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[The dry eye. Status determination and prospects].
1Universitäts-Augenklinik, Bonn, Bundesrepublik Deutschland.
Fortschritte Der Ophthalmologie : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|January 1, 1990
Summary
Dry eye disease, a common cause of eye irritation, requires accurate diagnosis. New tests show promise for reliable detection and improved management of dry eye conditions.
Area of Science:
- Ophthalmology
- Ocular Surface Disease
Context:
- Dry eye is the most frequent cause of chronic ocular discomfort and redness.
- Traditional diagnostic methods for dry eye disease exhibit significant variability and poor reliability.
- Systemic conditions like Sjogren's syndrome can manifest initially as dry eye, necessitating ophthalmologist diagnosis.
Purpose:
- To review current diagnostic limitations for dry eye disease.
- To explore emerging diagnostic technologies for dry eye.
- To discuss advancements in dry eye management.
Summary:
- Current dry eye diagnosis relies on patient history and several tests (tear film break-up time, Schirmer test) with poor reliability.
- Deficiencies in tear film layers, inflammation, or ocular surface diseases contribute to dry eye.
- Emerging tests like tear-film protein analysis and corneal epithelial fluorophotometry may offer improved diagnostic accuracy.
Impact:
- Highlights the need for more reliable diagnostic tools for dry eye.
- Suggests novel therapeutic approaches including improved artificial tears and tear stimulants.
- Emphasizes the importance of excluding dry eye in chronic conjunctivitis cases.