DEWS II - Update on Dry Eye Syndrome Treatments

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

              3 comments

              Heather

              Thank you for your question, Patty. Eating sugary foods will definitely increase the inflammation on your eyelids as well as your entire body. It’s never good to eat a diet high in added sugar.

              Reduce the added sugar, keep hydrated, and ild hygiene are a must!

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              Patty

              I have severe dry eyes and red cuts on my eyelids. Does eating sugary treats make it worse?

              Amy Gallant Sullivan, Executive Director TFOS

              Dr. Zigler – Thank you for reviewing the TFOS DEWS II report. TFOS will also be publishing an executive summary of this report as well as a handout for clinicians. . . and a patient version. For more information about TFOS DEWS II and our other reports, on meibomian gland dysfunction, contact lens discomfort, etc. please visit our website: http://tearfilm.org/

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