Case studies: Dry eye in a pandemic

The following cases raise a number of points of interest:

Figure 1a: Image of an eye under blue light after fluorescein instillation.

Figure 1b: Same eye with introduction of Wratten filter revealing peripheral corneal epithelial damage (Images: Beth Ralph)

Patient booked in to the dry eye clinic.

Presentation

Clinical findings

Figure 2: Video of fluorescein break-up time for left eye. At three seconds inferior desiccation visible, at five seconds break up spots visible

Figure 3: Video of fluorescein break-up time for right eye. Pre-blink appearance shows multiple sites of break-up, greater inferior desiccation than left and scattered desiccation stain over cornea. Moment of maximum blink showing clear lagophthalmos