Dry
Eye Syndrome
Advances and Treatment Strategies
I. Incidence
of Dry Eye Syndrome (DES) in the general population
II. Why should
Optometrists be concerned about DES?
a.
Frequent complaint
b.
Contact lens related
c.
Computer vision syndrome
d.
Increase practice revenue
a.
Computer Vision Syndrome
b.
Environment
c.
Age
d.
Contact Lenses
e.
Medications- systemic and ocular
f.
Chronic diseases
IV. Clinical
Causes of DES
a.
Tear deficiency
b.
Evaporating dry eye
c.
Non-wetting dry eye
V. Tear anatomy
and physiology
a.
Lipid layer
b.
Aqueous layer
c.
Mucin layer
VI. Tear break
up time and blink rate
a.
Maintain integrity of tear film
b.
Decreased blink rate
VII. Traditional
DES therapy
a.
Artificial tears
b.
Punctual plugs
VIII. New
developments in treatment
a.
Anti-evaporatives
b.
Seretagogues
c.
Micromimetics
d.
Anti-inflammatory
e.
Polymers
f.
Orals
IX. Future
Vision- What Will Work?
a.
What works best for the patient
b.
What works best for the doctor
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