AED - Dry Eye Management - Week 4 Flashcards
What are the two most useful tests to do for assessing dry eye?
NI TBUT
Osmolarity
What is a positive result for the DEQ-5 test?
Score of 6
What is the general treatment option for reduced/incomplete blinking (3)?
Lubrication
Contact lenses
Surgery
What is the general treatment option for elevated surface lesions (3)?
Lubrication
Steroids
Surgery
What is the general treatment option for reduced/lid/lash malposition (3)?
Lubrication
Contact lenses
Surgery
What is the general treatment option for reduced/conjunctivochalasis (3)?
Lubrication
Steroids
Surgery
What is the treatment options for level 1 dry eye disease (5)?
Patient education
Environmental modifications
Control of systemic medications
Preserved tears
Allergy control
What is the treatment options for level 2 dry eye disease, with (3) and without (4) inflammation?
Without - unpreserved tears, gels, oinments
With - steroids, cyclosporine, nutritional supplements, secretagogues
What is the treatment options for level 3 dry eye disease (3)?
Tetracyclines
Autologous serum
Punctal plugs
What is the treatment options for level 4 dry eye disease (5)?
Topical vitamin A
Contact lenses
Acetylcysteine
Moisture goggles
Surgery
What are 4 signs that might indicate moderate/severe dry eye?
Tear flim signs
Mild PEE
Conjunctival staining
Visual signs
What are 5 signs that might indicate severe dry eye?
Marked SPK
Central corneal stain
Filamentary keratitis
Severe corneal staining/erosion
Conjunctival scarring
List three palliative/protective treatment options for dry eye.
Supplements
Sodium hyaluronate
Autologous serum eye drops
Are autologous serum eye drops anti-inflammatory?
Yesd
List 4 anti-inflammatory treatment options for dry eye.
Flaxseed/fish oil (weak evidence)
Topical corticosteroids
Oral tetracycline
Autologous serum eye drops
What form of tear supplements need and dont need preservatives?
Multi-use bottles need them
Unit doses do not
If a tear supplement is preserved, what does this mean for the number of drops that can be used per day, and the effect of that on the eye?
More than ~8 drops per day may disrupt the epithelium and cause irritation
What preservative is the most toxic preservative that may be used in tear supplements?
Benzalkonium chloride