9/17/2023 0 Comments Nocturnal lagophthalmos nhsAnother common diagnostic oversight especially where discomfort symptoms appear more than signs might suggest is conjunctivochalsis (conjunctiva too loose) - and laser treatment can help. Simple checks ensure there is no component of floppy eyelid syndrome, nocturnal exposure lagophthalmos (eyes opening whilst asleep), or neurotrophic keratopathy (numb corneal disease). The second priority has to be ensuring the primary disease is not actually that of blepharitis or allergy as both are extremely common, easily missed, and treatable in their own right. Check your own drug leaflets carefully for dry eye or dry mouth, and if these are reported then seek advice from your general practitioner as to whether a trial off or switch might be possible. Beta-blockers, anti-histamines, anti-depressants and others are notoriously overlooked. The first priority, easily checked from the medical history, is to make sure that the dry eye is not merely a side effect of medication. There are also several rare disease associations which are important to exclude. Often vision clarity is impaired, intermittently fluctuating, made a little better through rapid blinking.Ĭorrect management of dry eye begins with an accurate diagnosis and search for potential treatable causes. They tend to generally reduce life quality, making it difficult to undertake prolonged tasks of either work or entertainment. Tears lubricate the delicate ocular surface, maintaining clarity and health.ĭry eye basically occurs when there is a deficiency in either the quality or quantity of the tear film.Įyes which feel dry or gritty are certainly no fun to live with. The conjunctival mucus membranes and clear corneas rightly deserve completely moisturised comfort to this end. Our eyes work extremely hard to deliver on providing constant, pin-point accurate, instant visual input to the brain.
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