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Lacrimal Disorders (Dry Eye Syndrome)

Mark M. Minot, MSEE, PhD, MBA, MD, Kinder Fayssoux, MD and Silas Gyimah, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Diseases and abnormalities of tear production and maintenance of tear film

  • The most common lacrimal disorder is dry eye syndrome, which is often referred to as dysfunctional tear synd...

DIAGNOSIS

HISTORY

  • Dry sensation in eyes

  • Foreign body sensation

  • Blurry vision

  • Itching

  • Ocular pain

  • Photophobia

  • Burning

  • Occasional tearing due to excessive reflex tearing

    • Patient's symptoms usually worsen in dry,...

TREATMENT

GENERAL MEASURES

  • Those with systemic illnesses predisposed to dry eye should be informed and instructed in the appropriate use of artificial tear supplements. Some artificial tear supplements...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Monitor early to assess efficacy of treatment.

  • The viscosity of artificial tears and frequency of use can be increased for symptom relief.

DIET

  • Die...

REFERENCES

1
Ousler GW, Michaelson C, Christensen MT. An evaluation of tear film breakup time extension and Ocular Protection Index scores among three marketed lubricant eye drops. Cornea.  2007;2...

ADDITIONAL READING

  • Dogru M, Nakamura M, Shimazaki J, et al. Changing trends in the treatment of dry-eye disease. Expert Opin Investig Drugs.  2013;22(12):1581–1601.

  • Galor A, Feuer W, Lee DJ, et al...

SEE ALSO

Sjögren Syndrome 

CODES

ICD10

  • H04.129 Dry eye syndrome of unspecified lacrimal gland

  • H04.9 Disorder of lacrimal system, unspecified

  • H04.122 Dry eye syndrome of left lacrimal gland

  • H04.121 Dry eye syndrome of right lacrimal...

CLINICAL PEARLS

  • Dry eye syndrome is common in the United States, affecting postmenopausal women more than any other population.

  • Symptoms are usually adequately managed with preservative-free artificial...

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