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DEWS II - Update on Dry Eye Syndrome Treatments

August 09, 2017 1 min read

Updated Dry Eye Treatment According to DEWS II

Trace to mild dry eye syndrome

The treatment and modifications in step 1 should be done by ALL dry eye syndrome sufferers.   This is the basis to treatment for all disease.  Remember that a disease is your body's way of telling you that something YOU are doing is wrong!

Mild to moderate dry eye syndrome

    • Changing to a non-preserved topical lubrication
    • Using tea tree oil if Demodex is present
    • Tear conservation, such as punctal occlusion
    • Moisture chamber spectacles or goggles
    • Overnight treatments such as ointments
    • With meibomian gland dysfunction, in-office treatments, such as LipiFlow® or intense pulsed light therapy
    • Topical antibiotics or antibiotic/steroid combinations
    • Limited-duration topical steroids
    • Topical secretagogues
    • Topical anti-inflammatory medications such as cyclosporine (Restasis®)
    • Topical LFA-1 antagonists such as lifitegrast(Xiidra®)
    • Oral macrolide or tetracycline antibiotics

    Moderate to severe dry eye syndrome

        Severe dry eye syndrome