Advances in dry eye disease treatment

被引:180
|
作者
O'Neil, Erin C. [1 ]
Henderson, Matthew [1 ]
Massaro-Giordano, Mina [1 ]
Bunya, Vatinee Y. [1 ]
机构
[1] Univ Penn, Scheie Eye Inst, 51 N 39th St, Philadelphia, PA 19104 USA
关键词
dry eye disease; dry eye treatment; evaporative dry eye; meibomian gland dysfunction; INTENSE PULSED-LIGHT; MEIBOMIAN GLAND DYSFUNCTION; OCULAR SURFACE ECOSYSTEM; CYCLOSPORINE OPHTHALMIC EMULSION; THERMAL PULSATION PROCEDURE; CONTROLLED CROSSOVER TRIAL; A CATIONIC EMULSION; AUTOLOGOUS SERUM; PROSTHETIC REPLACEMENT; TOPICAL CYCLOSPORINE;
D O I
10.1097/ICU.0000000000000569
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose of review The prevalence and burden of dry eye disease continues to grow at a rapid pace, creating an increased need for new therapies. In a sector once limited to only a handful of treatments, clinicians now have multiple options available for patients who fail traditional therapies. This review summarizes the various treatment options available to clinicians treating complex dry eye disease patients. Recent findings As we better understand the multifactorial mechanisms leading to dry eye disease, treatments increasingly focus on the amelioration of the underlying deficiencies and inflammation, rather than on transient symptomatic relief alone. Most topical medications seek to replace deficient growth factors and/or decrease inflammation on the ocular surface. The majority of new devices and procedures seek to treat meibomian gland dysfunction, with one new device stimulating tear production through utilizing the nasolacrimal reflex pathway. Summary Clinicians have more options at their disposal in the treatment of dry eye disease than ever before, including topical medications and devices.
引用
收藏
页码:166 / 178
页数:13
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