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.

Eye and tear crossed out

Temporal occlusion of lacrimal points.

Fourth level. Add the following to those above:

Amniotic membrane transplantation

Amniotic membrane transplant.

Eye with contact lens

Soft therapeutic contact lenses.

Eye with contact lens

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

Treatment of evaporative Dry Eye syndrome

Eye hygiene with warm water

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.

Pulsed light therapy with laser or thermal pulsed Lipiflow system

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

The donations that can be done through this webpage are exclusively for the benefit of Hospital Clínic of Barcelona through Fundació Clínic per a la Recerca Biomèdica and not for BBVA Foundation, entity that collaborates with the project of PortalClínic.


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