Dry eye syndrome

EBM Guidelines
Jan 29, 2024 • Latest change Sep 29, 2023
Matti Seppänen

Table of contents

Extract

  • Dry eye syndrome is a disease of the eye surface with several possible underlying factors.
  • The causes are divided into two main types: excessive evaporation of tear fluid (90%) and decreased tear production (10%). In many cases, there are features of both types involved.
  • Dry eyes are often associated with allergy symptoms and vice versa.
  • In most cases, dryness of the eyes is mild. A GP should recognize severe disease that could cause permanent damage to the surface of the eye, and refer the patients to an ophthalmologist for further examination and treatment.
  • Essential diagnostic measures include fluorescein staining of the eye surface and ophthalmoscopy.
  • The Schirmer test and examining the persistence of the tear film (break-up time) will help to define the severity of dryness.
  • Treatment is based on regular and sufficient long-term use of moisturizing drops and protection from factors further drying the eyes.

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