Schirmer's test

From WikiLectures

The Schirmer test is used to assess the amount of tear production . Special strips of filter paper (5 × 35 mm, 5 mm folded from the end) are inserted into the lower conjunctival sac of both eyes (at the interface of the outer and middle third). After 5 minutes, we evaluate the length of the wet section, with normal reflex formation of the aqueous component of tears, it should be longer than 10 mm . It is mainly used in the diagnosis of dry eye syndrome .


Test Variants:

  • Schirmer's test Even without anesthetic - measures both basal and reflex secretion
  • Schirmer's test I with anesthetic - measures only basal secretion, tells about the activity of accessory glands (dysfunction in inflammation , eg in sarcoidosis , Sjörgen's syndrome )
  • Schirmer's test II with anesthetic - measures the reflex secretion of tears when irritating the nasal mucosa


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References[edit | edit source]

  • ROZSÍVAL, Pavel. Oční lékařství. 1. edition. Galén, Karolinum, 2006. ISBN 80-7262-404-0, 80-246-1213-5.
  • VOKURKA, Martin. Velký lékařský slovník. 7. edition. Maxdorf, 2007. 0 pp. ISBN 978-80-7345-130-1.

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