Dry Eye Masquerades

In this interview from AAO 2017, Dr. Sumitra Khandelwal explains her approach to managing patients who present with surface-related complaints. Because she practices at a tertiary care center, most of her patients have already been previously diagnosed with dry eye disease and are on commercially available medication. Their symptoms, however, still linger, which is often a sign of an underlying disorder. According to Dr. Khandelwal, the key to diagnosing these patients starts with topography to assess the quality of the tear film, followed by a thorough slit-lamp examination and OCT of the anterior segment. In her experience, some conditions that are often missed include conjunctival chalasis, anterior basement membrane dystrophy and superior limbic keratoconjunctivitis. 

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