AQUEOUS DEFICIENT DRY EYE

Aqueous deficient dry eye is primarily treated with tear supplementation, anti-inflammatory therapy, and punctal occlusion.


TEAR SUPPLEMENTATION

Lubricants are used to lubricate the ocular surface, reduce elevated tear film osmolarity, dilute inflammatory or inflammation-inducing agents, and replace missing tear constituents. The exemption card scheme for user fee group 1 covers medication through the “blue prescription” scheme for Norwegian citizens.


ANTI-INFLAMMATORY THERAPY

Restasis® (Allergan), Ikervis® (Santen) and autologous serum are eye drops that may counteract the inflammation and superficial punctate keratitis due to dry eye disease. Serum is prepared from whole blood and is the fluid component without the clotting factors.


PUNCTAL OCCLUSION

Punctum plugs block the tear ducts and thus reduce tear drainage, retain moisture in the eye, and enables the patient to reduce the use of lubricants. Punctal plugs are divided into two main types: diagnostic/temporary and permanent.


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