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Prueba de Schirmer - Risks

Nombres alternativos

Examen de lágrimas; Examen del lagrimeo; Prueba del ojo seco; Prueba secreción basal

Riesgos:

No existen riesgos con la realización de esta prueba.

Consideraciones:

No se frote los ojos durante por lo menos 30 minutos después del examen ni use lentes de contacto durante por lo menos 2 horas después del procedimiento.

Aunque la prueba de Schirmer ha estado disponible por más de 100 años, varios estudios muestran que no identifica adecuadamente a un grupo grande de pacientes con ojos secos. Se están desarrollando pruebas más nuevas y mejores, una de las cuales mide una molécula denominada lactoferrina. Los pacientes con baja producción de lágrimas y ojos secos tienen niveles bajos de esta molécula.

Otra prueba mide la osmolaridad de las lágrimas o qué tan concentradas están éstas. A mayor osmolaridad, mayor es la probabilidad de que usted tenga ojos secos.

El ojo

Examen de Schirmers

Reviewed last on: 2/10/2011
Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Foulks GN. Treatment of dry eye disease by the non-Ophthalmologist. Rheum Dis Clin N Am. 2008;34:987-1000.

Tanenbaum M, McCord Jr. CD. Lacrimal drainage system. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2009:chap 13.

Lemp MA, Foulks GN. Diagnosis and management of dry eye disease. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2009:chap 14.

Miller D, Schor P, Magnante P. Optics of the normal eye. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, MO: Mosby Elsevier;2008:chap 4.23.

American Academy of Ophthalmology Preferred Practice Patterns Committee. Preferred Practice Pattern Guidelines. Comprehensive Adult Medical Eye Evaluation. San Francisco, CA: American Academy of Ophthalmology, 2010. Accessed January 17, 2011.

American Academy of Ophthalmology. Cornea/External Disease Panel. Preferred Practice Pattern Guidelines. Dry Eye Syndrome. San Francisco, CA: American Academy of Ophthalmology: 2008. Accessed January 17, 2011.

Tomlinson A, Khanal S, Ramaesh K, Diaper C, McFadyen A. Tear film osmolarity: determination of a referent for dry eye diagnosis. Invest Ophthalmol Vis Sci. 2006;47:4309-4315.

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