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schirmer_test [2023/03/07 14:42] – [References] Scott Larsonschirmer_test [2026/07/26 10:34] (current) – [Schirmer Test] Scott Larson
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 ====== Schirmer Test ====== ====== Schirmer Test ======
 +===Schirmer I test===
 +    * Without Anesthetic
 +      * Measures the basal tear secretion plus the reflex tearing from the main lacrimal gland
 +      * Often used when suspecting [[sjogren_syndrome|Sjögren syndrome]] 
 +    * With Anesthetic
 +      * Measures the basal tear secretion
 +      * Use in children  
  
-==== Schirmer Test with anesthetic Procedure ==== +===Schirmer II test=== 
-  - Insert topic anesthetic drop+    * nasal mucosa is first irritated with a cotton-tipped applicator  
 + 
 +==== Schirmer I Test Procedure ==== 
 +  - Insert topic anesthetic drop (omit depending on tearing aspect being tested) 
   - Place a paper wick to draw up tears   - Place a paper wick to draw up tears
     - Before placing the strip ensure there isn't reflex tearing present from the anesthetic      - Before placing the strip ensure there isn't reflex tearing present from the anesthetic