Schfrmer's test

The Schfrmer test is to check whether the tear secretion of the lacrimal gland is normal. Under normal circumstances, the lacrimal gland cannot be touched. Let the patient look down the nose, and use the thumb of the opposite hand to pull the upper iliac crest outward and upward as much as possible, so that the lacrimal gland of the ankle caused by inflammation or tumor can be exposed under the conjunctiva of the upper iliac crest, so as to facilitate an examination. Basic Information Specialist Category: Ophthalmic Examination Category: Other Inspections Applicable gender: whether men and women apply fasting: not fasting Tips: Don't eat too much spicy and greasy food. Normal value Symptoms and signs: common symptoms are dryness of the eyes and foreign body sensation. Other symptoms include burning sensation, itching, photophobia, red pain, blurred vision, fatigue, and filamentous secretions. If none of the above occurs, It is normal. Clinical significance Abnormal result Clinical manifestations of keratitis in the cleft palate. The tear film rupture time of this disease is shortened, which can cause filamentous corneal inflammation and keratoconjunctivitis, which is manifested by the reduction of tears at the margin of the gingival margin. In Schirmer's experiment, the amount of tears is reduced. This disease is often manifested in the elderly with special diseases, but most of them are common in the eye part of Sjogrens syndrome. Sjogrens syndrome includes dry mouth, dry eyes and arthritis. It can also occur in many autoimmune diseases and systemic diseases such as sarcoma and Waldenstroms macroglobulinemia. People who need to be examined: keratoconjunctivitis, Sjogrens syndrome. Precautions Taboo before the test: Do not eat too much spicy and greasy food. Requirements for inspection: These examinations are only for doctors, and the medical examiner can simply follow the instructions. Inspection process The method is to use a strip of filter paper having a width of 5 mm and a length of 35 mm, which is folded at one end and placed in the conjunctival sac of the lower or middle 1/3 of the sac in the normal and non-irritating condition, and the rest is suspended from the eyelid by the cleft palate. In addition, the eye can be opened, and the patient can also blink at will without letting the filter strip fall out of the eye. Not suitable for the crowd There are no other diseases related to tears and the like. Adverse reactions and risks Generally no adverse reactions.