Dry eyes


Dry eyes are a very common condition.  In fact, about half of the patients in my practice complains of dry eyes, especially with this era in which the use of 3C gadget has become so prevalent.  Dry eyes can be manifested as uncomfortable, foreign body sensation and even itchy eyes.  Many has been misdiagnosed as allergic conjunctivitis.  Reduced vision or fluctuating vision is also described.

The cause of dry eyes are multifactorial.  It can due to hyposecretion which occur in patient with Sjogren syndrome primary or secondarily to Rheumatoid arthritis or SLE or other connective disease.  I have seen someone with Mikulicz syndrome with severe dry eyes.  The other cause are unstable tear film.  Despite having adequate amount of tears, their tears are not stable and hence can't stay in the eyes for a long time.   It can be due to disruption of the three layer of tear Our tear film is consisted of three layer, lipid lalee imal gland and the mucin layer secreted by goblet cell in conjunctiva.  Any disruption in this three layers can cause tear film to be unstable and subsequently causing dry eyes.

Provided Physiotherapies

Treatment

As there are multiple cause of dry eyes, all these factors needed to be addressed adequately.  The most common cause of treating dry eyes is using eye drops.  There are many in the market, ranging from carboxymethycellulose, polyvinyl alcohol, glycerol and hyaluronate of various percentages.   New technologies such as those catinonic to increase attraction of drops to eye surface also been developed.  

As inflammation is related with development of dry eyes, steroid and cyclosporin have been used successfully to treat dry eyes.  However,  it needs doctors' supervision.

People with dry eyes best use drops without preservatives.  

Environment modification is also found to be useful in treating dry eyes.

Treatment
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