Treatment of dry eye disease by the non-ophthalmologist
Foulks GN et al. - The Sjögren's syndrome patient with dry eye disease should be evaluated with respect to the severity of their symptoms and signs, including xerostomia and keratoconjunctivitis sicca. Therapy can be guided by the severity of the disease, by symptoms and signs, and according to the algorithm. - In episodic dry eye disease: use of lubricants and tear-stabilizing topical drops and education of the patient about the need to limit long sessions on video display terminals or prolonged reading
- Persistent symptoms: dietary supplementation by omega-3 essential fatty acids
- In moderately symptomatic dry eye disease: in addition to topical lubricants and omega-3 supplementation, the use of topical cyclosporine emulsion should be considered
- In severe disease: topical cyclosporine emulsion concurrent with a short course of topical corticosteroid, in addition to lubricants and dietary supplementation
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