I have severe dry eyes and have frequent cornea abrasions. Besides using restaysis, what can I do to help my condition.?
Several Options. Restasis is an standard treatment for dry eye syndrome (des), but there are other treatments depending on the underlying cause (s) of your des. Some moderate to severe cases of DES can be caused by autoimmune diseases such as lupus, sjogrens, rheumatoid arthritis to name a few. It's important for your eye doctor to establish the cause of your des.
Recurrent erosions. Recurrent erosions can be difficult to treat especially in the setting of dry eye. I generally place lower and possibly upper punctal plugs, start a low dose topical steroid, continue restasis, start oral doxycycline, frequent artificial tears during the day, ointment at night, warm compresses 1-2 times a day, and omega-3 fatty acids. Epithelial removal and bctl can be helpful as well.
More systematic now. The delphi panel (dry eye disease study panel) released recommendations more recently categorizing dry eyes and the different treatments. Restasis is a recommended treatment. Depending on the cause of your dry eyes other treatments could include tear plugs, scleral contact lenses, compounded medications, time release pellets, moisture goggles, oral anti-inflammatories, lid hygiene, etc.