Integrated management of dry eye–depression comorbidity: mechanistic insights and temporal therapeutic strategies - Report - MDSpire

Integrated management of dry eye–depression comorbidity: mechanistic insights and temporal therapeutic strategies

  • By

  • Te-du Yang

  • Chuan-long Wu

  • Xiao-juan Li

  • Shao-rong Hu

  • Jing Zang

  • June 2, 2026

  • 0 min

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Clinical Report: Holistic Approaches to Managing Comorbid Dry Eye Disease and Depression

Overview

This report discusses the significant comorbidity of dry eye disease (DED) and depression, highlighting the need for integrated management strategies. It emphasizes shared pathophysiological mechanisms and proposes a comprehensive framework for treatment that addresses both conditions simultaneously.

Background

The co-occurrence of DED and depressive disorder presents a substantial challenge to patient quality of life and healthcare systems. Epidemiological studies indicate that depressive symptoms are more prevalent in DED patients, creating a bidirectional relationship that complicates treatment. Current care models often fail to address this comorbidity effectively, necessitating a shift towards integrated management approaches.

Data Highlights

No numerical data presented in the article.

Key Findings

  • DED and depression share biological pathways, including neurogenic inflammation and hypothalamic–pituitary–adrenal axis dysregulation.
  • Patients with DED have a significantly higher prevalence of depressive symptoms, with odds ratios between 1.5 and 2.5.
  • Current treatment guidelines are largely disease-specific and do not account for the comorbidity of DED and depression.
  • An integrated therapeutic framework is proposed, emphasizing the importance of treatment sequencing and timing.
  • Holistic approaches can improve long-term patient outcomes by addressing both ocular and psychological symptoms.

Clinical Implications

Clinicians should adopt a holistic approach when managing patients with comorbid DED and depression, recognizing the interplay between these conditions. Implementing integrated care models can enhance treatment efficacy and improve patient quality of life.

Conclusion

Addressing the comorbidity of DED and depression through an integrated framework is essential for optimizing patient care. This approach promises to enhance therapeutic outcomes by considering both ocular and psychological health.

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