CMSA Diploma In Ophthalmology Dip Ophth(SA) Practice Questions - Diploma In Ophthalmology Of The College Of Ophthalmologists Of South Africa Dip Ophth(SA) Exam

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A 60-year-old postmenopausal woman complains of persistent bilateral eye burning, dryness, grittiness, and episodic tearing that worsens when reading. Tear breakup time (TBTT) is 4 seconds, and Schirmer I test shows 4 mm wetting in 5 minutes. What is the most appropriate initial therapeutic step?

Preservative-free artificial tears and warm eyelid compresses Topical tobramycin-dexamethasone combination drops Punctal occlusion with permanent silicone plugs Oral systemic prednisone 40 mg daily for 2 weeks

Correct Answer:

Preservative-free artificial tears and warm eyelid compresses

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