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Feature Article

Advances in the management of dry eye

Stephanie L Watson, Minas T Coroneo

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Abstract

Moderate to severe dry eye can have a major impact on quality of life. Some patients continue to suffer despite the use of maximal standard therapy. A hierarchical approach based on disease severity is used in the management of dry eye.

Key Points

  • Dry eye is the most common presentation to an ophthalmologist.
  • Patients with dry eye may complain of a large variety of symptoms, including blurred vision, ocular discomfort, tiring, soreness, pain, burning, photophobia, itch and a sand or gravel sensation.
  • Moderate to severe dry eye can have a major impact on a sufferer’s quality of life.
  • There is no single gold-standard test for the diagnosis of dry eye; the presence of dry eye symptoms, ocular surface damage and tear film instability are used to diagnose this condition.
  • A hierarchical approach based on disease severity is used in the management of dry eye.
  • New agents such as topical cyclosporin represent a significant advance in the management of dry eye.

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