Women are disproportionately affected by dry eye disease (DED), with hormonal changes and cosmetic practices influencing its presentation and management.
Background
Dry eye disease is a common condition that can impact quality of life, particularly in women. Hormonal fluctuations, especially during perimenopause, and the use of cosmetics are factors that can exacerbate symptoms.
Data Highlights
No numerical data provided in the source material.
Key Findings
Women are twice as likely as men to develop clinically significant DED.
Hormonal changes, particularly declining estrogen and progesterone, contribute to meibomian gland dysfunction and dry eye.
Cosmetic practices, such as the use of waterproof makeup and eyelash extensions, can worsen ocular surface disease.
A gender-sensitive history improves diagnostic accuracy.
Management strategies should consider hormonal status and cosmetic use.
Clinical Implications
Clinicians should inquire about hormonal status and cosmetic use in women presenting with dry eye symptoms.
Conclusion
Recognizing the unique factors affecting women with dry eye is crucial for accurate diagnosis and management.
This article will examine the indications, clinical evidence, and practical considerations for managing severe ocular surface disease and inflammatory dry eye using scleral lenses, and offer guidance to practitioners who seek to expand their therapeutic options.
