical Solutions An In-depth
Look At The Anterior Eye
David Kading,OD,FAAO, Mile Brujic, OD
[email protected]
1. Patient Issues
a. Symptoms Experiences
b. Objective Findings
2. Common Anterior Segment Conditions
a. Ocular Surface Disease
b. Uveitus
3. Ocular Surface Disease
a. Allergic Eye Disease
b. Blepharitis
i. Anterior Blepharitis
ii. Posterior Blepharitis
c. Dry Eye
4. Infiltrative Keratitis
a. Causes
b. Differentials
c. Treatment
i. Steroid
ii. Antibiotics
5. Allergic Eye Disease
a. How many patients experience allergies
every year
b. Effect on quality of life
c. Common symptoms experienced
d. Differentiation of allergic eye disease
e. Common signs of allergy
f. Recent breakthroughs
g. Treatment options
i. Mast Cell Stabilizers
ii. Antihistamines
iii. Combination Drops
iv. Steroids
v. Environmental Changes
6. Blepharitis
a. Anterior Blepharitis
i. Common Symptoms
ii. Common Signs
iii. Treatment Options
1. Environmental
2. Warmth
3. Massage
4. Lid Hygiene
b. Posterior Blepharitis (Meibomian Gland
Dysfunction)
i. Common Symptoms
ii. Common Signs
iii. Treatment Options
1. Environmental
2. Warmth
3. Massage
4. Artificial Tears
5. Medication
7. Dry Eye
a. How many patients experience Dry Eye
b. Effect on quality of life
c. Common symptoms experienced
d. Common Objective findings
e. Differentiation the various Dry Eyes
i. Aqueous Deficiencies
ii. Lipid Deficiencies
iii. Mucin Problems
f. Treatment Options
i. Treatment depends on disease state
1. Artificial tears
2. Cyclosporine
3. Punctal Plugs
4. Lacrimal Inserts
5. Upcoming treatment options
8. Corneal Pathology
i. Common Symptoms
ii. Common Signs
iii. Types of Corneal Abnomralities
iv. Treatment Options