What to do with mild dry eyes?

Mild dry eye syndrome should be taken seriously, and effective conditioning and solutions should be taken in a timely manner. Current treatments for mild dry eye syndrome include physical therapy and drug therapy. Topical medication is a relatively convenient and simple method. Of course, symptoms can also be improved by applying hot compresses, massaging, and scrubbing the eyes.

1. Physical therapy

(1) Dry eyes are caused by insufficient lipid secretion or abnormal lipid secretion, which leads to rapid evaporation of semen. The most common is meibomian gland dysfunction (MGD), which is common in elderly people with oily skin. In recent years, the incidence rate has gradually increased among women who have undergone eyeliner cosmetic surgery. In this case, eye cleaning is essential, including hot compress, massage and scrubbing: first, apply hot compress to the eyelids for 5 to 10 minutes;

(2) Massage the eyelids by rotating the eyelid margins with your fingers; (3) Scrub the eyelid margins with a milder cleanser

2. Local drug treatment

1. Replacement of tear components

Aqueous-deficient dry eyes are caused by a lack of aqueous layer in the tear film due to various reasons. This type of dry eyes is mainly treated by replacing tear components. The substitutes need to be close to the composition of normal tears and are divided into artificial tears and autologous serum. a Artificial tears: There are many types of artificial tears available in my country. Clinicians should make appropriate choices based on the advantages and disadvantages of each type of artificial tears, such as composition, viscosity, mechanism of action, type of preservatives, etc., and based on the type and degree of dry eyes, economic status of the patient, and the patient's response to treatment. b Autologous serum: Its composition is closest to normal tears, but due to its complex preparation and limited source, it is rarely used. It is generally only used when severe dry eyes will cause corneal complications.

2 Anti-inflammatory and immunosuppressive therapy

Patients with dry eye often have a non-infectious basic immune inflammatory response on the ocular surface, which may be related to the decreased levels of sex hormones, decreased lymphocyte apoptosis, and the damage-healing response caused by slight friction on the ocular surface. Many scholars regard this inflammatory response as a common pathogenesis of various types of dry eye. Therefore, anti-inflammatory and immunosuppressive therapy are important measures for the treatment of dry eye. (1) Corticosteroid eye drops: Low-concentration corticosteroid eye drops are effective in alleviating dry eye symptoms and ocular surface inflammation. The number of times and duration of application depends on the severity of dry eyes, but the use of the drug should be minimized.

III. Systemic drug therapy

The incidence of dry eyes in postmenopausal women increases significantly, and changes in sex hormone levels may be one of the important causes of dry eyes. Studies have found that the levels of estrogen and androgen in menopausal women decrease, and other studies have shown that reduced androgen levels are one of the important reasons for reduced lacrimal gland function in patients with Sjögren's syndrome. Therefore, some people have applied androgens topically to improve the secretory function of the lacrimal and meibomian glands, and some patients have achieved good results.