Pathophysiology of Dry Eye Disease Using Human Models

Penny A. Asbell, Ömür Uçakhan

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Dry eye disease (DED) is an umbrella term that represents a wide spectrum of disorders with different clinical presentations and variable risk factors. Despite significant work, the diagnosis and management of the disease remains challenging because of heterogeneity of risk factors, discordance between signs and symptoms, and absence of reliable objective metrics. This chapter aims to highlight some major findings from reserach in patients with DED that shed light on the: findings finding pathophysiology of DED; tear film/ocular surface alterations, corneal morphological changes observed in neuropathic pain, aqueous versus evaporative DED and some systemic diseases, effect of age, sex, environmental factors on DED, preservative toxicity and DED, and effect of microbiome on DED. Of particular interest are objective tests that can help better diagnose DED, determine severity, and/or evaluate response to treatment in humans.

Original languageEnglish
Title of host publicationDry Eye Disease
PublisherElsevier
Pages69-95
Number of pages27
ISBN (Electronic)9780323827539
ISBN (Print)9780323827546
DOIs
StatePublished - 1 Jan 2022
Externally publishedYes

Keywords

  • Aging
  • Biomarkers
  • Contact lens
  • Contact lens discomfort
  • Corneal pain
  • Dry eye
  • Graft-versus-host disease
  • Hyperosmolarity
  • In vivo confocal microscopy
  • Inflammation
  • Matrix metalloproteinase
  • Microbiome
  • Neuropathic pain
  • Preservative toxicity
  • Sjögren’s syndrome
  • Tear film

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