By Penny A. Asbell, Michael A. Lemp
Here is the final word consultant to handling the main often encountered
problem within the eye patient--dry eye disorder. Dry Eye ailment: The Clinician's advisor to Management presents the most recent diagnostic thoughts, new methods for classifying sufferers, and state of the art, evidence-based scientific and surgical remedies. The ebook opens with a evaluation of the epidemiology and the multifactorial etiologies of dry eye affliction. The authors consultant the reader via taking a radical sufferer heritage, accomplishing the diagnostic exam, and utilizing scientific assessments to make a convinced evaluate of the severity of the affliction. of their dialogue of either clinical and surgical strategies for administration, the authors describe universal remedies, akin to punctal plugs, lid remedy, man made tears, in addition to cutting edge remedies together with autologous serum drops, stem telephone transplantation, and more.
- Contributions from such the world over recognized specialists
as Shigeru Kinoshita, M. Reza Dana, Maurizio Rolando, Kazuo Tsubota, Kelly
Nichols, Janine Smith, J. Daniel Nelson, Jay S. Pepose, Mark J. Mannis,
Friedrich E. Kruse, Teruo Nishida, and others
- Thorough dialogue of latest and rising diagnostic
checks, together with tear osmolarity, influence cytology, corneal permeability,
and visible functionality, allows readers to extend and sharpen their innovations
- A bullet-point record of key issues firstly of
every one bankruptcy is perfect for quickly reviewing very important recommendations
- Numerous tables arrange the result of medical
surveys of universal indicators and elements linked to dry eye sickness
- An huge checklist of references, in addition to a bankruptcy
covering on-line assets, is helping the reader retain abreast of the latest research
This is a well timed reference for all ophthalmologists, optometrists, and trainees
in those specialties. it's crucial interpreting for practitioners treating touch lens wearers and refractive surgical procedure sufferers, in addition to sufferers with glaucoma and age-related macular degeneration.
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Extra info for Dry eye disease: the clinician’s guide to diagnosis and treatment
22 Chapter 02_p16-23 6/28/06 6:45 PM Page 23 1. Schaumberg DA, Sullivan DA, Dana MR. Epidemiology of dry eye syndrome. Adv Exp Med Biol. 2002;506(Pt B):989–989 2. Morgan Stanley. Industry Overview, Dry Eye Market: No Shedding of Tears Over This Opportunity. May 22, 2003, New York 3. Schaumberg DA. Progress on the epidemiology of dry eye syndrome. Presentation at the IVth International Symposium of Tear Film, Dry Eye and Ocular Surface, Fajardo, Puerto Rico, November 2004. 4. Lemp MA, Dohlman CH, Holly FJ.
Lemp Key Points ♦ Global features of dry eye include the following: An unstable tear film Tear film hyperosmolarity Ocular surface damage Symptoms of ocular surface distress ♦ Causes of ocular surface disease in dry eye include the following: Chronic hyperosmotic stress An unstable tear film Inflammation Alterations in tear and surface mucins Tear lipid abnormalities Evaporative tear loss Decreased lubricity between the lids and the ocular surface 6/28/06 6:45 PM Page 17 During the past 40 years, our concepts concerning the nature of dry eye, its causes, and its associations, have undergone extensive revision and expansion, leading to a much broader understanding of this condition.
There has been considerable discussion in academic circles about whether a patient can feel dryness. 2,4,30 In general, a high correlation is found between frequency, severity, and impact on daily activities across all symptoms. , alcohol) Hydration 26 when screening for dry eye; however, monitoring improvements to severity over time or with treatment may be more important in follow-up visits. Many clinical studies of dry eye have evaluated symptoms. 26 Using this novel approach, the authors also found dry eye sensation and blurred vision to be more common in patients who think they have dry eye.
Dry eye disease: the clinician’s guide to diagnosis and treatment by Penny A. Asbell, Michael A. Lemp