Dry eyes impair your comfort of life. Do not think that you will solve the problem with dry eye drops that will provide effect and relief for 5-6 minutes. The lack of time allocated to the patient in this country has led to the practice of “writing and sending eye drops prescription”. Never think that the situation is different in private health institutions. In addition, unnecessary tests and treatments are performed.
In the case of low tears, the defect is in the lacrimal gland, which is under the outer side of the upper lids. Many conditions or diseases impair the tear production of the lacrimal gland. Rheumatic diseases: Rheumatic diseases cause dry eyes. Ocular involvement is quite common in rheumatoid arthritis (RA). Keratoconjunctivitis sicca is the most common rheumatic disease. Sjogren’s Syndrome,
auto immune, that is, it is from the group of diseases in which a person reacts against his own organ. Dryness of the mouth and eyes is severe, with 90% significant involvement in women.
Connective tissue diseases affect all body systems. It is generally seen in young and middle-aged women. Improper functioning of the immune system produces autoantibodies that harm its own body. SLE, lupus, scleraderma, polymyositis, dermatomyositis are the main connective tissue diseases. Skin diseases and dry eyes Numerous skin diseases cause both dry skin and dry eyes.
Acne rosacea, that is, rosacea, is so common that sometimes it progresses so mildly that the patient is not aware of it. The decrease in sex hormones and prolactin after menopause causes dry eye. Birth control pills cause dry eyes. Anti-depressants that cause dry eyes, some drugs that lower blood pressure, some allergy drugs, acne drugs, Parkinson’s drugs reduce the amount of tears.
The scarcity of tears is determined by the Schirmer test. Do not dream that your illness will be cured with a magic touch. Many causes are not conditions that will improve radically, and treatment for the patient is in the form of relaxation therapy. Choosing a doctor: Choose an ophthalmologist of interest in dry eye. Do not think that you will solve it on your own.
What should be done if there are few tears?
As the ancients used to say, “Use water sparingly,” the management of scarcity of tears is something like that. If it is less, it is necessary to take measures and make applications accordingly. Do not ignore the brain in dry eyes. Remember that the gut is the second brain. ,
What is algorithm?
It is the planned way to solve a particular problem or achieve a particular goal. There is also an algorithm in dry eye. Do not think that you can solve the problem by using dry eye drops. Dry eye is a balancing act of many issues. The number of patients with low tears is small. In general, patients are female and over the age of 40, it is caused by systemic disorders. dry eye
The event should be evaluated in 3 parts. Tear gland: The functioning of the tear gland should be regulated. Most of the related diseases are chronic diseases that cannot be terminated with lifelong rooted treatment.
They are activated from time to time. When activated, they inflict damage or afflictions peak. During this period, close communication with the relevant doctors is required. Tear quality: Tear film is the tear film consisting of mucus, aqueous (water) and oil. It has so many features. Balance must be maintained to avoid dry eyes. The tear comes out of the cloth at a temperature of 43 degrees, so it’s ready to evaporate. This is very important for fewer tears. Minor eyelash inflammation, which the patient is not aware of, clogs the mouth of the meibomius gland and impairs the quality of tears. The root lice demodex at the base of the hair is also the cause of dry eyes. All of them impair the quality of tears. Infection is the cause of pain.
* The quality of tears should be increased. Alcohol, tea, caffeine, cigarettes, carbonated drinks, low or excessive water intake, salt, sugar, eyelash root inflammation and the functioning of the Meibomius sebaceous gland
should be taken into account.
*The osmolarity (density) of the tear should be brought to the normal level. Density should not be too much or too little. With the decrease in the amount of mucin, filamentous filamentous structures are formed. The increase in density and decrease in tears causes damage to the corneal epithelium and its susceptibility to infection. Mucin: Mucin moisturizes the eye. With the decrease in the amount of mucin, filamentous filamentous structures are formed. The mucin is secreted by the goblet cells in the conjunctiva covering the white of the eye and the inner surface of the eyelid.
*Goblet is short-lived coy cells. Avoid situations that cause the goblet to die. Insomnia, late going to bed, dusty environments, cigarette smoke, excessive sun and light, pollens, toxic substances, inflammations such as blepharitis, the protective benzalkonium chloride in the eye dry eye drops kill the goblet.
Aqueous: Decreased water (aqueous) amount of tears increases osmolarity. That is, the tear thickens, becomes sedimented, the Meibomian gland becomes clogged, becomes sticky, vision deteriorates, toxic substances and residues are not thrown out of the eye. * With the meeting of the water (aqueous) part of the tear and the oil
tears should be kept in the eye.
Oil: The oil part of the tear is like an umbrella on the tear layer, it is protective, prevents evaporation, sticks the tear to the eye, prevents it from flowing away. Meibomius on the eyelid,
It is secreted by the Zeiss and Moll glands.
Containing the tears in the eye: It is the most important issue in the lack of tears. If the tears are low, the tears should be confined to the eye. If the tear meets the oil, it does not fly, does not flow, remains in the eye. * Oil sedimentation in the meibomius gland should be prevented. This improves tear quality and streamlines osmolarity. In this country, obstruction of the mouth of the Meibomius gland and calcification in the duct of the gland
it is too much. If the water (aqueous) part of the tear does not meet with the oil, it flows and leaves the eye. If it meets, it stays in the eye, it plasters the sensitive cornea, which is the most uncomfortable in dry eye…
*MGX application was useful for eye dryness and eye dryness due to eyelash root inflammation. *Tear breaking time should be regulated. * The evaporation of tears should be prevented. If the oil and the water part of the tear combine, the tear remains in the eye and does not evaporate. *Punctal plugs are of little benefit… *Pay attention to food intake with vitamin A and vitamin A eye ointment. It increases tear production, repairs the cornea, the front lens of the eye that deteriorates in dry eye, and relaxes the eye. * The diet is important in dry eyes. Walnuts, peanuts, pumpkin seeds, eggs, yogurt, leafy greens
vegetables, blackberries, raspberries, fish, green tea…
Are you aware, we are not talking about using effective tear drops for 5-6 minutes. If the protective benzalkonium chloride in the dry eye drops is dripped too much, it damages the eye, especially kills the goblet cell that produces mucin, which moisturizes the eye, and breaks down the oil part of the tear. The person with dry eye should be aware of the issue while choosing an experienced and well-equipped doctor.
