![]() The former is common in all dry eye patients, whilst the latter is more commonly related to night dryness. Ophthalmologists should differentiate between worsening of dry eyes later in the day, typically associated with visual concentration tasks, and worsening of symptoms once the patient has gone to sleep and awakes in the morning. Although this may just be an unavoidable component of their dry eye condition, it is imperative to proactively consider night-time dryness as a separate entity. However, this is not the same as providing the most comprehensive and appropriate care.Ī proportion of DED patients will experience worsening of symptoms overnight or on waking, even with effective warm compresses, lid massage/cleaning, preservative free lubricants and oral omega-3 supplements. This can result in patients’ history being taken in a less focused manner, and the more subtle clinical findings receiving too little attention.ĭue to the robustness of the fundamental recommended treatment steps, the majority of patients are still likely to experience significant benefit, often accepting the improved but residual symptoms as inevitable. ![]() However, with such strength of guidance, it is also easier for some practitioners to fall into a generic blanket approach. Significant progress towards achieving consistency in understanding the fundamental causes of the condition, the systematic strategies used for diagnosis and stepwise treatment approaches have undoubtedly come from the two landmark Tear Film and Ocular Surface Society (TFOS) Dry Eye Workshop – DEWS I and II – reports. The awareness of the high incidence, impact on daily life and challenges of treating dry eye disease (DED) has increased exponentially over the past 2-3 decades. An effective lid hygiene regime will minimise the risk of build-up of deposits on compromised lid margins and thus optimise long term success and tolerance in these patients. It is important to proactively consider night-time dryness as its own separate entity.
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