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Now we are realized clinically to differentiate the closest industry eye from aqueous to deficient Ryan can we further verify that clinically he I remind you that a creative vision dry I can be differentiated from calluses induced drive there are several important techniques we can further use to verify the difference between these two entities the first technique one can use clinically is to verify Kenya tuberculosis is to use frozen staining as illustrated here which will show the object ration of the tear meniscus the second technique is to ask the patient to blink vigorously at the three-nine Sam nation showing here the formation of wrinkle the tissue at 6 o'clock this wrinkle the tissue disappear upon other gates the first technique is to perform digital compression of the list against the globe as shown here the normal conjunctival showed no movement of the conjunctiva and the blood vessel and the superior and inferior bottle phenotype in contrast to patient with anatomical BASIS the even normal blinking showing the moment and then this will become more exaggerated when the pressure is pressed against a globe here shows another eye a similar finding the area tend to have more inflammation as well and noted that the mid-margin also showed inflammation in this case and here against more and more obvious where the inflammation area and inflamed the area can be wrinkled easily by compression and the reserved fat prolapse in the region and the lead inflammation as well here shows the fat prolapse disease that can be demonstrated through this technique in this patient with Shannon tuberculosis in the region this is another example where the fat prolapse is seen and then the lid inflammation and the adjacent conjunctiva inflammation the wrinkle the tissue is manifest upon digital compression this I again the lid margin information the area pantywaist movable just by gentle movement and then can be exaggerated upon digital compression one can also appreciate the fat prolapse in the phoenix the native event I was showing the occlusion of the pumpkin and again temporal area at the information the fat prolapse as well as the wrinkle the tissue upon manifests by digital compression of the line as shown here and also here the same technique can be useful Shapiro Bataan don't have are showing here the normal content IVA has no moment upon the digital compression and excursion of the AIDS and as you can see here a higher magnification there is no wrinkle the tissue generator in contrast patient with SILK the teacher is freely movable and can be compressed into the notable wrinkle and redundant tissue and this area is corresponding to the filament formation the TEL inject addict blood vessels the keratinization and features known for SILK as illustrated here in this patient as well the fourth technique to use 0.12 forceps to grab the tangent IVA right before the surgery as demonstrate here a tent can be created as a result of such grabbing in the area...
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