Patients with this syndrome usually have a dry sensation in the eyes and grit, especially when getting up in the morning. Dry eye syndrome is a persistent disease and is generally progressive. In most cases, the dry eye can be controlled successfully, and the result is an apparent greater comfort for the eye, fewer symptoms and, sometimes, a sharper vision. Depending on its cause and severity, treatment may be for life.

QUESTION. I have detected dry eye syndrome. Is it bad?

ANSWER. It is a real disease and consists in the alteration of the ocular surface (cornea and conjunctiva) by a scarce and poor quality tear. Due to this altered tear, when we open our eyes, the tear film that forms and covers the eye breaks quickly and the eye is exposed to the action of the air, resecting it and altering the cells and nerve endings. The final result is the inflammation of the eye, which still further alters the cornea and conjunctiva cells, closing a vicious circle.

The most frequent causes of this disease told by eye treatment hospitals in Delhi are: rheumatic, dermatological processes such as acne rosacea diabetes, hormonal changes in young patients or women in menopause, stress, incorrect diets and very dry or windy environments.

Q. What are the most common symptoms?

A. The symptoms are a dry feeling in the eyes and grit, especially when getting up in the morning. It intensifies when you are in arid environments, such as air conditioners or heating, and can cause photophobia (discomfort with light). They cannot belong in front of a computer screen, and even visual quality deteriorates: the patient reports that, in addition to pain, he does not see well. He blinks and regains his vision, but in a few seconds, he sees blurry.

Q. What treatment should be followed?

A. Usually, drops of artificial tears are administered, which generally help, but in most cases are insufficient and if it is abused (more than three drops a day), they end up causing toxic effects that aggravate the disease. In some cases, anti-inflammatory and immunomodulatory eye drops are administered. The problem is that they are not exempt from side effects either.

To improve the effectiveness of the treatment and reduce unwanted effects, treatments have appeared that improve the inflammation and metabolism of Meibomian glands and ocular surface cells such as high-intensity pulsed light, such as radio frequency. With these technologies, we develop the signs and symptoms of dry eye, and we can always complement the treatment with other drugs, but without reaching high doses that could cause damage. Personal experience, as well as other clinical studies, is excellent and opens a door of hope for patients affected by dry eye.

For the eye surgery in India to be successful, the person must be able to follow the doctor's recommendations and use the products recommended continuously by the doctor and as often as indicated.