Dry eye disease or dysfunctional tear syndrome is among the most frequent diagnoses in ophthalmology. It is a multifactorial disease of the ocular surface and tear film which results in ocular discomfort, visual disturbances, and tear instability with potential damage to the cornea and conjunctiva. Risk factors for dry eye syndrome include age, sex (female gender), race, contact lens wear, envi...

Case Sometimes it is difficult to diagnose circumferential aortic dissection with enhanced computed tomography alone. A 58-year-old woman presented with sudden-onset chest discomfort and loss of consciousness. Transthoracic echocardiogram showed mild aortic regurgitation. Enhanced computed tomography scans showed no obvious intimal tear or flap at the proximal ascending aorta, but an intimal fl...

Patients presenting to an eye care professional commonly complain of symptoms related to dry eye syndrome (DES), a multi-factorial condition causing instability of the tear film which can potentially result in ocular discomfort and reduced visual function.1 It is estimated that up to a quarter of individuals seen in an optometric clinical setting report symptoms associated with dry eyes, a stat...

The purpose of this article is to document a rotator cuff tear sustained by an elderly woman performing progressive resistance training (PRT) in a recent randomized controlled clinical trial. The patient was a sedentary 73-y-old Caucasian woman. Investigation revealed an acute, full-thickness tear of the right supraspinatus secondary to performing a shoulder press exercise. Further investigatio...

Boerhaave syndrome, a rare condition involving esophageal perforation and associated with high mortality, has traditionally required surgical repair [1]. In most cases of Boerhaave syndrome, the tear extends several centimeters, because of which it is difficult to completely close with hemoclips. More recently, treatment with self-expandable metal stents has been attempted for Boerhaave syndrom...

purpose: to evaluate and compare tear secretion and tear film instability following laser in situ keratomileusis (lasik) and laser assisted subepithelial keratectomy (lasek). methods: in a randomized clinical trial, 30 eyes of 15 patients underwent lasik and 30 eyes of 15 patients underwent lasek to correct myopia. tear secretion and tear film instability were tested preoperatively, 2 and 6 wee...

Objective: Among the various impression materials, for alginate tear strength is probably more important than the compressive strength. The tear strength is important when an impression involves a mechanical undercut and/or lacks bulk strength to resist tearing. This study evaluated tear strength of Iralgin and compared it with tear strength of Alginoplast. Methods: In this invitro experime...

Tear hyperosmolarity is thought to play a key role in the mechanism of dry eye, a common symptomatic condition accompanied by visual disturbance, tear film instability, inflammation and damage to the ocular surface. We have constructed a model for the mass and solute balance of the tears, with parameter estimation based on extensive data from the literature which permits the influence of tear e...

PURPOSE To evaluate the safety of bromfenac sodium eye drops from the standpoint of corneal sensitivity and tear secretion in healthy controls following instillation for 1 month. METHODS A prospective single-blind parallel clinical study was conducted in 20 eyes of ten healthy volunteers with no history of ocular or systemic allergic disease, dry eye, contact lens wear, or ocular surgery. Par...

Exposure keratopathy, including that which occurs following laser assisted keratomileusis, appears to be associated with incomplete blinking. Incomplete blinking may contribute to the signs and symptoms of lid wiper epitheliopathy. In addition, precipitation of contact lens surface deposits and other contact lens surface drying phenomena, appear to be accelerated by incomplete blinking. For the...