A complete eye exam including a detailed history and careful slit lamp exam with Dr. Duffey to examine your vision, eyelids, lashes, conjunctiva, cornea and tear film is the best starting point.

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Schirmers tear strips can objectively measure your tear output and a measure of tear break-up time (T-BUT) can assess quality of the patient’s tear film.  For severe, sight-threatening chronic dry eyes, Dr. Duffey will occasionally seek a consultation with a Rheumatologist for his patients for both diagnostic and treatment help.  Other more advanced helpful tests can include Sjogren's Antibody testing, tear osmolarity, lipid interferometry, and meibomography.