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• Corneal topography. Although it’s not often thought of as a test for diagnosing dry eye, if you’re considering referring a patient for cataract surgery, this is an important test to perform and is often a first indicator of dry eye disease in surgical settings. Research shows that topography can detect subtle irregularities on the ocular surface and, as such, is an excellent tool for the detection of dry eye. 20 The appearance of inferior steepening due to epithelial dehydration is a telltale sign that sometimes looks a bit like keratoconus. 21 Other topographical findings of dry eye disease include irregularly shaped placido discs and differences in average keratometry readings between eyes. 20,21

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