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A Practical Approach to Severity Classification and Treatment of Dry Eye Disease: A Proposal from the Mexican Dry Eye Disease Expert Panel

Dry eye disease (DED) has a higher prevalence than many important systemic disorders like cardiovascular disease and diabetes mellitus, representing a significant quality of life burden for the affected patients. It is a common reason for consultation in general eye clinics worldwide. Nowadays, the...

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Autores principales: Rodriguez-Garcia, Alejandro, Babayan-Sosa, Alejandro, Ramirez-Miranda, Arturo, Santa Cruz-Valdes, Concepcion, Hernandez-Quintela, Everardo, Hernandez-Camarena, Julio C, Ramos-Betancourt, Nallely, Velasco-Ramos, Regina, Ruiz-Lozano, Raul E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9061212/
https://www.ncbi.nlm.nih.gov/pubmed/35520107
http://dx.doi.org/10.2147/OPTH.S351898
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author Rodriguez-Garcia, Alejandro
Babayan-Sosa, Alejandro
Ramirez-Miranda, Arturo
Santa Cruz-Valdes, Concepcion
Hernandez-Quintela, Everardo
Hernandez-Camarena, Julio C
Ramos-Betancourt, Nallely
Velasco-Ramos, Regina
Ruiz-Lozano, Raul E
author_facet Rodriguez-Garcia, Alejandro
Babayan-Sosa, Alejandro
Ramirez-Miranda, Arturo
Santa Cruz-Valdes, Concepcion
Hernandez-Quintela, Everardo
Hernandez-Camarena, Julio C
Ramos-Betancourt, Nallely
Velasco-Ramos, Regina
Ruiz-Lozano, Raul E
author_sort Rodriguez-Garcia, Alejandro
collection PubMed
description Dry eye disease (DED) has a higher prevalence than many important systemic disorders like cardiovascular disease and diabetes mellitus, representing a significant quality of life burden for the affected patients. It is a common reason for consultation in general eye clinics worldwide. Nowadays, the diagnostic and therapeutic approach at the high corneal and ocular surface specialty level should be reserved for cases of severe and chronic dry eye disease associated with systemic autoimmune diseases or complicated corneal and ocular surface pathologies. In such cases, the diagnostic and therapeutic approach is often complex, elaborate, time-consuming, and costly due to the use of extensive dry eye questionnaires, noninvasive electronic diagnostic equipment, and clinical laboratory and ancillary tests. However, other eye care specialists attend a fair amount of DED cases; therefore, its diagnosis, classification, and management should be simple, practical, achievable, and effective. Considering that many patients attending non-specialized dry eye clinics would benefit from better ophthalmological attention, we decided to elaborate a practical DED classification system based on disease severity to help clinicians discriminate cases needing referral to subspecialty clinics from those they could attend. Additionally, we propose a systematic management approach and general management considerations to improve patients’ therapeutic outcomes according to disease severity.
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spelling pubmed-90612122022-05-04 A Practical Approach to Severity Classification and Treatment of Dry Eye Disease: A Proposal from the Mexican Dry Eye Disease Expert Panel Rodriguez-Garcia, Alejandro Babayan-Sosa, Alejandro Ramirez-Miranda, Arturo Santa Cruz-Valdes, Concepcion Hernandez-Quintela, Everardo Hernandez-Camarena, Julio C Ramos-Betancourt, Nallely Velasco-Ramos, Regina Ruiz-Lozano, Raul E Clin Ophthalmol Expert Opinion Dry eye disease (DED) has a higher prevalence than many important systemic disorders like cardiovascular disease and diabetes mellitus, representing a significant quality of life burden for the affected patients. It is a common reason for consultation in general eye clinics worldwide. Nowadays, the diagnostic and therapeutic approach at the high corneal and ocular surface specialty level should be reserved for cases of severe and chronic dry eye disease associated with systemic autoimmune diseases or complicated corneal and ocular surface pathologies. In such cases, the diagnostic and therapeutic approach is often complex, elaborate, time-consuming, and costly due to the use of extensive dry eye questionnaires, noninvasive electronic diagnostic equipment, and clinical laboratory and ancillary tests. However, other eye care specialists attend a fair amount of DED cases; therefore, its diagnosis, classification, and management should be simple, practical, achievable, and effective. Considering that many patients attending non-specialized dry eye clinics would benefit from better ophthalmological attention, we decided to elaborate a practical DED classification system based on disease severity to help clinicians discriminate cases needing referral to subspecialty clinics from those they could attend. Additionally, we propose a systematic management approach and general management considerations to improve patients’ therapeutic outcomes according to disease severity. Dove 2022-04-28 /pmc/articles/PMC9061212/ /pubmed/35520107 http://dx.doi.org/10.2147/OPTH.S351898 Text en © 2022 Rodriguez-Garcia et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Expert Opinion
Rodriguez-Garcia, Alejandro
Babayan-Sosa, Alejandro
Ramirez-Miranda, Arturo
Santa Cruz-Valdes, Concepcion
Hernandez-Quintela, Everardo
Hernandez-Camarena, Julio C
Ramos-Betancourt, Nallely
Velasco-Ramos, Regina
Ruiz-Lozano, Raul E
A Practical Approach to Severity Classification and Treatment of Dry Eye Disease: A Proposal from the Mexican Dry Eye Disease Expert Panel
title A Practical Approach to Severity Classification and Treatment of Dry Eye Disease: A Proposal from the Mexican Dry Eye Disease Expert Panel
title_full A Practical Approach to Severity Classification and Treatment of Dry Eye Disease: A Proposal from the Mexican Dry Eye Disease Expert Panel
title_fullStr A Practical Approach to Severity Classification and Treatment of Dry Eye Disease: A Proposal from the Mexican Dry Eye Disease Expert Panel
title_full_unstemmed A Practical Approach to Severity Classification and Treatment of Dry Eye Disease: A Proposal from the Mexican Dry Eye Disease Expert Panel
title_short A Practical Approach to Severity Classification and Treatment of Dry Eye Disease: A Proposal from the Mexican Dry Eye Disease Expert Panel
title_sort practical approach to severity classification and treatment of dry eye disease: a proposal from the mexican dry eye disease expert panel
topic Expert Opinion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9061212/
https://www.ncbi.nlm.nih.gov/pubmed/35520107
http://dx.doi.org/10.2147/OPTH.S351898
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