Dry Eye Syndrome: Symptoms, Treatment, and Getting Help

Questions about Dry Eye Syndrome

Dear Director Peng: My mother-in-law has recently been experiencing severe dry eyes, burning sensations, and decreased vision.
Could these symptoms indicate dry eye syndrome? What treatment options are available? Additionally, how can we schedule an appointment with you? She has been waiting for a month for an appointment at Zhongshan Hospital and is really uncomfortable.
She has also visited many ophthalmology clinics without any improvement.
I would appreciate any advice you could provide to help my mother-in-law alleviate her dry eye issues as soon as possible.
Thank you!

Yiru, 20~29 year old female. Ask Date: 2007/07/30

Dr. Ke Meilan reply Ophthalmology

Hello! The question you asked is directed to Director Peng from Chung Shan Medical University, so please redirect your inquiry to Director Peng.
I apologize for the inconvenience! Thank you!

Reply Date: 2007/07/30

More Info

Dry Eye Syndrome (DES) is a common condition characterized by insufficient tear production or poor tear quality, leading to discomfort and potential damage to the ocular surface. Symptoms can vary widely but typically include dryness, burning, a gritty sensation, redness, and blurred vision. In more severe cases, patients may experience significant discomfort, visual disturbances, and even complications such as corneal ulcers.

In your case, your mother-in-law’s symptoms of severe dryness, burning, and vision reduction could indeed indicate Dry Eye Syndrome. However, it is essential to conduct a thorough evaluation to rule out other potential causes of her symptoms, such as allergies, infections, or other ocular surface diseases. A comprehensive eye examination, including tear break-up time tests and possibly a Schirmer test to measure tear production, would be crucial in confirming the diagnosis.

Treatment Options
1. Artificial Tears: The first line of treatment for dry eyes typically involves the use of preservative-free artificial tears. These can help lubricate the eyes and provide temporary relief from dryness.

2. Prescription Medications: If over-the-counter solutions are insufficient, prescription medications such as cyclosporine A (Restasis) or lifitegrast (Xiidra) can help increase tear production and reduce inflammation.

3. Punctal Plugs: For patients with moderate to severe dry eye, punctal plugs can be inserted into the tear ducts to reduce tear drainage, thereby increasing the moisture available on the ocular surface.

4. Lifestyle Modifications: Encouraging your mother-in-law to take regular breaks from screens, use a humidifier, and stay hydrated can also help alleviate symptoms. Wearing sunglasses outdoors can protect against wind and environmental irritants.

5. Scleral Lenses: In cases of severe dry eye, specialty contact lenses, such as scleral lenses, can provide a protective barrier over the cornea and keep the eye hydrated.

6. Warm Compresses and Lid Hygiene: Regularly applying warm compresses can help unclog blocked meibomian glands, which are essential for producing the oily layer of tears. Maintaining eyelid hygiene can also be beneficial.

Seeking Help
Regarding your inquiry about getting an appointment with Dr. Peng, if the wait time at Zhongshan Hospital is too long, consider the following options:
- Private Clinics: Look for private ophthalmology clinics that may offer quicker appointments. Many specialists can provide comprehensive care for dry eye syndrome.

- Telemedicine: Some healthcare providers offer telemedicine consultations, which can be a convenient way to discuss symptoms and treatment options without the need for an in-person visit.

- Emergency Care: If your mother-in-law's symptoms worsen significantly, visiting an emergency eye care facility may be warranted. They can provide immediate relief and potentially expedite further treatment.

Conclusion
Dry Eye Syndrome can significantly impact quality of life, but with the right treatment and management strategies, symptoms can often be alleviated. It is crucial to work closely with an eye care professional to develop a personalized treatment plan. If your mother-in-law continues to experience discomfort despite treatment, further evaluation by a specialist may be necessary to explore other underlying conditions or advanced treatment options.

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