Dr. Smith’s Invention Demographics Anatomy & Physiology Symptoms & Treatment

Symptoms and Current Treatment of Dry Eye

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Meibomian gland dysfunction degrades the quality of life.  It can have serious, long term effects and complicate eye surgery and recovery from surgery.

Dry eye presents in a variety of ways; the typical patient will complain of one or more symptoms:
  • Stinging and or burning sensation that may be worse in the morning
  • Fluctuating vision
  • Light sensitivity
  • Foamy tears
  • Excessive tearing, due to poor oily layer of the tears that in turn simulates reflex lacrimation
  • Excessive eye irritation from wind or smoke
  • Contact lens intolerance
  • Thickened, injected eyelid margins
The current treatment regimen for dry eye is based on a combination of symptoms and clinical findings.  The treatments are as follows (not in order of efficacy):
  • Artificial tears
  • Eyelid hygiene
  • Topical steroids and antibiotics
  • Restasis (cyclosporine emulsion 0.05%)
  • Punctual plugs
  • Meibomian probe   (manufactured by Rhien Medical)
  • Warm compresses (heat) and massage
All of these treatments have potential efficacy.  All results are temporary as dry eye is a chronic condition that is managed and not cured.  In more advanced cases, treatment other than heat and massage may be necessary to facilitate tissue and meibomian gland healing.  In the long run, routine application of heat and massage is the universal treatment.  It is the necessary compliment to all other treatments.

Walton F. Smith, OD
walton@wyovision.com
Office: (307) 673-5177
Home: (307) 655-2317
P.O. BOX 787
Ranchester, WY 82839

Dr. Smith’s Invention Demographics Anatomy & Physiology Symptoms & Treatment

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