Summary
Coman hoorcolleges samenvatting
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samenvatting van alle hoorcolleges van Coman door Arjan Keuken, Louïse van Doorn en Sigrid Muller.
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optometrie1995
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Coman Ooglidprocedures:Demodex folliculorum → klachten die lijken op droge ogen, vaak bij mensen boven de 50.
Kan geassioseerd zijn met blefaritis of MGD.
Medicatie: Ivermecine, verlamd de spieren waardoor de dermodex uitvallen. (wordt
niet in nederland gebruikt).
Beoordelen op 40x wimper ronddraaien dan komt hij eruit.
DEWS
2 vormen:
Tranen tekort → sjorgen of geen sjorgen
Evaporatief → grootste groep.
Acne medicatie zorgt vaak voor droge ogen.
Testen bij droge ogen:
- Phenol Red Thread Test
- Traanfilm Osmolariteit
- Evaluatie Sluiten oogleden
- Beoordeling oogleden (spleetlamp)
- Beoordeling conjunctiva LIPCOF TBUT/ NIBUT/ lissamine groen (LWE) + staining
conjunctiva en cornea
- Beoordeling traanfilm interferentie patronen
- Beoordeling MG Meibography
SPK → supervision punctata keratitis (geen ontsteking) = staining.
Sluiting oogleden:
- Achter spleetlamp, spleetlamp uit. Transilluminator op ooglid, schijnt er licht door?
Dan is er geen volledige sluiting.
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