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Dry eye syndrome; Other names: Dry eye, keratoconjunctivitis sicca, dry eye disease (DED), keratitis sicca: Diffuse lissamine green staining in a person with severe dry eye [1] Specialty: Ophthalmology, Optometry: Symptoms: Dry eyes, irritation, redness, discharge, blurred vision [2] Complications: Corneal scarring [2] Causes
A punctal plug, also known as tear duct plug or lacrimal plug, is a small medical device that is inserted into the tear duct (puncta) of an eye to block the duct. This prevents the drainage of liquid from the eye. They are used to treat dry eye. Artificial tears are usually still required after punctal plug insertion. [1]
Mild conjunctivochalasis can be asymptomatic and in such cases does not require treatment. Lubricating eye drops may be tried but are often ineffective. [8] If discomfort persists after standard dry eye treatment and anti-inflammatory therapy, surgery may be undertaken to remove the conjunctival folds and restore a smooth tear film.
Lifitegrast, sold under the brand name Xiidra (/ ห z aษช d r ษ / [2]), is a medication for the treatment of signs and symptoms of dry eye, a syndrome called keratoconjunctivitis sicca. Lifitegrast reduces inflammation by inhibiting inflammatory cell binding. [3]
Treatment is directed at managing the person's symptoms. [4] For dry eyes, artificial tears; medications to reduce inflammation; punctal plugs or other surgery to shut the tear ducts may be tried. [4] For a dry mouth, chewing gum (preferably sugar-free); sipping water; or a saliva substitute may be used. [4]
Entropion, severe dry eye and trichiasis (inturning of eyelashes) may cause ulceration of the peripheral cornea. Immune-mediated eye disease can cause ulcers at the border of the cornea and sclera . These include Rheumatoid arthritis, rosacea, systemic sclerosis which lead to a special type of corneal ulcer called Mooren's ulcer.
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