Do you feel there is value to Schirmer testing in clinic prior to starting dry eye treatment?

Schirmer's testing is a low-cost, readily available test for a majority of ophthalmologists. It has several limitations and can be quite variable in its results. Consistently low Schrimers I results suggest an aqueous tear film deficiency and can be a clue toward the mechanisms of dry eye problems, as well as an ocular surface disorder that may also need to be addressed prior to cataract or refractive surgery planning.

A thorough slip map exam, corneal surface staining, meibomian gland health as...