Advances in dry eye disease treatment

被引:207
作者
O'Neil, Erin C. [1 ]
Henderson, Matthew [1 ]
Massaro-Giordano, Mina [1 ]
Bunya, Vatinee Y. [1 ]
机构
[1] Univ Penn, Scheie Eye Inst, 51 N 39th St, Philadelphia, PA 19104 USA
关键词
dry eye disease; dry eye treatment; evaporative dry eye; meibomian gland dysfunction; INTENSE PULSED-LIGHT; MEIBOMIAN GLAND DYSFUNCTION; OCULAR SURFACE ECOSYSTEM; CYCLOSPORINE OPHTHALMIC EMULSION; THERMAL PULSATION PROCEDURE; CONTROLLED CROSSOVER TRIAL; A CATIONIC EMULSION; AUTOLOGOUS SERUM; PROSTHETIC REPLACEMENT; TOPICAL CYCLOSPORINE;
D O I
10.1097/ICU.0000000000000569
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose of review The prevalence and burden of dry eye disease continues to grow at a rapid pace, creating an increased need for new therapies. In a sector once limited to only a handful of treatments, clinicians now have multiple options available for patients who fail traditional therapies. This review summarizes the various treatment options available to clinicians treating complex dry eye disease patients. Recent findings As we better understand the multifactorial mechanisms leading to dry eye disease, treatments increasingly focus on the amelioration of the underlying deficiencies and inflammation, rather than on transient symptomatic relief alone. Most topical medications seek to replace deficient growth factors and/or decrease inflammation on the ocular surface. The majority of new devices and procedures seek to treat meibomian gland dysfunction, with one new device stimulating tear production through utilizing the nasolacrimal reflex pathway. Summary Clinicians have more options at their disposal in the treatment of dry eye disease than ever before, including topical medications and devices.
引用
收藏
页码:166 / 178
页数:13
相关论文
共 94 条
[1]   Prosthetic replacement of the ocular surface ecosystem: impact at 5years [J].
Agranat, Joshua S. ;
Kitos, Nicole R. ;
Jacobs, Deborah S. .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2016, 100 (09) :1171-1175
[2]   Treatment of Dry Eye Disease with Autologous Platelet-Rich Plasma: A Prospective, Interventional, Non-Randomized Study [J].
Alio J.L. ;
Rodriguez A.E. ;
Ferreira-Oliveira R. ;
Wróbel-Dudzińska D. ;
Abdelghany A.A. .
Ophthalmology and Therapy, 2017, 6 (2) :285-293
[3]   Comparison of Two Questionnaires for Dry Eye Symptom Assessment The Ocular Surface Disease Index and the Symptom Assessment in Dry Eye [J].
Amparo, Francisco ;
Schaumberg, Debra A. ;
Dana, Reza .
OPHTHALMOLOGY, 2015, 122 (07) :1498-1503
[4]   Autologous serum and plasma rich in growth factors in ophthalmology: preclinical and clinical studies [J].
Anitua, Eduardo ;
Muruzabal, Francisco ;
Tayebba, Ali ;
Riestra, Ana ;
Perez, Victor L. ;
Merayo-Lloves, Jesus ;
Orive, Gorka .
ACTA OPHTHALMOLOGICA, 2015, 93 (08) :E605-E614
[5]   A novel system, TearCare (R), for the treatment of the signs and symptoms of dry eye disease [J].
Badawi, David .
CLINICAL OPHTHALMOLOGY, 2018, 12 :683-694
[6]   Phase III safety evaluation of cyclosporine 0.1% ophthalmic emulsion administered twice daily to dry eye disease patients for up to 3 years [J].
Barber, LD ;
Pflugfelder, SC ;
Tauber, J ;
Foulks, GN .
OPHTHALMOLOGY, 2005, 112 (10) :1790-1794
[7]   A randomized study of the efficacy and safety of 0.1% cyclosporine A cationic emulsion in treatment of moderate to severe dry eye [J].
Baudouin, Christophe ;
Figueiredo, Francisco C. ;
Messmer, Elisabeth M. ;
Ismail, Dahlia ;
Amrane, Mourad ;
Garrigue, Jean-Sebastien ;
Bonini, Stefano ;
Leonardi, Andrea .
EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2017, 27 (05) :520-530
[8]   The sustained effect (12 months) of a single-dose vectored thermal pulsation procedure for meibomian gland dysfunction and evaporative dry eye [J].
Blackie, Caroline A. ;
Coleman, Christy A. ;
Holland, Edward J. .
CLINICAL OPHTHALMOLOGY, 2016, 10 :1385-1395
[9]   Human Meibum Lipid Conformation and Thermodynamic Changes with Meibomian-Gland Dysfunction [J].
Borchman, Douglas ;
Foulks, Gary N. ;
Yappert, Marta C. ;
Bell, James ;
Wells, Emily ;
Neravetla, Shantanu ;
Greenstone, Victoria .
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2011, 52 (06) :3805-3817
[10]   The efficacy of autologous serum eye drops for severe dry eye syndrome: a randomized double-blind crossover study [J].
Celebi, Ali Riza Cenk ;
Ulusoy, Cemalettin ;
Mirza, G. Ertugrul .
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2014, 252 (04) :619-626