A good response to this exercise, with a fair representation from each of the registered professions. Key themes explored included:
• Awareness of professional responsibility regarding dry eye management
• Understanding the distinctive, varied nature of dry eye disease presentations
• Approaching management with a multiple approach strategy, and not a single-option approach such as ‘give drops’
In the source material, we were reminded of the TFOS DEWSII distinctions to reflect different presentations of dry eye disease (DED), as shown in figure 1.
Importantly, it was also highlighted that there usually exists a spectrum of DED, with a variable ratio of evaporative and aqueous deficient components of the disease. This is important and should be reflected in a stepped approach to management, as shown in figure 2.Figure 2 The TFOS DEWS II approach to managing DED
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