EENT · PANCE / PANRE

Dry Eye Disease (Keratoconjunctivitis Sicca)

Tear film deficiency producing burning, foreign body sensation, fluctuating vision; aqueous-deficient vs evaporative subtypes drive management.

Also known as: dry eye disease, DED, keratoconjunctivitis sicca, KCS, ocular surface disease

Overview

A multifactorial ocular surface disease characterized by loss of homeostasis of the tear film, accompanied by ocular symptoms in which tear film instability, hyperosmolarity, ocular surface inflammation, and neurosensory abnormalities play etiologic roles (TFOS DEWS II definition).

Epidemiology

Prevalence 5-30% in adults older than 50, varying by definition. Women predominate, with prevalence rising sharply after menopause. Increasingly recognized in younger adults due to screen exposure. Major drivers of healthcare utilization, productivity loss, and reduced quality of life.

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Risk factors

  • Age greater than 50
  • Female sex; menopause and reduced androgen activity
  • Sjogren syndrome and other autoimmune disease (rheumatoid arthritis, SLE, scleroderma)
  • Medications: antihistamines, anticholinergics, antidepressants, beta-blockers, diuretics, isotretinoin
  • Contact lens wear
  • Refractive surgery (LASIK, PRK)
  • Meibomian gland dysfunction, rosacea, ocular allergy
  • Prolonged screen time with reduced blink rate
  • Dry, windy, low-humidity environments; air conditioning; smoking
  • Diabetes mellitus, thyroid eye disease, graft-versus-host disease

Pathophysiology

Two principal mechanisms, often overlapping: aqueous deficiency (reduced lacrimal gland secretion, as in Sjogren or aging) and evaporative loss (meibomian gland dysfunction, blink abnormalities, lid disease). Resulting tear hyperosmolarity activates inflammatory pathways with release of cytokines (IL-1, TNF-alpha) and matrix metalloproteinases, damaging epithelium, goblet cells, and corneal nerves. This perpetuates a vicious cycle of inflammation and instability.

Clinical presentation

Symptoms

  • Burning, grittiness, foreign body sensation
  • Stinging, intermittent sharp pain
  • Reflex tearing — paradoxical excessive tearing from a hyperosmolar surface
  • Fluctuating or blurred vision that improves with blinking
  • Difficulty with prolonged reading, screen use, driving (reduced blink rate)
  • Photophobia in severe disease
  • Contact lens intolerance
  • Worsening throughout the day or with low-humidity environments

Signs / physical exam

  • Decreased tear meniscus height (normal >0.2 mm)
  • Reduced tear breakup time (TBUT) — less than 10 seconds is abnormal; less than 5 seconds is significant
  • Schirmer test less than 10 mm/5 min suggestive; less than 5 mm/5 min indicates aqueous deficiency
  • Corneal and conjunctival staining with fluorescein, lissamine green, or rose bengal — interpalpebral pattern in aqueous deficiency, inferior in evaporative
  • Meibomian gland dysfunction — capped or atrophic glands, thick or absent expression
  • Lid margin telangiectasia, posterior lid margin keratinization
  • Filaments in severe disease

Classic findings

Middle-aged or older patient with fluctuating vision, burning, reduced tear breakup time, and inferior or interpalpebral corneal staining.

Differential diagnosis

  • Allergic conjunctivitis — Itching is dominant; bilateral, papillary conjunctivitis, eyelid edema, atopic history
  • Blepharitis / meibomian gland dysfunction — Lid margin erythema, telangiectasia, capped meibomian orifices, collarettes; overlaps with evaporative dry eye
  • Viral conjunctivitis — Acute onset, watery discharge, follicular conjunctivitis, preauricular adenopathy
  • Bacterial conjunctivitis — Mucopurulent discharge, eyelids stuck on waking
  • Recurrent corneal erosion — Recurrent episodes of sharp morning pain after minor trauma; epithelial defect on slit lamp
  • Filamentary keratitis — Strands of mucus and epithelial cells adherent to cornea; often severe dry eye
  • Conjunctivochalasis — Redundant bulbar conjunctival folds along the lid margin causing tear meniscus disruption
  • Neurotrophic keratitis — Reduced corneal sensation; persistent epithelial defect; trigeminal nerve injury, HSV/VZV history

Diagnostic workup

Diagnostic criteria

TFOS DEWS II: positive symptom score (DEQ-5 or OSDI) PLUS at least one of: tear osmolarity ≥308 mOsm/L or interocular difference >8 mOsm/L; tear breakup time <10 s; ocular surface staining (>5 corneal spots, >9 conjunctival spots, or lid margin staining ≥2 mm length and ≥25% width).

