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Dryness symptoms, diagnostic protocol and therapeutic management: a report on 1,200 patients
P Versura1, M Cellini, A Torreggiani
1Centre of Biotechnological and Clinical Research in Ophthalmology, University of Bologna, S. Orsola Hospital, Via Massarenti 9, I-40138 Bologna, Italy. versura@alma.unibo.it
Purpose:
To report the diagnostic and therapeutic data obtained from 1,200 patients suffering from dry eye symptoms not due to Sjögren's syndrome or other auto-immune diseases.
Methods:
Schirmer test I, ferning test, breakup time, vital dye staining, brush and imprint cytology were performed; data were grouped into diagnostic profiles, and the therapy was prescribed according to these.
Results:
Eight diagnostic profiles were identified. Dry eye was diagnosed in 57.1% of patients; the remaining 42.9% were found to suffer from eye discomfort or conjunctivitis of different aetiologies.
Conclusions:
Subjective symptoms of dryness can hide diseases other than dry eye; combined clinical and laboratory tests are requested to make a diagnosis. Our experience indicates that a therapy prescribed on the basis of diagnostic profiles provides relief in 79.1% of cases.