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A dry eye is an uncomfortable and painful condition. It can be understood as an inadequate production of tears leading to dryness of eyes. Dry eyes make you more susceptible to bacterial infections and trauma due to reduced lubrication over the cornea. As tear film is very thin, reading, writing and watching becomes very uncomfortable.
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DryEyesTreatmentIn Ghatkopar Adry eyeisanuncomfortableand painfulcondition.Itcan be understood asaninadequate productionoftearsleadingto dryness ofeyes.Dryeyes makeyoumoresusceptibleto bacterialinfections and traumaduetoreducedlubricationoverthecornea. Astearfilmis verythin,reading,writingand watching becomesveryuncomfortable. Roleoftears Blinkingmakesyoureyesmoist everytimeandkeepsthecornealsurfacesmoothand clean. Tearfilmcontains acombinationofoil,waterand mucous.Outermostlayerismadeupofoil asitpreventstearfromdrying.Secondlayer(water)comes fromlacrimalglandandmade upofmostlywater asmaincontent.Waterwashesawayanydirtandunwantedparticles from theeyetokeep itclean.Inner mostlayerismade upofmucusand formedin conjunctiva,duetothislayertearsdon’tsticktoeyes.Ingeneralweseewith anyirritant, our eyesprotectiveresponseisto produce tearsbut in fewlocalandsystemmedicalconditions, tearformation isreduced andthat hamperswiththevision.
Whydo Igetdryeyecondition? • Weproducetearsallthe time, notonlywhenwe areemotionalbutwitheveryblink.Dry eyecanbebecause ofvariousreasons: • Alteredcompositionoftearsor tearsdryuptoofast–imbalanceisoil, waterand mucous contentmayresultindryeyes. • Inflammation or trauma to the eye (lacrimal gland, conjunctiva) – dry eyes may result as a consequence todamagedtearproducing apparatus. • Medicalconditions forlessproductionoftears– autoimmunediseaseslikelupus, scleroderma,rheumatoidarthritis, Parkinsonsdisease. • VitaminAdeficiencymay resultinpoor eyehealth • Disease likediabetesor radiationexposurealso affectseyestatus. • Hormonalimbalancelikepregnancyor menopausealsoreducestearproduction. • DrugslikeAntihistamins,antidepressantsmayresultin dryeyes. • Cornealnerve desensitivitycaused bycontactlensornervedamagebylasereyesurgery. • Asan agingprocess. • Other medicalconditionscanleadto dryeyes,suchasthe following: • Keratoconjuctivitis-Itrefersto theinflammationofthe surfaceofyoureye,calledthe corneaor theconjunctiva • Keratitisisanotherconditionthat’scausedbyirritationorswelling ofyourcorneawhen youreyesaredryfor toolong • Keratoconjuctivitis Sicca –Thistermisused to describean autoimmunecondition when youaren’t able to produceenoughtearsand developaninfectionorinflammation. • How do I know that I have dry eyes condition? • Symptomsexperiencedbypatientssufferingfromdryeyesare: • Fatiguedandheavyeyes • Soreanditchyeyes • Burninganddrynesssensation
Redeyeswithblurredvision • Difficultyinwearingcontactlenses • Difficultyinnightdriving • Sensitivitytolightandstringymucousaround theeyes • Eyelidsstickingtogetherwhenwaking upaftersleep • Doublevision • Howdiagnosisismade? • Ophthalmologistconductsathorough eye examinationandcertainteststoreachtoafinal conclusionanddesignthetreatment plan. • DetailedMedical anddrughistoryofsystemicdiseasesmayhelpindiagnosis. • History oftraumaandfamilyoccurrencecanberelated topresentcondition. • Schirmertest–thistestisperformedtoseethevolume ofyourtears, blottingstripsof • paperare placedunderyourlowereyelids.Afterfiveminutes yourdoctormeasures the amountofstripsoaked byyourtears. • Phenolred threadtest- Inthistest, athreadfilledwithpH-sensitive dye(tearschangethe • dyecolor)isplaced overthelowereyelid, wettedwithtearsfor15secondsand then measured fortearvolume. • Specialdyes are usedforyoureyedoctortocheckthe evaporationofyourtears. Astear compositionhasoilcontentinit,soifitisreduced, itmayleadtoquickdrying ofyourtears. • Tearosmolarity test can bedonetomeasurethecompositionofparticles andwaterin • yourtears. • SpecialTearmarkersfor dryeyediseaselike matrixmetalloproteinase-9orlactoferrin. • Whataremytreatmentoptions? • Treatmentispurelybased on thecause asitmayrange frombehaviormodificationsto medicalprocedures. • Behavior modifications like adjustment of your computer screens below eye level, taking short breaks between long tasks. Avoid harsh environments like dry winds, driving without protectiveeyeglasses;Sunglassesaremust onsunnydays. • Artificial tears –ophthalmologistsprescribeyou artificialtears, theircompositionisjustlike • natural tears. If you are using more than six times a day, preservative free tears are also availableinthemarket.
