Dry Eye Dx and Tx: <br>Tailoring the Tear Reservoir</br>
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By
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STEPHANIE PISANO, OD
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May 1, 2026
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Clinical Scorecard: Dry Eye Dx and Tx: Tailoring the Tear Reservoir
At a Glance
| Category | Detail |
|---|
| Condition | Dry Eye and Ocular Surface Disease |
| Key Mechanisms | Use of scleral lenses and filling solutions to manage symptoms. |
| Target Population | Patients with dry eye and ocular surface disease. |
| Care Setting | Ophthalmology 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.
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