We offer Meibomian gland imaging, which we find interesting to gauge the anatomy of the meibomian glands of the eyelids.
The “classic” test is called Schirmers testing, and this requires putting a thin piece of paper on the eyelid, touching the eye, for 5 minutes. We find this test to be uncomfortable, and unreliable.
We have tried other testing including InflammaDry and TearLab, which look at the osmolarity of the tear film. We found these tests to be unreliable predictors of dry eye symptoms and response to therapy.
We have found that the best “test” for dry eye symptoms is to listen carefully to our patients and ask “how are your eyes feeling?”