The Many Faces of Dry Eye - a Primary Care Perspective

A primary care perspective: Dry eye is one of the most vexing entities encountered by clinicians today.  Recognising there is often a "disconnect" between patient symptoms and examination findidngs, and that dry eye has multiple etiologies further complicates clinical presentations.  This part of the lecture provides a systematic approach to differentially diagnosing dry eye as well as a strategic approach to it's management.

A Secondary care perspective : Traditionally Dry Eye is both a symptom and a diagnosis. Increasing it is recognized as “dysfunctional tear syndrome”.  History, symptoms and physical signs help elucidate the dysfunctional components in any given case.  Diagnostic tests are largely adjunctive.  Modern treatments attempt to address tear deficiency and its cause. 

Speakers:

• Semes, Leo P
• Dua, Harminder Singh

Key learning points:

1. Understand the scope of the dry eye problem.
2. Appreciate the classification schemes for dry eye.
3. Understand the role of inflammation in dry eye.
4. Appreciate treatment modalities.
5. Appreciate the impact of blepherities on dry eye symptoms and signs.
6. To understand the terminology used and classification of ‘Dry eye’.
7. To recognize the clinical features and grade dry eye.
8. To be able to diagnose the different components of ‘Dry eye syndrome’.
9. To be aware of the treatment options of ‘Dry eye’.
10. To be aware of evolving treatments in the ‘pipeline’.

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