1.5 billion people in the world suffer from dry eye. This means a huge market for pharmaceutical companies, a huge patient resource for hospitals and ophthalmologists. The most prescribed drug in the world is dry eye drugs, which is also available without a prescription. Dry eye impairs quality of life. Developing technology, malnutrition and lifestyle mistakes have made eye dryness the most important medical condition. If there is uncertainty about a subject, many books are written about it. The insolvency in dry eye has led to the release of many drugs. But here, the explanation of insolubility is wrong. There is an inability to reach the result due to errors. The most important problem in this is the little time allocated to the patient. Algorithm is to produce a solution to reach a conclusion on a subject or to make plans to reach the target. Let’s say we don’t have time for this disease. (!)
The patient with a small amount of tears is so few… The condition and disease causing dry eyes are so many. ..
Most of the patients are women. After the age of 40, women are the group that is called auto-immune, that is, affected by the fact that people form a disease against their own body. And unfortunately, these diseases are chronic, they go on, drugs do not cure, they only suppress, relieve, prevent damage. What should the patient do? For the treatment of the disease that causes dry eye, one should not cut off contact with his doctor, and if it does not improve, he should provide a little comfort. The effect of the eye drops, not immediately, is 5-6 minutes, then the complaints start again. In this disease, the patient is looking for ways to cure himself. Because the time that doctors allocate to patients in this country is very limited. There is not ample time for each patient. There seems to be no algorithm application in this regard, and few ophthalmologists. The patient is also in constant search…
This leads him to mistakes. Using too many drugs disrupts the production of the tear gland even more, making it inoperable. The protective benzalkonium chloride in the drugs injures the front lens of the eye, the cornea, breaks down the oil that holds the tear film together and is protective like an umbrella, and destroys the mucin-producing goblet cells.
What’s in the eye drops? “Water retainers” and “Moisturizers” “Protective” What is their natural opposite in the eye? *Moisturizer: Mucin. The goblet cells in the conjunctiva produce mucin, which provides moisturizing. So the health of goblet cells is very important.
*Water-retaining: Meibomius, Zeiss and Moll sebaceous glands are in the eyelid. Their non-production or obstruction of the duct prevents the oil from meeting with water, staying in the eye, plastering the front lens of the eye, the cornea and other eye structures. This causes severe eye dryness. Do not think of dry eye as a simple event that can be fixed with effective tear drops for 5-6 minutes. What should be done? * First, the resistance of the eye should be regulated. * The quality and quantity of tears should be increased. *The osmolarity of the tear should be adjusted. *Tear balance should be established. *MGD (Meibomius gland dysfunction) is an important problem.
If necessary, MGX application should be applied, which regulates the oil.
* Demodex folliculorum, eyelash root inflammation, allergies are important in dry eye.
*Care about systemic diseases that cause dry eyes, systemic medications and lifestyle.
Eye dryness applications are personal. Suitability for you can only be determined by examination.
