ABSTRACT
A report is presented on the visual and clinical results from a retrospective case series of patients with chronic, evaporative, dry eye syndrome (DES), after refractive surgery, and treated with intense pulsed light treatment (IPL). Four sessions were performed, and the Ocular Surface Disease Index (OSDI) questionnaire was completed before initiating treatment and after the last session. Pre- and post-treatment data included: visual acuity (VA), refraction, clinical evaluation (DEWS severity grading, and Oxford corneal staining), and Orbscan topography. Twenty eyes were treated and the following data recorded: SchirmerI 14.7±5.6; 15.6±3.4mm, tear breakup time (TBUT) 3.4±1.6; 5.1±1.2s (P>.003), DEWS 3.4±0.5; 1.6±0.7 (P<.003), Oxford grade 0.8±0.77; 0.4±0.75 (P>.003), VA 0.67±0.26; 0.90±0.15 (P<.0001), best corrected VA 0.83±0.18; 0.92±0.14 (P>.003), spherical equivalent -0.31±0.6; -0.08±0.38D (P>.003), OSDI 34±16; 28±11.0 points (P>.003), frequency artificial tear use 3.4±2.0; 2.5±1.9 times/day (P>.03). A significant clinical and visual improvement was observed, together with a decreased frequency in artificial tear use, in LASIK patients with chronic DES after IPL treatment.
Subject(s)
Dry Eye Syndromes/etiology , Dry Eye Syndromes/therapy , Intense Pulsed Light Therapy , Keratomileusis, Laser In Situ/adverse effects , Postoperative Complications/etiology , Postoperative Complications/therapy , Adult , Aged , Chronic Disease , Humans , Middle Aged , Retrospective Studies , Treatment OutcomeABSTRACT
Dry eye syndrome in the workplace is associated with new ways of working, with increasing use of screens and electronic devices and environmental conditions encountered in modern office designs and other environments. Also affect occupational exposure to ionizing radiation, chemicals or atmospheric dust with increased ocular dryness. The study of pathophysiological aspects and laboral causality of the dry eye, must be to develop joint task in Occupational Health, Public Health in coordination with and responsible for the national health system, which would involve primary and secondary preventive measures more effective and proper diagnosis, control and monitoring of the disease, A better knowledge of occupational hazards and actions agreed and coordinated between occupational physicians, preventers, primary care physicians and specialist physicians, such as ophthalmology, will get results much more effective when earlier and optimize available resources.
Subject(s)
Dry Eye Syndromes/etiology , Occupational Diseases/physiopathology , Occupational Exposure/adverse effects , Dry Eye Syndromes/physiopathology , Dry Eye Syndromes/prevention & control , Humans , Occupational Diseases/prevention & control , Occupational Health , Primary Prevention/methods , Public Health , Risk Factors , Secondary Prevention/methodsABSTRACT
Los acidos grasos esenciales Omega 3 y Omega 6 tienen efectos competitivos e inhibitorios en el organismo. Mientras el primero activa como antiinflamorio, el segundo tiene un derivado clave en la cascada inflamatoria: el acido araquidonico. Por tanto se plantea el omega 3 como terap¨¦utico en el proceso inflamatorio del S¨ªndrome de Ojo Seco.
Polyunsaturated essential fatty acids Omega 3 and omega © have a competitive inhibitory effect in the organism. The term non©inflammatory refers to a diet rich in Omega 3. There are reports of benefits of Omega © essential fatty acid supplementation for patient with inflammatory Dry Eye Syndrome. Omega 6 fatly acid is converted to arachidonic acid which cascades into the chemistry of inflammation and immunologic responses.