INTENSE PULSED LIGHT (IPL) TREATMENT FOR DUPILUMAB INDUCED OCULAR SURFACE DISEASE (DIOSD)

PurposeTo report a case of dupilumab induced ocular surface disease (DIOSD) managed with intense pulsed light (IPL) as an effective adjunct therapy to topical steroids and topical immunomodulator lifitegrast.MethodsDiscussion of a patient’s case with accompanying anterior segment and meibography photos with diagnosed DIOSD for which adjunct therapy with IPL was an effective treatment after limited relief from and difficulty with adherence to traditional treatment with topical steroids and lifitegrast ophthalmic solutions. ConclusionThis case demonstrates the complexity of management required to treat patients with DIOSD and its chronic nature. IPL as a nonpharmaceutical adjunct therapy to topical steroids and immunomodulators in the treatment of DIOSD showed improved signs and symptoms of DIOSD.

TREATMENT FOR CONJUNCTIVOCHALASIS: A COMBINED APPROACH UTILIZING RADIOFREQUENCY CAUTERIZATION AND THERMALIDTM PROCEDURE

BackgroundDry Eye Disease (DED) and related ocular surface diseases have multiple etiologies, but two of the most prevalent are Meibomian Gland Dysfunction (MGD) and Conjunctivochalasis (CCH). This study examines a customizable two-step approach utilizing radiofrequency to treat these two commonly coexisting condi-tions and provide patients with relief from DED signs and symptoms. Study DesignAn IRB approved retrospective chart review of 25 consecutively treated patients was conducted. Patients were included if they presented with DED symptoms and were treated with a combination treatment approach to improve both MGD and CCH, with pre- and post-treatment dry eye metrics outlined below. Follow-up visit information was compared to pre-treatment baseline to evaluate the efficacy and safety of treatment. ResultsStatistically significant results were observed in a decrease in symptoms as evaluated by the primary endpoints of the Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire and an increase in the number of Meibomian Glands Yielding Liquid Secretion (MGYLS). Tear Meniscus Height also saw statistically significant improvement while Non-invasive Tear Break-Up Time (NTBUT) and Schirmer’s saw minor progress. Clinical evaluation and ocular surface photographs showed marked improvement in CCH with minimal observed side effects during post-operative follow-up visits. ConclusionA two-step approach utilizing a radiofrequency device to treat dry eye symptoms provides significant clinical improvement and symptomatic relief for a broad spectrum of patients who had received a variety of prior treatments for DED.

Pepys's Eyes: A Modern Answer to an Old Conundrum?

Samuel Pepys was forced to abandon his renowned diary because of increasing pain and fear of impending blindness. In addition to having refraction errors, it has been suggested that he may have had ocular surface disease to account for his hitherto unexplained photophobia. This article uses new resources to re-examine Pepys’s symptoms working on the hypothesis that he suffered from dry eye disease. Applying the diagnostic algorithm provided by DEWS II corroborates the hypothesis and provides the basis of a unifying diagnosisof eye strain similar to digital eye strain that would explain all of his symptoms.

A Brief Overview Presented at Dry Eye University of Inflammation in Chronic Dry Eye Disease

Inflammation is a common enemy of any chronic inflammatory disease. Dry eye is no different. Once this diagnosis is made, then one of the first objectives is to address and control the chronic inflammation appropriately.

Considerations of Visual Quality in Ocular Surgery as Presented at Dry Eye University

Visual quality may be described as the visual experience which reflects the optimal optical efficiency of the eye. Patients undergoing ocular surgery expect improvement in visual acuity. Ocular surgeons typically aim to improve best-corrected visual acuity. Refractive surgeons, on the other hand, strive to improve uncorrected visual acuity. It is not uncommon that patients with excellent corrected visual acuity following surgery may be dissatisfied with visual quality which is less than anticipated due to unexpected visual disturbances. These visual phenomena may include ghosting, glare, halos, reduced contrast sensitivity, and visual fluctuation.

The “Anatomy” of Dry Eye Disease; A Clinical Introduction to the Attendees at Dry Eye University

Our goal at Dry Eye University is to help in creating a more unified approach in treating this complex disease in a real-world setting.

Cosmetic Blepharitis

Dry eye is a multifactorial disease, and the importance here when discussing makeup is that it gets considered when treating these patients. If we educate ourselves and our patients, we can empower them to make better decisions, that are better for their long-term eye health.

Use of Consents for Dry Eye Treatments

Use of Consents for Dry Eye Treatments

Dry Eye Disease in the Real World

Dry Eye Disease in the Real World

Why Dry Eye University?

Why Dry Eye University?