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MCQ – 90767

Question

Which is the best diagnostic modality for this corneal condition

A.

Rose bengal dye

B.

Lissamine green stain

C.

Fluorescein dye with cobalt blue light

D.

Fluorescein dye with green filter

Show Answer

Correct Answer » C

Explanation

Fluorescein dye: An orange, water-soluble dye that highlights epithelial breakdown. Best viewed under cobalt blue light to diagnose dry eye disease, corneal defects & abrasions.

– Other Uses:
– Applanation tonometry
– Seidel’s test: Detects perforation & active leaks.
– Jones dye disappearance test: Checks nasolacrimal duct patency.
– Trauma to canaliculus: Used in eyelid trauma for canaliculus repair.
– Fundus angiography: Visualizes vascular pathologies (e.g., diabetic retinopathy).
– Cobalt blue excitation filter: Enhances fluoresein imaging.
– Yellow-green barrier filter: Blocks reflected blue light & allows yellow-green light through.
– Contact lens fitting

Rose Bengal dye: Evaluates mucin layer integrity; stains damaged epithelium & mucus.

Lissamine Green dye: Diagnoses dry eye, especially in Sjogren’s syndrome. Assesses contact lens fit & detects conjunctival staining.

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