Labs

  • Tear film osmolarity (TearLab) — elevated and asymmetric values support diagnosis
  • MMP-9 point-of-care testing (InflammaDry) — positive when ocular surface inflammation is significant
  • Sjogren panel if dry mouth, parotid swelling, or systemic symptoms: anti-Ro/SS-A, anti-La/SS-B, ANA, RF, ESR, CRP
  • Salivary gland biopsy (minor) by rheumatology when Sjogren suspected

Imaging

  • Slit-lamp examination with fluorescein, lissamine green, and meibography
  • Schirmer test (with and without anesthesia)
  • Tear breakup time (noninvasive preferred)
  • Meibography (infrared imaging of meibomian glands) to quantify gland dropout
  • Confocal microscopy of cornea for nerve and inflammatory cell density (specialized)

Diagnostic algorithm

SeveritySymptomsSignsTreatment
Level 1 (mild, episodic)Mild, environmentalMild conjunctival staining; TBUT borderlineEducation, environmental modification, artificial tears prn, lid hygiene
Level 2 (moderate)Frequent or constant, no vision impactVisible meibomian gland dysfunction; TBUT <10 s; mild corneal stainingAdd preservative-free tears, topical cyclosporine or lifitegrast, warm compresses, omega-3s, short steroid course if flaring
Level 3 (severe)Constant, impacts functionSignificant corneal staining; filaments; marked MGD; TBUT <5 sAdd punctal plugs, autologous serum, oral secretagogues (Sjogren), IPL/thermal pulsation, scleral lenses
Level 4 (very severe)Disabling pain, vision lossPersistent epithelial defect, ulceration, scarringTarsorrhaphy, amniotic membrane, systemic immunosuppression for autoimmune cause, surgical consultation
Stepwise management of dry eye disease (adapted from TFOS DEWS II).

Treatment

First-line

  • Patient education: blink hygiene during screen use (20-20-20 rule), humidification, avoidance of fans and direct air, eyelid hygiene for MGD
  • Artificial tears — preservative-free if used more than 4 times per day; formulations with lipid components (e.g., systane complete, refresh optive advanced) for evaporative disease
  • Warm compresses with lid massage and expression for meibomian gland dysfunction
  • Treat underlying ocular surface contributors — discontinue offending topical preservatives, address allergic eye disease, treat blepharitis with lid hygiene and topical/oral antibiotics if indicated (azithromycin, doxycycline)

Second-line / adjunct

  • Topical anti-inflammatory therapy — cyclosporine 0.05% (Restasis), cyclosporine 0.09% (Cequa), lifitegrast 5% (Xiidra), or perfluorohexyloctane (Miebo) for evaporative
  • Short course of topical corticosteroid (loteprednol etabonate, fluorometholone) — useful for acute flares; monitor IOP
  • Punctal plugs (collagen temporary, silicone permanent) for aqueous deficient disease
  • Oral secretagogues (pilocarpine, cevimeline) in Sjogren syndrome
  • Autologous serum tears for severe disease
  • Scleral contact lenses for advanced or chronic disease
  • Intense pulsed light (IPL) and thermal pulsation (LipiFlow) for meibomian gland dysfunction
  • Tarsorrhaphy for severe persistent epithelial defects or exposure keratopathy

Complications

  • Filamentary keratitis
  • Persistent corneal epithelial defects and corneal ulceration
  • Corneal scarring or perforation in severe disease
  • Recurrent corneal erosion
  • Reduced visual acuity and contrast sensitivity
  • Contact lens intolerance
  • Reduced quality of life with depression and anxiety

PANCE pearls

  • Symptoms often correlate poorly with exam — believe the patient even when staining is mild.
  • Determine whether the disease is aqueous deficient, evaporative, or mixed — this dictates therapy.
  • Reflex tearing is a hallmark of dry eye, not its opposite.
  • Always evaluate the lid margins and meibomian glands; untreated MGD undermines other therapies.
  • Consider Sjogren syndrome in any woman with dry eye plus dry mouth, parotid swelling, or arthralgia.
  • Avoid chronic topical decongestants — they worsen dry eye and cause rebound hyperemia.

References

  • TFOS DEWS II — Tear Film and Ocular Surface Society Dry Eye Workshop II (Craig et al., Ocul Surf 2017)
  • AAO PPP — American Academy of Ophthalmology Preferred Practice Pattern: Dry Eye Syndrome
  • AAO BCSC — American Academy of Ophthalmology Basic and Clinical Science Course: External Disease and Cornea

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