California's Central Valley is home to about five Kaiser-affiliated hospitals, offering emergency and other medical services 24 hours a day, seven cslifornia a week. West Lancaster, CA Driving directions References Kaiser Permanente: Quick Facts. Written by Max Stirner. Max Stirner is a New York-based writer and editor with over a decade of experience. Richmond, CA 1 0.
Alcon launches latest Systane artificial tear drops in Europe. January 18, References Based on internal calculations by Alcon using third-party data; Alcon data on file, Silverstein S. Yeu E, Tauber J. Multicenter Trial. Clin Ophthalmol. Ketelson H, Rangarjan R. Pre-clinical evalusation of a nael phospholipid nanoemulsion based lubricant eye drops. Rangarajan R, Ketelson H. Preclinical evaluation of a new hydroxypropyl-guar phospholipid nanoemulsion-based artificial tear formulation in models of corneal epithelium.
J Ocul Pharmacol Ther. When we look deeper, we see the many contributing factors that make up this complex disease. Anatomically, it involves multiple structures, including the meibomian glands, lacrimal glands, corneal surface, conjunctival surface, and goblet cells. Risk factors include autoimmune disease, smoking, use of certain medications, prior eye surgery, and environmental factors, among others.
The full analysis can be overwhelming to clinicians, but diagnosis is generally straightforward. A good history and dry eye questionnaire, point-of-care testing, and a careful exam offer a detailed picture—one that is absolutely essential for patient care because, whether we see a patient for new eyeglasses or surgery, we must treat dry eye.
To my mind, the most important reason to treat dry eye aggressively is that the disease impacts visual quality. Many dry eye patients report that their vision fluctuates between blinks. We have to treat dry eye in surgical patients prior to surgery because dry eyes produce inaccurate biometry and keratometry, which makes targeted visual outcomes and patient satisfaction difficult.
Nevertheless, some surgeons still do not address dry eye before surgery. In fact, I find that the number one reason for patient dissatisfaction after cataract surgery with a premium lens such as toric or multifocal is related to untreated preoperative dry eye. We offer the full range of dry eye treatments in our clinic, including traditional hygiene, nutraceuticals, punctal plugs, prescription topical medications, thermal pulsation, intense pulsed light therapy, amniotic membrane treatment, and others.
We also ensure patients are treated for systemic disease, change medication use when necessary, and alter detrimental environmental factors. No matter what treatment we select, all patients are instructed to use artificial tears when needed. The drops have been wonderful. They are BAK free, which I love because the preservative can be so toxic to the ocular surface that it is actually counterproductive to prescribe a dry eye drop that contains BAK.
United States National Nanotechnology Initiative. Accessed April 5, I have patients use artificial tears as needed, rather than follow a prescribed schedule.
They intuitively understand that this will work for all aspects of dry eye disease. We give patients coupons as both an incentive and a reminder. Figure 2. Search for:. End of Issue. Diagnosing a Complex Disease In the past, we were taught that most dry eye patients were aqueous-deficient, but now we know most patients have evaporative dry eye due to meibomian gland dysfunction or mixed-mechanism dry eye both evaporative and aqueous-deficient disease.
The Importance of Treatment To my mind, the most important reason to treat dry eye aggressively is that the disease impacts visual quality. Choosing an Artificial Tear We offer the full range of dry eye treatments in our clinic, including traditional hygiene, nutraceuticals, punctal plugs, prescription topical medications, thermal pulsation, intense pulsed light therapy, amniotic membrane treatment, and others.
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