Treatinglocal factors - warmcompresses to the eyes, eyelidcleanersandmassagingyour eyelids. • Medicationtoreduceinflammationandinfectiontotheeyes • Tear-stimulatingdrugs.Drugscalledcholinergics(pilocarpine,cevimeline)helpincrease tearproduction.These drugsare availableaspills,geloreyedrops • Eyeinserts thatworklikeartificial tears.Ifyou havemoderateto severe dryeye • symptomsand artificialtearsdon'thelp,anotheroptionmay beatinyeyeinsertthatlooks likeacleargrain ofrice. • Unblocking oilglands -improvesthecompositionofthe tears. • Punctalplugs –removalpunctalplugsaretinysilicon plugsusedtoblockthe tearductsto preventtear loss.Punctalocclusioncanbe doneby cautery. • Surgery–sometimesproblemslikeincompleteblinkingistreatedwithsurgicalprocedure by • oculoplasticsurgeon(specialistineyelidproblems). • Lipiflow - Thismedicaldevice usesheat andpressureto unclogblockedglandsonyour eyelids. • Salivaryglandtransplantation–Itisasurgicalprocedurethat isoccasionallyconsidered • inpersistentandseverecases that havenot respondedtoothertreatments. • Light therapy-Usingintense pulsedlighttherapyfollowed bymassage. • Usingscleral orbandagelenses –Speciallensesaredesignedto protecteyesand smooth functioningbytrappingthemoisture. • Autologous bloodserumdrops–Theyare actuallymade fromyourown bloodandwork • incaseswhere othertreatmentshave failed. • Complications • Often peoplewith dryeyesexperiencepoorqualityoflifeas it’sverydifficultforthemto read,write orwatch anything for longperiodoftime.Tearsserve asprotectivecoating, withoutthemyouareproneto eyeinfections.Ifleftuntreated,dyeeyemaylead to damage tocornealsurfaceandpermanentvisionimpairmentmayhappeninseverecases. • Prevention • Asanagingprocess, tearsproductionwilleventuallygo down,butstillprecautionsmayhelp toavoiddryeyesdiscomfort. • Add humidifiertoyourroominwinters • At highaltitudesorextremewinters,takecare ofyoureyes asdry windsmaybe traumatictoyoureyesand tearproducingapparatus.
If youareapersonspendingmoretimeoncomputerorphone,takeshortbrakes duringyourtasksasyoureyes get tiredby long focusandradiationexposure. • Usesunglasseswhilegoingoutdoors • Useofointments insteadof drops • Frequentwashingofyoureyesalsoserves anaturalway foreyemoistureand cleaning. • Mildsoapusetoreducetheirritation. • ImportantReminder:Thisinformationisonlyintended to provideguidance,not a definitive medicaladvice. Pleaseconsult eyedoctoraboutyourspecificcondition.Onlya trained, experiencedboardcertifiedeyedoctorcandeterminean accuratediagnosisand proper treatment. • ToscheduleanappointmentwithourexpertsforDryEye TreatmentinGhatkopar, pleasecallusat+91 8451045935,+91-8451045934orvisitourclinicatAddress.