Dry Eye Dx and Tx: <br>Tailoring the Tear Reservoir</br> - Scorecard - MDSpire

Dry Eye Dx and Tx: <br>Tailoring the Tear Reservoir</br>

  • By

  • STEPHANIE PISANO, OD

  • May 1, 2026

  • 4 min

Share

Clinical Scorecard: Dry Eye Dx and Tx: Tailoring the Tear Reservoir

At a Glance

CategoryDetail
ConditionDry Eye and Ocular Surface Disease
Key MechanismsUse of scleral lenses and filling solutions to manage symptoms.
Target PopulationPatients with dry eye and ocular surface disease.
Care SettingOphthalmology and optometry practices.

Key Highlights

  • Scleral lenses are increasingly used for managing dry eye symptoms.
  • Nonpreserved saline vials are commonly used as filling solutions.
  • Artificial tears and autologous serum can enhance scleral lens efficacy.
  • Cyclosporine can be effectively delivered via scleral lenses.
  • Tailoring filling solutions is crucial for symptom control.

Guideline-Based Recommendations

Diagnosis

  • Assess ocular surface disease severity using OSDI and staining scores.

Management

  • Consider scleral lenses with various filling solutions for symptom relief.

Monitoring & Follow-up

  • Regularly evaluate patient symptoms and ocular surface health.

Risks

  • Potential for dryness, irritation, and incomplete symptom resolution.

Patient & Prescribing Data

Patients with refractory dry eye and ocular surface disease.

Nonpreserved saline and other additives can improve patient outcomes.

Clinical Best Practices

  • Use preservative-free solutions to minimize ocular surface toxicity.
  • Tailor filling solutions based on individual patient needs.
  • Incorporate artificial tears or autologous serum for enhanced relief.

References

Original Source(s)

Dry Eye Dx and Tx: <br>Tailoring the Tear Reservoir</br>

  • by STEPHANIE PISANO, OD

  • May 1, 2026

Related Content

Dry Eye Innovations

Himani Goyal, MD, discusses how advances in dry eye treatments have improved ophthalmic practice and outcomes.

  • May 1, 2026

  • 3 min
Why Would Any Staff Member Want Anything Else Other Than Daily Disposables?

Scleral Lens Evolution

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.