10.07.2015 Views

examination of the eye: methods of diagnosis and instrumentation

examination of the eye: methods of diagnosis and instrumentation

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Stain Use/Order• Fluorescein stain first. Identifies ulcers if +.• Rose bengal stain second.– Rose bengal retention indicates tear film instability.• Mucin tear layer blocks RB staining• At risk <strong>of</strong> fungal colonization/invasion• KCS• Viral keratitis• Edema• Scar tissue– Rose bengal stains exposed epi<strong>the</strong>lial cells, mucous <strong>and</strong> stroma(slow absorption)• Not a good prognosis if FL+ <strong>and</strong> RB+• Tear Film Breakup Time in RB+ <strong>eye</strong>s

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