Monday, January 02, 2006

Treatment of Dry Eye Disease

Treatment of Dry Eye Disease

The treatment of dry eye diseases is generally tailored for the specific cause if known. For example simply stopping the offending drug (e.g. antihistamine) that may have aggravated the condition could improve symptoms. Avoiding LASIK surgery is critical in one who has a propensity for dry eye disease. In patients with dry eye disease due to Rosacea, treatment might consist of a tetracycline derivative or even topical corticosteroids if indicated. If the cause is Vitamin A deficiency, replacement with Vitamin A can be curative. If the problem is radiation induced destruction of the lacrimal glands, an operation to partially close the eyelids may be indicated. In patients with inflammation in their lacrimal glands or cornea, topical or systemic anti-inflammatory medications may have a role. Cyclosporin decreases the inflammation associated with activated T cells and has been developed as a topical treatment for dry eye disease. Patients with lack of aqueous may benefit from artificial tear solutions. For each patient the treatment should be individualized.
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