CRU 2025: A closeup of diagnostic approaches and examination tips for DED and OSD

News
Video

Cecelia Koetting, OD, FAAO, DipABO, weighs in on patient assessments, staining pattern insights, and diagnostic tips for patients who may have dry eye disease.

During their CRU 2025 presentation "The ABCs of DED and OSD," Cecelia Koetting, OD, FAAO, DipABO, and Madeline Yung, MD, focused on ocular surface disease and dry eye diagnosis, emphasizing a comprehensive approach to patient evaluation. In an exclusive interview with Optometry Times, Koetting shared the following:

Diagnostic approach

  • Thoroughly examine the entire eye system, including eyelids, lid closure, conjunctiva, and tear drainage system

Diagnostic techniques

  • Use vital dyes, particularly fluorescein
  • Analyze staining patterns carefully
  • Look beyond traditional dyes like lissamine green or rose bengal
  • Observe staining location and extent

Staining pattern insights

  • Different staining patterns can reveal underlying issues: - Inferior staining might indicate sleeping with eyes open - metamucosa could result from preserved eye drops

Examination recommendations

  • Conduct a detailed slit lamp examination
  • Pay attention to patient conversation and visual cues
  • Don't rush through the initial examination

Diagnostic significance

  • Staining patterns help identify: - Specific dry eye causes - Potential treatment directions - Underlying eye health issues

Holistic patient assessment

  • Look beyond technical measurements
  • Engage in meaningful conversation
  • Observe patient's overall eye health and symptoms

Koetting emphasizes the importance of a meticulous, patient-centered approach to diagnosing ocular surface disease, highlighting that careful observation and comprehensive examination are crucial for accurate diagnosis and effective treatment.

Newsletter

Want more insights like this? Subscribe to Optometry Times and get clinical pearls and practice tips delivered straight to your inbox.

Recent Videos
Dana Shannon, OD, FAAO, detailed a lecture she gave at the NOA Midwestern Symposium earlier this month.
CRU 2025 provided the latest insights regarding glaucoma, dry eye disease, retina, myopia, neurotrophic keratitis, and keratoconus.
Rachelle Lin, OD, MS, FAAO
Melissa Barnett, OD, FAAO, FSLS, FBCLA, gave 2 presentations alongside other ODs and MDs at CRU 2025.
Rachelle Lin, OD, MS, FAAO, at CRU Eye Symposium 2025
Melissa Tawa, OD, FAAO, provides insights to take glaucoma management from reactive to proactive in presentations given at CRU 2025 in Napa, California.
Rachelle Lin, OD, MS, FAAO, details her presentation on inherited retinal diseases at CRU 2025.
Setting the stage in LA: Neda Shamie, MD, on the 19th annual Controversies in Modern Eye Care meeting
Jennifer Li, MD, details a talk she gave alongside Melissa Barnett, OD, FAAO, FSLS, FBCLA, at CRU 2025 in Napa, California.
Deb Ristvedt, DO, details a handful of presentations on glaucoma she gave during CRU 2025 in Napa, California.
© 2025 MJH Life Sciences

All rights reserved.