Delhi Journal of Ophthalmology

Update on Surgical Interventions In Management of Dry Eyes

V Anitha1, R Meenakshi1, M Vanathi2
1Department of Ophthalmology, The Institution Aravind Eye Hospital, Tirunelveli, India
2Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, New Delhi, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Venugopal Anitha 
DNB, FAICO (CORNEA), FICO 
Senior Consultant, Cornea and Refractive Services 
Aravind Eye Hospitals & Postgraduate Institute Tirunelveli, Tamil Nadu, India
Email: aniths22@ymail.com.


Received: 10-JUN-2020 Accepted: 10-SEP-2020 Published Online: 09-JUL-2021
DOI: https://dx.doi.org/10.7869/djo.650

Abstract
Dry eye disease (DED) is an inflammatory disease with tear film instability and  hyperosmolarity. It is also a common symptom encountered in a general ophthalmology practice. The DED symptoms range from mild, moderate to severe. The Rapid Diagnosis with non-invasive techniques are possible in the out-patient clinic itself. The management includes medical and surgical, which depends on the patients' objective symptoms, subjective complaints, and the severity of the disease. Medical treatment includes preservative-free tear substitutes, oral secretagogues, topical, and systemic anti-inflammatory therapy. The surgical modalities are the treatment options in very severe disease. The severity of the disease at the time of presentation, lifestyle modifications, compliance with the treatment is associated with a better prognosis. This review provides an update with a practical approach to surgical interventions of DED with emphasis on treatment for specific disease subtype and severity of the condition.

Keywords :Dry Eyes, Surgery For Dry Eyes, Tarsorrhaphy, Punctal Plugs