NEW POSSIBILITIES FOR THE TREATMENT OF DRY EYE SYNDROME IN AN INTERNIST’S PRACTICE

DOI: https://doi.org/10.29296/25877305-2019-02-05
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Issue: 
2
Year: 
2019

V. Shishkova, Candidate of Medical Sciences Center for Speech Pathology and Neurorehabilitation, Moscow

One of the common causes of worse quality of life and disability in the active population of almost all ages is dry eye syndrome (DES), a set of corneal and conjunctival changes caused by systematic tear film destabilization. In some cases DES causes severe changes in the cornea - its irreversible opacities, ulcerations, and even perforation. DES treatment and prevention with drugs that moisturize the ocular surface is the therapy of choice. There are a significant amount of tear substitutes on the market, but when making a choice, it is important to remember about the need for long-term treatment of the ocular surface and the safety of the components of an eye medication.

Keywords: 
ophthalmology
endocrinology
therapy
dry eye syndrome
thyroid disease
drugs
tear substitutes



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References: 
  1. Population Ageing. United Nations publication 2017; Sales No. E.06.XIII.2. UnitedNations (2017).World Population Prospects: the 2017 Revision.
  2. Brzheskij V.V., Somov E.E. Rogovichno-kon'junktival'nyj kseroz / SPb, 2003; 119 s. [Brzheskii V.V., Somov E.E. Rogovichno-kon»yunktival'nyi kseroz / SPb, 2003; 119 p. (in Russ.)].
  3. Gayton J. Etiology, prevalence, and treatment of dry eye disease // Clin. Ophthalmol. – 2009; 3: 405–12.
  4. Sheppard J. Guidelines for the treatment of chronic dry eye disease // Manag. Care. – 2003; 12 (Suppl. 12): 20–5.
  5. Oftal'mologija. Natsional'noe rukovodstvo. Pod. red. Avetisova S.E., Egorova E.A., Moshetovoj L.K., Neroeva V.V., Tahchidi H.P. / M.: GEOTAR-Media, 2018; 944 c. [Oftal'mologiya. Natsional'noe rukovodstvo. Pod. red. Avetisova S.E., Egorova E.A., Moshetovoi L.K., Neroeva V.V., Takhchidi Kh.P. / M.: GEOTAR-Media, 2018; 944 (in Russ.)].
  6. Somov E.E., Brzheskij V.V. Kratkoe rukovodstvo po obsledovaniju i lecheniju bol'nyh s sindromom «suhogo glaza» / SPb: Vel', 2003; 32 s. [Somov E.E., Brzheskii V.V. Kratkoe rukovodstvo po obsledovaniyu i lecheniyu bol'nykh s sindromom «sukhogo glaza» / SPb: Vel', 2003; 32 s. (in Russ.)].
  7. Dedov I.I., Mel'nichenko G.A., Sviridenko N.Ju. i dr. Federal'nye klinicheskie rekomendatsii po diagnostike i lecheniju endokrinnoj oftal'mopatii pri autoimmunnoj patologii schitovidnoj zhelezy // Problemy endokrinologii. – 2015; 61 (1): 61–74 [Dedov I.I., Melnichenko G.A., Sviridenko N.Yu. et al. Federal clinical recommendations on diagnostics and treatment of endocrine ophthalmopathy associated with autoimmune thyroid pathology // Problems of endocrinology. – 2015; 61 (1): 61–74 (in Russ.)]. DOI: 10.14341/probl201561161-74.
  8. Brovkina A.F., Moslehi Sh.F. Sindrom suhogo glaza u bol'nyh endokrinnoj oftal'mopatiej // Oftal'mol. ved. – 2008; 1 (4): 29–34 [Brovkina A.F., Moslekhi Sh.Kh. Sindrom sukhogo glaza u bol'nykh endokrinnoi oftal'mopatiei // Oftal'mol. Ved. – 2008; 1 (4): 29–34 (in Russ.)].
  9. Teping Ch., Bischoff G. Treatment of sicca syndrome – effective and well-tolerated also with contact lenses // Drug Report: Hyaluronic acid. – 2010; 4 (2): 15.
  10. HILOPARIN–KOMOD® Rastvor uvlazhnjajuschij oftal'mologicheskij. Instruktsija po primeneniju [HILOPARIN–SOMOD® Rastvor uvlazhnyayushchii oftal'mologicheskii. Instruktsiya po primeneniyu (in Russ.)].
  11. Teping C., Wiedemann B. Das Comod' System. Ein konservierungsmittelfreies Mehrdosenbehaltnis fur Augentropfen // Klin. Monatsbl. Augenheilkd. – 1994; 205: 210–7.
  12. Mousavi S., Moradi M., Khorshidahmad T. et al. Anti-Inflammatory Effects of Heparin and Its Derivatives: A Systematic Review // Adv. Pharmacol. Sci. – 2015; 2015: Article ID 507151.
  13. Knorr M., Wunderlich K., Steuhl K. et al. Wirkung von Heparin und Ascorbinsure auf das Wachstumsverhaltenkultivierter Hornhautepithelzellendes Kaninchens // Der. Ophthalmologe. – 1996; 93: 275–8.
  14. Egorov E.A., Romanova T.B., Kats D.V. i dr. Primenenie rastvora Hiloparin-Komod® v oftal'mologicheskoj praktike (pilotnoe issledovanie) // RMZh. Klinicheskaja oftal'mologija. – 2014; 4: 207–12 [Egorov E.A., Romanova T.B., Katz D.V. et al. Application of the solution HYLO-PARIN – COMOD® in ophthalmological practice (pilot study) // RMJ. Clinical ophthalmology. – 2014; 4: 207–12 (in Russ.)].
  15. Tkachenko N.V., Astahov S.Ju. Opyt primenenija «Hiloparina» v klinicheskoj praktike // Oftal'mol. ved. – 2014; 7 (4): 53–62 [Tkachenko N.V., Astakhov S.Yu. The experience of “Hyloparin” use in clinical practice // Ophthalmology journal (Oftal’mol. ved.). – 2014; 7 (4): 53–62 (in Russ.)].
  16. Egorov E.A., Romanova T.B., Oganezova Zh.G. i dr. Rezul'taty primenenija geparin-soderzhaschego smazyvajuschego sredstva v lechenii sindroma «suhogo glaza» // RMZh. Klinicheskaja oftal'mologija. – 2017; 3: 135–40 [Egorov E.A., Romanova T.B., Oganezova J.G. et al. Results of application of heparin-containing lubricant in the treatment of dry eye syndrome // RMJ. Clinical ophthalmology. – 2017; 3: 135–40. (in Russ.)].