Having been focused on Dry Eye Disease diagnosis and management for years, two recurring issues continue to complicate the issue: 1. Diagnosis of a disease is much more difficult without supporting signs 2. Following and monitoring the effectiveness of treatment by trying to gauge an improvement of symptoms is usually not … [Read more...]
Diagnosing early/mild stage Dry Eye Disease when symptoms/signs are confounding
Restasis®, Tear Film Osmolarity and Dry Eye Disease

Restasis® (Cyclosporine Ophthalmic Emulsion 0.05% - Allergan, Inc.) is an immunosuppressive agent when administered systemically. In patients whose tear production is decreased due to ocular inflammation associated with keratoconjunctivitis sicca (Dry Eye Disease - DED), cyclosporine emulsion is thought to act as a partial … [Read more...]
In My Practice: North Suburban Vision Consultants Institute Tear Osmolarity testing
At North Suburban Vision Consultants we instituted TearLab Osmolarity testing over the past few months. We utilize the technology both for symptomatic dry eye patients as well as baseline data for our contact lens patients and refractive surgery candidates. An example of how this technology has helped guide us in therapeutic … [Read more...]
In My Practice: Kirk Smick, OD, FAAO
Using TearLab for diagnosis and treatment efficacy I just saw a 53 yr old female patient today that had been in for consultation 6 weeks ago with Dry Eye Disease Symptoms. I evaluated her and with the TearLab Osmolarity System and found readings of OD 337 and OS 341 mOsmols/L (moderate DED levels). She had no lid disease and … [Read more...]
EFFECT OF BLINK INTENSIVE TEARS ™ ON TEAR FILM OSMOLARITY

Patients presenting with dry eye disease commonly are prescribed artificial tears or eye drops as an initial course of therapy. Treatment efficacy is often based on improvement in symptoms, as reported subjectively by the patient. Unfortunately it is well known that symptoms do not correlate with objective signs of dry eye … [Read more...]
A New Era in Dry Eye Management
Read my latest article in Optometry Times "a New Era in Drye Eye Management" Focusing on new markers, tools can help clinicians succesfully manage DED. http://www.nxtbook.com/nxtbooks/advanstar/opt_201007/#/40 … [Read more...]




