How to Address Dry Eye in the Challenging Cornea

March 18, 2021

Seema Nanda, OD Optometry Times Journal, March digital edition 2021, Volume 13, Issue 3

https://www.optometrytimes.com/view/how-to-address-dry-eye-in-the-challenging-cornea My eyes are getting watery after logging off my tenth Zoom meeting this week, which makes me think of the others Zooming away and experiencing dry eye symptoms. As an optometrist who sees corneal calamities on a continual basis, it can become a challenge to treat. At first, clinicians may diagnose dry eye disease (DED) by observing simple superficial punctate keratitis at the slit lamp. However, complications may ensue, such as recurrent epithelial erosions or persistent epithelial defects, causing more problems. These challenges could lead to neurotrophic ulcers and become even more difficult to handle. Of course, the ideal situation would be to treat only 1 problem at a time—and in a timely manner—so that the cornea improves more quickly and stays healthier longer. Ocular surface disease can be divided into 2 categories: aqueous deficiency leading to inflammation and lipid deficiency causing exposure keratopathy. These categ