Q1. During an initial assessment of a 43-year-old who is interested in contact lenses for the first time, this image was taken by meibography of the lower lid. Which of the following best describes the findings?
Answer C. The meibography image clearly shows a central area where the bright meibum reflection of the infra-red is absent. This represents gland drop out. The other glands appear to be shorter in length than expected also.
Q2. Instillation of lissamine green dye resulted in the following appearance. What is represented by the black arrow?
Answer B. The black arrow represents the Marx line. This is the line of transition from the dry outer skin and the wetter palpebral conjunctiva. It is anterior to and histologically distinct from the lid wiper area.
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