Dry Eye Flashcards
Dry Eye
eyes don’t produce enough tears or the right quality of tears to be healthy or comfortable
Keratoconjunctivitis Sicca
refers to any eye with some degree of dryness
Xerophthalmia
dry eye associated with Vitamin A deficiency
Xerosis
extreme eye dryness and keratinization in eyes with severe conjunctival cicratrization (tightening)
Sjogren Syndrome
autoimmune inflammatory disease which can cause dry eyes
Aqueous Deficient
part of Sjogren
age related, inflammatory, lacrimal gland disorders, AIDs
Evaporative
prolonged computer use, facial nerve palsy
contacts wear, allergic conjuncitivitis, Vit A deficiency
Patient Complaints
vision comes and goes foreign body sensation ocular irritation and dryness excessive tearing photophobia
Conditions that make Dry Eye worse
smoky, dry environments
indoor heating
fans
excess reading/ computer use
Height of Normal Inferior Tear Meniscus
0.25 mm
Treating Corneal Opacification from dry eye
can require corneal transplants
Diagnosing Dry Eye
Dyes- NaFl, rose bengal, lissamine green TBUT Shirmer and phenol red thread testing- tear production tear film analysis meibography
Interpalpebral Staining
shows dry eye is from a lack of tear production
Inferior Corneal Staining
dry eye from blepharitis or exposure
Rose- Bengal Stain
stings a lot
highlights dead cells
Abnormal Phenol Red Thread Testing
less than 10 mm of wetting without anesthetics, 6mm with
Tear Lab
measures tear osmolarity
Treating Meibomian Gland Dysfunction
expression
compress
LipiFlow
Supplements for Dry Eye
flax seed
fish oil
omega 3
help make tears
Rx Meds for Dry Eye
Restasis
Xiidra
anti-inflammatory
steroids
Treatment for Mild Dry Eye
change local environment
omega 3
lid hygiene
warm compress
Treatment for Moderate Dry Eye
topical lubricant tea tree oil- demodex punctal occlusion LipiFlow antibiotics/ steroids Restasis/ Xiidra
Treatment for Severe Dry Eye
oral secretion agonists
autologous serum
therapeutic soft contacts
RGP scleral lenses
