Clinical Scorecard: Dry Eye Dx and Tx: Tailoring the Tear Reservoir

At a Glance

Key Highlights

• Scleral lenses are increasingly used for managing dry eye symptoms.
• Nonpreserved saline vials are commonly used as filling solutions.
• Artificial tears and autologous serum can enhance scleral lens efficacy.
• Cyclosporine can be effectively delivered via scleral lenses.
• Tailoring filling solutions is crucial for symptom control.

Guideline-Based Recommendations

Diagnosis

• Assess ocular surface disease severity using OSDI and staining scores.

Management

• Consider scleral lenses with various filling solutions for symptom relief.

Monitoring & Follow-up

• Regularly evaluate patient symptoms and ocular surface health.

Risks

• Potential for dryness, irritation, and incomplete symptom resolution.

Patient & Prescribing Data

Patients with refractory dry eye and ocular surface disease.

Nonpreserved saline and other additives can improve patient outcomes.

Clinical Best Practices

• Use preservative-free solutions to minimize ocular surface toxicity.
• Tailor filling solutions based on individual patient needs.
• Incorporate artificial tears or autologous serum for enhanced relief.

References

• Schornack et al., 2023
• Schornack et al., 2023
• Tan et al., 2022
• Vilares Morgado et al., 2023
• Nakhla et al., 2024