From Symptoms to Satisfaction: Optimizing Patient-Centered Care in Dry Eye Disease

被引:2
作者
Villani, Edoardo [1 ]
Barabino, Stefano [2 ]
Giannaccare, Giuseppe [3 ]
Di Zazzo, Antonio [4 ]
Aragona, Pasquale [5 ]
Rolando, Maurizio [6 ]
机构
[1] Univ Milan, San Giuseppe Hosp, Dept Clin Sci & Community Hlth, IRCCS Multimed,Eye Clin, I-20123 Milan, Italy
[2] Univ Milan, Ocular Surface & Dry Eye Ctr, ASST Fatebenefratelli Sacco, I-20133 Milan, Italy
[3] Univ Cagliari, Dept Surg Sci, Eye Clin, I-09123 Cagliari, Italy
[4] Univ Campus Biomed, Ophthalmol Operat Complex Unit, I-00128 Rome, Italy
[5] Univ Messina, Dept Biomed Sci, Ophthalmol Clin, I-98100 Messina, Italy
[6] ISPRE Ophthalm, Ocular Surface Unit, I-16129 Genoa, Italy
关键词
dry eye disease; ocular surface; tear film; quality of life; symptoms; satisfaction; mental health; therapeutic alliance; depression; PROMs; QUALITY-OF-LIFE; RISK-FACTORS; CLINICIAN ASSESSMENT; OCULAR SURFACE; PREVALENCE; DEFINITION; VALIDATION; DEPRESSION; HEALTH; IMPACT;
D O I
10.3390/jcm14010196
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dry eye disease (DED) is a multifactorial, chronic, and often relapsing condition with a significant impact on patient quality of life (QoL). Symptoms such as ocular discomfort and visual disturbances are diverse and frequently misaligned with objective clinical signs, complicating diagnosis and management. DED not only interferes with daily activities like reading, driving, and computer use but also imposes a substantial economic burden due to direct healthcare costs and reduced work productivity. Beyond its ocular manifestations, DED has been associated with higher prevalence rates of depression and anxiety, with a complex bidirectional relationship. Patients with DED may experience psychological distress that exacerbates symptoms, leading to a vicious cycle that further impairs QoL. This underscores the importance of integrating mental health screening into the management of DED, particularly for high-risk populations. Optimizing the care of DED patients requires empathy, effective communication, and the establishment of a therapeutic alliance that acknowledges patient experiences and involves them in personalized treatment plans. Such an approach can improve patient satisfaction, enhance treatment adherence, and address both ocular and psychological dimensions of the disease. This paper highlights current evidence on the impact of DED symptoms and its association with mental health and recommends strategies to improve clinical management through a patient-centered approach.
引用
收藏
页数:12
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