This case involves a unique reverse Segond fracture pattern with ACL and MCL tears that does not have the usually involved PCL tear or obvious meniscal tear. It further shows the importance of recognition of the medial tibial avulsion fracture as an indicator of more severe internal derangement and instability of the knee. Early recognition prompts a more thorough evaluation and management of i...

We examine a mathematical model describing the behavior of the precontact lens tear film of a human eye. Our work examines the effect of contact lens thickness and lens permeability on the film dynamics. Also investigated are gravitational effects and the effects of different slip models at the fluid-lens interface. A mathematical model for the evolution of the tear film is derived using a lubr...

OBJECTIVE To evaluate the effects of oral administration of diphenhydramine on pupil diameter, intraocular pressure (IOP), tear production, tear film quality, corneal sensitivity, and conjunctival goblet cell density (GCD) in clinically normal adult dogs. ANIMALS 12 healthy adult dogs. PROCEDURES All dogs received diphenhydramine (2.2 mg/kg, PO, q 12 h) for 21 days. Conjunctival biopsy samp...

The purpose of this study was to describe the ocular surface findings in chronic renal failure (CRF). Sixty eyes of 30 patients with CRF group and 70 eyes of 35 healthy subjects were evaluated. Schirmer-I, tear film break-up time tests and conjunctival impression cytology were performed in addition to complete ophthalmologic examination. The presence of dry eye symptoms and conjunctival calcifi...

PURPOSE To determine the interaction between corneal topographic and tomographic parameters and dry eye syndrome (DES) in keratoconus (KC) patients. METHODS Seventy-seven eyes of 49 patients with KC (age 34.4 ± 11.6 years) were enrolled in this study. In these 77 eyes we recorded surface regularity index (SRI), surface asymmetry index (SAI) and Klyce/Maeda KC index (KCI) using the Topographic...

PURPOSE To examine the possible role of corneal sensitivity and tear film quality in triggering a blink by investigating the relationship between blink rate, central corneal sensitivity threshold (CST), ocular surface temperature (OST), tear meniscus height (TMH), tear film quality (noninvasive tear break-up time [NIBUT]), and tear film lipid pattern under normal conditions. METHODS Forty-two...

PURPOSE To characterize the tear film peptidome and low molecular weight protein profiles of healthy control individuals, and to evaluate changes due to day-to-day and individual variation and tear collection methods, by using solid phase extraction coupled to matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) profiling. METHODS The tear protein profil...

Introduction Recent evidence suggests that dry eye (DE) may be comorbid with other chronic pain conditions. Objectives To evaluate DE as a comorbid condition in the U.S. veteran population. Methods Retrospective review of veterans seen in the Veterans Administration Healthcare System (Veteran Affairs) between January 1, 2010, and December 31, 2014. Dry eye and nonocular pain disorders were ...