Treatment of Dry Eye

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The choice of treatment for dry eye syndrome depends on the level of severity.

Treatment of aqueous-deficient Dry Eye syndrome

First level:

Doctor talking to a patient

Education of the patient. Avoid tobacco smoke, high heating and air-conditioning levels, get protection from the wind, avoid open windows in cars, remember to blink often when reading or working with a computer, lubricate the eyes in airplanes, control systemic medications (antidepressants, tranquilisers, anti-histamines, beta-blockers, diuretics, contraceptives, anti-oestrogens, etc.), follow a suitable diet and drink plenty of water.

Medication or eye drop treatment

Artificial tears, without preservatives where possible.

Second level. Add the following to those above:

Drops or eye drops

Topical anti-inflammatory drugs (steroids, cyclosporin, others). Always under the supervision of the ophthalmologist in order to control any side effects.

Third level. Add the following to those above:

Drops or eye drops
  •  

Autologous serum eye drops, or growth factors from the platelets from the patient’s own blood.

ojo y lágrima tachados

Temporal occlusion of lacrimal points.

Fourth level. Add the following to those above:

trasplante de membrana amniótica

Amniotic membrane transplant.

ojo con lente de contacto

Soft therapeutic contact lenses.

ojo con lente de contacto
  •  

Scleral contact lenses. Prosthetic replacement of the ocular surface ecosystem (PROSE).

Treatment of evaporative Dry Eye syndrome

higiene ocular

Eye hygiene with heat, massage, and daily cleaning.

Medication or eye drop treatment

Artificial tears with lipid components.

Drops or eye drops

Systemic Doxycycline or topical azithromycin.

terapia luz pulsada con láser, sistema de pulsación térmica Lipiflow

Intense pulsed light therapy (IPL) or or lipiflow pulsation system (Lipiflow). This is currently being studied, waiting for more published studies and randomised clinical trials.

Substantiated information by:

Maria Teresa Sáinz de la Maza Sierra

Published: 23 May 2019
Updated: 23 May 2019

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