Dry Eyes

MATA KERING

Lubricating dry eyes

Mata kering adalah keadaan yang sangat biasa. Malah, kira-kira separuh daripada pesakit dalam amalan saya mengadu mata kering, terutamanya dengan era ini di mana penggunaan alat 3C telah menjadi begitu berleluasa. Mata kering boleh dilihat sebagai sensasi badan asing yang tidak selesa dan mata gatal. Ramai yang salah didiagnosis sebagai konjunktivitis alah. Mengurangkan visi atau visi turun naik juga diterangkan.

Terdapat juga variasi simptom setiap hari, contohnya ada yang lebih teruk ketika bangun sementara yang lain lebih buruk menjelang akhir hari. Semua ini perlu ditangani dengan berjumpa dengan pakar oftalmologi.

 

Symptoms of dry eyes are:

-Pain and redness of eye
-gritty sensation or foreign body sensation
-eye fatigue
-blurry vision
-stringy mucus in eyes
-sensitive to light
-unable to wear contact lenses
-watery eyes

CAUSE

The cause of dry eyes are multifactorial.  It can due to reduced tear production (hyposecretion) and increased tear evaporation.

 

Cause of inadequate tear production:

-Age

-menopausal

-Sjögren syndrome

-Rheumatoid arthritis, Systemic lupus erythematosis or other connective disease such as  Mikulicz syndrome.

 

Cause of increase tear evaporation:

This is due to 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.

-meibomian gland dysfunction
-blepharitis
-windy condition
]-air conditioner (including within air flight)

Other cause:

-reduced blinking (commkonly associated with aging , watching TV or digital screen such as computer and telephone)

RAWATAN

As there are multiple causes of dry eyes, all these factors needed to be addressed adequately.  A customised approach is being designed for each individual.  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 has been developed to increase attraction of drops to eye surface .

Adalah penting untuk berjumpa dengan pakar oftalmologi untuk memastikan tahap mata kering dan menggunakan air mata buatan mengikut tahap keparahan dan penyebab mata kering. Pengambilan ubat sendiri dengan membeli air mata tiruan di farmasi tanpa diperiksa oleh pakar oftalmologi boleh menyebabkan rawatan tidak mencukupi.

With recent attention to meibomitis as cause of evaporative dry eye, warm compress has been proposed with a varying degree of success.  Whilst recently there are lots of commercial expensive treatment available, a regular home warm compress routine is more practical.

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 and individualised titration.

Orang yang menggunakan mata kering menggunakan titisan tanpa pengawet.

Pengubahsuaian alam sekitar juga didapati berguna dalam merawat mata kering.

Sila buat temujanji dengan pakar oftalmologi untuk menjalani pemeriksaan mata dan mendapatkan rawatan sindrom mata kering yang paling tepat dan terkini.

Hak Cipta © 2018 Dr Ho Pengesanan Mata dan Oculoplastik SF
ms_MYBahasa Melayu
Minta Konsultasi

Sila isi borang pendek di bawah.

X