Schirmer test

Purpose: Use to measure total tear secretions

 

Procedure:

1. Uses a 5 x 35 mm strip of Whatman-41 filter paper.

2. At 5 mm end of filter paper, a fold is present 

3. Fold end of filter paper is place in lower fornix at the junction of lateral one-third and medial two-thirds.

4. Patient looks up and avoids blinking or closing eyes for 5 minutes.

 

 

Measurement: 

After 5 minutes, the doctor removes the filter paper and measures how much of it has become moist.

 

Wetting of filter paper

from 5 mm end 

Grade 

>15 mm  

Normal 

10 mm 

Mild kerato conjunctivitis

sicca (KCS)

5 mm  

Moderate KCS 

<5 mm 

Severe KCS 

 

Other tests for dry eye disease- 

1. Tear film break up

2. Schirmer-I test

3. Rose bengal staining

 

 

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