Скачать или смотреть Australian Dry Eye Summit Sydney 2022 Session 2 Dr Leigh Plowman

Session 2 Dry Eye Summit Sydney 2022 Dr Leigh Plowman

0.16 How many of your patients have DED ?
0.25 TFOS DEWS 2 - with or without symptoms 5-50%
0.35 Up to 75% in some populations
0.57 Genetics, environmental, lifestyle
1.11 Misdiagnosis - allergies
1.25 How do you define DED - signs, symptoms, severity (eg cut off 300mOsm)
1.40 DED Australia. McCarty et al Study 1998. 962 people surveyed 7.4% more than 2 signs of DED
1.59 Chia et al. study 2003/Blue Mountains Study. 57.5% of 1174 surveyed had at least 1 symptom
2.16 Prevalence of DED google. Dry eye search clustered topic. 300% increase from 2009 -current
3.15 2020 Vision Index Report 77% reported at least one dry eye symptom in their lifetime
3.40 26% has sought care of Optometrist about it - just put up with it - tired/stressed
4.05 36% people said dry eye makes it difficult to concentrate at work
4.15 2007 as new grad searched for better eye drop, didn't have lasting relief
5.38 Arvo Abstract study 2007. 75 participants. 39% used drops etc more than 10 times per day
6.00 69% people had punctal plugs
6.03 Conclusion - DED has a significant impact on patient's activities and quality of life
6.17 Current palliative treatments (drops, plugs) are not sufficient to control DED
6.30 2007 DEWS 1 published
6.35 Step approach- diet, education, disease process
7.15 Management report summary - replacing tear factors essential
7.38 Inhibiting key inflammatory mediators priority
7.47 144 practitioners surveyed - mild/moderate/severe
8.15 Most common treatments - drops and eyelid hygiene
8.37 Trends in DED management worldwide 2020
8.51 Australia - artificial tears non preserved and lid hygiene
9.03 TFOS 2021 International Study. 1139 Practitioners 53 NZ 58 AUS
9.21 What we are doing well in Australasia compared to Europe
10.28 What are behind on - anti-inflammatory treatments. Not preventing mild to severe DED
11.06 Lid margin telangiectasia
11.12 Pick a day in practice and see how many of your pxs have signs of lid margin telangiectasia
11.30 Conjunctival Hyperaemia - vessels visible in good magnifiaction
11.46 Papillae & limbal injection, punctal stenosis, corneal staining
12.06 DED is a vicious cycle of inflammation - starts with tear film instability
12.41 When tear film is out of balance
13.11 How many of your patients suffer from DED - look for signs of DED