An 81-year-old Caucasian male was referred for a YAG capsulotomy evaluation. He complained of constant blurry vision, which started two years ago and was more prevalent in the right eye. Because of this, he had difficulty distinguishing road signs, seeing his cell phone and watching TV. He reported that his vision was “like looking through wax paper” and it had been very difficult to function because he is hard of hearing and depends heavily on his vision.
An intact and stable tear film is necessary for many vital functions. Among other things, it provides comfort and clarity that is often reduced in dry eye disease. While the relationship between tear composition and dryness is well-established, we often neglect the other microscopic yet essential components of the tear film that serve to protect our eyes from infection and damage. Besides comfort and a smooth refractive surface, the tear film is also our eye’s first line of defense, protecting us from pathogenic invasion.
A 65-year-old Black male presented with acute redness, tearing, soreness and pain OS of five days’ duration. He did not complain of reduced vision. He said the pain was 5 out of 10 and that he had similar symptoms in right eye, which spontaneously resolved one week prior.
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