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The lipid layer characteristics should be interpreted as follows ф The appearance of colours indicates a thick and desirable lipid layer and suggests that dry eye disorder is not present (blue 150в180 nm, redbrown 120в35 nm, yellow 90в105 nm) ф Waves or flow patterns without pronounced colours, especially if horizontal, indicate an average or marginal thickness lipid layer, and possible mild dry eye disorder (75 nm) ф If only white or shades of grey (particularly if the white or grey is uniform) are observed, the lipid layer is thin (в60nm) and the probability of a dry eye disorder is high. The exception is situations in which the soft tissue envelope is extremely traumatized (see ввOpen Fractureвв). 16) consists of a handle, which allows the insertion of two graspers, and a thin-lumen flexible endoscope. The first case to be considered is that of a single variable which can be regarded as having arisen spontaneously.
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