متلازمة العين الجافة: إدارة الخط التالي بعد فشل العلاج المضاد للالتهاب في تحقيق السيطرة الكافية على الأعراض

References

DOI: 10.4140/TCP.n.2016.96

• Punctal occlusion, eye side shields, or autologous serum tears may be used in patients with moderate-to-severe DED.
• Punctal plugs are placed by the ophthalmologist in the punctal (tear duct) orifice to occlude tear-duct drainage in patients with aqueous tear deficiency.
• Thermal or laser cautery has been used to produce permanent punctal occlusion.
• Eyeglass side shields that mountain climbers or cyclists use may help prevent tear evaporation and may be of benefit in some patients.
• In severe DED, ophthalmic autologous serum tears are used to decrease inflammation and improve patient signs and symptoms if other treatment modalities are not sufficient.
• Regimens from one drop every one to two hours while awake to four times a day have been reported.
• Autologous serum tears regimens have improved patient symptoms, including pain, compared with artificial tears.