Baseline Anterior Segment Photography

Overview:

After fluorescein staining, high-resolution anterior segment photographs are taken to document the condition of the ocular surface. These images serve as a baseline for monitoring the progression of dry eye disease or response to treatment over time.

Procedure Description:

1. Image Capture Setup:
   Using a slit lamp biomicroscope equipped with a digital camera, standardized photos of the anterior eye segment are taken. A cobalt blue light and yellow barrier filter may be used to enhance visibility of fluorescein staining.

2. Photographic Views:
   Multiple views are captured, including:

   • Frontal view of the cornea and conjunctiva

   • Temporal and nasal conjunctiva

   • Upper and lower palpebral conjunctiva (if needed)

   • Tear meniscus height (optional for dry eye evaluation)

3. Baseline Documentation:
   These images provide visual documentation of:

   • Staining patterns

   • Conjunctival injection or redness

   • Lid margin or meibomian gland status

   • Tear film breakup or thinning

4. Clinical Use:
   The baseline photos are stored securely in the patient’s record and compared to future images to track:

   • Treatment response

   • Disease progression

   • Any new ocular surface changes

Why It Matters:
Baseline anterior photos are essential for objective, long-term management of dry eye and ocular surface diseases. They provide visual proof of treatment efficacy and aid in patient education.