Dry eye can really stir some emotional issues with patients experiencing them. Generally, lubricating drops are being prescribed. In some cases, the whole regimen of steroids, warm compress, lid scrubs, cyclosporine drops are being given. Many get by with just using the drops, however, we have seen even the toughest individual shatter, completely broken down and incapacitated by their dry eyes. Dry eyes cannot really be treated, but can be managed considerably. The patient and the doctor has to find the sweet spot and the balance for the regimen to work their wonders. Looking for the right combination is a crucial thing. Definitely with compliance, patient's issue of grittiness, stinging sensation will improve. It does not work in a day or in a week. But definitely in a month's time, improvement can be felt and seen. Scleral lenses can also play a big part in dry eye management. As the bowl of the contact lens is filled with liquid, then the cornea is bathe in moisture. For some, this management works wonder and can mean going back to their old self.
Keratoconus typically starts at puberty and progresses until the third or fourth decade of life. At initial diagnosis, younger patients with the steepest corneal curvature (Kmax) of over 55 D have a significantly greater risk of progression. Keratoconus seen at this age is more aggressive, leading to more severe cases. Without any management, the corneal curvature becomes more conical in shape, which can cause worsening of vision, thinning and scarring of the cornea, and possible development of hydrops. However, it tends to stabilize after 20 years from the first diagnosis. To detect keratoconus progression, some corneal parameters need to be evaluated. WHAT THE EYE DOCTOR IS LOOKING FOR? -Increase maximum corneal refractive power (Kmax) by more than 1 Diopter within one year. -An increase in (corneal) myopia by more than 3 Diopter or astigmatism by more than 1.5 Diopter within one year. -An average corneal refractive power increase by more than 1.5 Diopter within one ...
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