Wolffsohn, James S., Semp, David, Dutta, Debarun, Jones, Lyndon and Craig, Jennifer P. (2024). Clinical practice patterns in the management of dry eye disease: A TFOS international survey 2023-4. Ocular Surface ,
Abstract
Aims To understand current clinical management of dry eye disease (DED), based on its perceived severity and subtype by practitioners across the world. Methods The content of the anonymous survey was chosen to reflect the DED management strategies reported by the Tear Film and Ocular Surface Society (TFOS) 2nd Dry Eye Workshop (DEWS II). Questions were designed to ascertain practitioner treatment choice, depending on the subtype and severity of DED. It was first created in English and then translated/back-translated into 14 languages for online completion. Results Completed surveys were received from 905 eye care practitioners (52% optometrists and 42% ophthalmologists) from across the globe. Many treatment strategies for DED were observed to be utilised by respondents, independent of severity and subtype, the most common being advice (82%), low (82%) and high (81%) viscosity unpreserved lubricants and lid wipes/scrubs (79%). Several treatments were prescribed across all severity levels (scaled from 1 mild to 10 severe), such as advice (median 4.5, range 4.8), artificial tears (median 5.1, range 4.6) and nutritional supplements (median 5.3, range 4.2). Others were prescribed more frequently with increasing disease severity, for instance, biologics (median 8.2, range 2.8) and surgical approaches (median 8.1, range 2.2). While a similar number of practitioners reported prescribing advice, artificial tears and anti-inflammatories regardless of DED subtype, the majority reported approaches for aqueous deficient DED were punctal occlusion, therapeutic contact lenses and secretagogues, while the use of oral essential fatty acids, topical lipid-containing products, lid hygiene and lid warming were the preferred management choices for evaporative DED. Conclusions There remains great variability in clinical approaches to DED management and until research-evidence definitively informs improved guidance, data from this survey can be used by clinicians to benchmark their practice.
Publication DOI: | https://doi.org/10.1016/j.jtos.2024.12.008 |
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Divisions: | College of Health & Life Sciences > School of Optometry > Optometry & Vision Science Research Group (OVSRG) College of Health & Life Sciences > School of Optometry > Optometry College of Health & Life Sciences College of Health & Life Sciences > School of Optometry Aston University (General) |
Funding Information: | Part funding was provided by the Tear Film and Ocular Surface Society. No funding source had a role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscrip |
Additional Information: | Copyright © 2024 Published by Elsevier Ltd. This accepted manuscript version is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International https://creativecommons.org/licenses/by-nc-nd/4.0/. |
Publication ISSN: | 1937-5913 |
Last Modified: | 26 Mar 2025 17:42 |
Date Deposited: | 03 Jan 2025 16:20 |
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PURE Output Type: | Article |
Published Date: | 2024-12-30 |
Published Online Date: | 2024-12-30 |
Accepted Date: | 2024-12-23 |
Authors: |
Wolffsohn, James S.
(![]() Semp, David Dutta, Debarun ( ![]() Jones, Lyndon Craig, Jennifer P. |
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