Stepwise approach to DED management needed in patients with corneal staining

In patients with moderate corneal staining, a stepwise approach to the management of dry eye disease (DED), including early initiation of topical ciclosporin, is needed, according to new recommendations from a European panel of experts.

The expert panel recommended utilizing topical ciclosporin alone or with corticosteroids, early in patients with clinical risk factors for severe DED. Follow-up visits, they said, should be done 1 month after initiating treatment, and 3 months thereafter.

The experts also highlighted the importance of patient education, both before and during treatment, in an effort to manage outcome expectations and improve adherence.

Reference
Messmer EM, Ahmad S, Benitez Del Castillo JM; a panel of European dry eye disease experts. Management of inflammation in dry eye disease: Recommendations from a European panel of experts. Eur J Ophthalmol. 2022 Dec 5:11206721221141481. doi: 10.1177/11206721221141481. Epub ahead of print. PMID: 36471573.

Reference
Messmer EM, Ahmad S, Benitez Del Castillo JM; a panel of European dry eye disease experts. Management of inflammation in dry eye disease: Recommendations from a European panel of experts. Eur J Ophthalmol. 2022:11206721221141481. doi: 10.1177/11206721221141481. Epub ahead of print. PMID: 36471573.