Eyeworld

8 Copyright 2017 ASCRS Ophthalmic Corporation. All rights reserved. The views expressed here do not necessarily reflect those of the editor, editorial board, or the publisher, and in no way imply endorsement by EyeWorld or ASCRS. To take this test online and claim credit, go to bit.ly/2j9eZpt or complete the test below and fax, mail, or email it in. CME questions (circle the correct answer) 1. A 65-year-old patient has 3+ cataracts OU. Preoperative topography demonstrates 0.6 D of astigmatism at axis 095, but biometry identifies 1.37 D of astigmatism at axis 78. What caused this discrepancy? a. Cataract density b. Corneal scarring c. Previous refractive surgery d. Ocular surface disease 2. A 60-year-old woman complains of a gritty sensation and fluctuating vision especially after working on a computer for longer than 20 minutes. Which of the following tests would be most helpful in confirming the diagnosis of dry eye? a. Normal topography b. Negative MMP-9 test c. High tear osmolarity d. Slit lamp examination without positive vital dye staining 3. A 74-year-old man presents for evaluation for fluctuating vision. A cataract was diagnosed previously. Which test combination would be least informative? a. Biometry and osmolarity b. Biometry and MMP-9 c. Biometry and Schirmer's d. Biometry and topography 4. A 33-year-old engineer is seeing his eyecare specialist for the first time with a chief complaint of fluctuation of vision, red eyes, and a burning sensation after a full day at work in front of a computer. He has never had any eye problems, does not wear contact lenses or glasses, and doesn't use drops or medications in his eyes. He has a normal eye examination, including no corneal or conjunctival staining. At the 6-week follow-up after initial therapy, what should be considered before determining the next treatment steps? a. Origin of symptoms b. Corneal topography c. Fluorescein results d. Tear break-up time To claim credit, please fax the test and fully completed form by August 31, 2017 to 703-547-8842, email to GPearson@ascrs.org, or mail to: EyeWorld, 4000 Legato Road, Suite 700, Fairfax, VA 22033, Attn: February 2017 OSD Monograph ASCRS Member ID (optional): First/Last Name/Degree: Practice: Address: City, State, Zip, Country: Phone: Email: Please print email address legibly, as CME certificate will be emailed to the address provided. OSD: Honing diagnostic protocols to pinpoint disease, enhance surgical outcomes

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