How tear osmolarity affects lens wearConsidering that many CL patients are desensitized, it is critical we not only monitor their tear film and ocular surface for change, but we demonstrate stability or instability through measurable means. This creates trust, validates our recommendations, induces compliance, and generates positive outcomes.
Diagnosing and treating lagophthalmosSince I read Dr. Robert Latkany’s study on nocturnal lagophthalmos in 2006,1 I am perpetually on the lookout for it, especially in the patients who present with dry eye symptoms. Sometimes it’s easy to spot lagophthalmos—sometimes, if you ask your patient about lid closure, they will report to you that they know about their incomplete lid closure, mostly when they sleep.