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Published in: BMC Ophthalmology 1/2015

Open Access 01-12-2015 | Research article

Expert opinion in the management of aqueous Deficient Dry Eye Disease (DED)

Authors: Aileen Sy, Kieran S. O’Brien, Margaret P. Liu, Puja A. Cuddapah, Nisha R. Acharya, Thomas M. Lietman, Jennifer Rose-Nussbaumer

Published in: BMC Ophthalmology | Issue 1/2015

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Abstract

Background

Dry eye disease (DED) affects millions of people worldwide. There are a variety of new treatments beyond traditional therapies such as preservative free artificial tears. Here, we conduct a survey to identify the most common treatments used among specialists and assess their interest in newer therapies.

Methods

An international survey was distributed to dry eye researchers and expert practitioners via an internet survey. The survey data collected were analyzed with descriptive statistics.

Results

One hundred and fifteen respondents completed the survey; of these, 66 % were cornea specialists. The most commonly prescribed topical treatments included cyclosporine A (CSA) 0.05 % (71/104, 68 %), fluorometholone (FML) 0.1 % (59/99, 60 %), loteprednol etabonate 0.5 % (50/99, 51 %), and autologous serum eye drops (ASD; 48/97, 49 %). The most commonly prescribed non-topical medications included essential fatty acid supplements (72/104, 69 %), low-dose doxycycline (oral; 61/100, 61 %), and flaxseed supplements (32/96, 33 %) as well as punctal plugs (76/102, 75 %). Respondents reported treatment with topical corticosteroids for 2 to 8 weeks (46/86, 53 %), followed by less than 2 weeks (24/86, 28 %) and with topical CSA between 2 to 8 weeks (45/85, 53 %) followed by 2 to 6 months (24/85, 28 %). The top three signs and symptoms reported to indicate treatment response were, in order, fluorescein staining of the cornea, reduction in foreign body sensation, and reduction in burning sensation.

Conclusion

This survey offers insight into current expert opinion in the treatment of DED. The results of this survey are hypothesis generating and will aid in the design of future clinical studies.
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Metadata
Title
Expert opinion in the management of aqueous Deficient Dry Eye Disease (DED)
Authors
Aileen Sy
Kieran S. O’Brien
Margaret P. Liu
Puja A. Cuddapah
Nisha R. Acharya
Thomas M. Lietman
Jennifer Rose-Nussbaumer
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2015
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-015-0122-z

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