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These strips are individually wrapped and are gauged so they can be easily read. The Schirmer test is based upon mechanical reflex stimulation of the tear production and is actually a test of reflex tear production when performed without anesthesia. Place a dry Schirmer strip over the middle to lateral 1/3 of the lower eyelid. The patient is then instructed to look forward and blink normally. The strip is removed after 5 minutes and amount of wetting is recorded in millimetres.