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Dry Eye Diagnosis and Management

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Albert and Jakobiec's Principles and Practice of Ophthalmology

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Abstract

Dry eye disease refers to disorders of the tear film due to reduced tear production and/or excessive tear evaporation associated with symptoms of ocular discomfort. These changes can reduce quality of life for many patients. There are a wide range of pathophysiological etiologies which result in similar signs and symptoms of pain, blurry vision, and grittiness due to changes on the ocular surface. The underlying etiologies can be divided into immune-mediated, inflammatory, neurosensory, and anatomical causes of dry eye disease. The clinical evaluation for the diagnosis of dry eye disease includes a history, symptom analysis, comprehensive slit lamp examination, tear function tests, as well as more novel imaging and tear sample testing. The treatment is based largely on the underlying etiology but includes interventions such as patient education, warm compresses, lid hygiene, tear supplementation, anti-inflammatory and antibiotic therapy, as well as more invasive therapies including punctal occlusion, surgical intervention, and lid correction surgery.

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Authors and Affiliations

  1. Department of Ophthalmology, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, IL, USA

    Nikhil Dhall, Christine Mun & Sandeep Jain

  2. Department of Ophthalmology, University of Montreal, Montreal, QC, Canada

    Harissi-Dagher Mona

  3. Massachusetts Eye and Ear, Boston, MA, USA

    Reza Dana

  4. Department of Ophthalmology and Visual Sciences, The Marlene and Stewart Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, MD, USA

    Sarah B. Sunshine

Authors
  1. Sarah B. Sunshine
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  2. Nikhil Dhall
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  3. Harissi-Dagher Mona
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  4. Reza Dana
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  5. Christine Mun
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  6. Sandeep Jain
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Corresponding author

Correspondence to Sandeep Jain .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, Oregon Health & Science University Department of Ophthalmology, Portland, OR, USA

    Daniel Albert

  2. Massachusetts Eye and Ear, Boston, MA, USA

    Joan Miller

  3. Department of Ophthalmology, University of Illinois at Chicago Department of Ophthalmology, Chicago, IL, USA

    Dimitri Azar

  4. Department of Ophthalmology, Harvard Medical School, Boston, MA, USA

    Lucy H. Young

Section Editor information

  1. Department of Ophthalmology, University of Illinois at Chicago, Chicago, IL, USA

    Dimitri T. Azar

  2. Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois, USA

    Mark I. Rosenblatt

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Sunshine, S.B., Dhall, N., Mona, HD., Dana, R., Mun, C., Jain, S. (2021). Dry Eye Diagnosis and Management. In: Albert, D., Miller, J., Azar, D., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-90495-5_214-1

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  • DOI: https://doi.org/10.1007/978-3-319-90495-5_214-1

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  • Print ISBN: 978-3-319-90495-5

  • Online ISBN: 978-3-319-90495-5

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