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New approaches for diagnosis of dry eye disease

International Journal of Ophthalmology(English edition) 2019年第10期12卷 1618-1628页

作者： Abdelrahman MElhusseiny ali akhalil Reem HEl Sheikh Mohammad ABakr MohamedGaber Eissa Yasmine MEl Sayed Department of Ophthalmology Kasr Al Ainy School ofmedicineCairo UniversityDokki12611Egypt Department of Ophthalmology Bascom Palmer Eye InstituteUniversity of Miami Miller School of Medicine900NW17StreetMiamiFL33136USA Faculty of Medicine American University of BeirutBeirut2341Lebanon

We reviewed the literature for different diagnostic approaches for dry eye disease(DED) including the most recent advances, contradictions and promising diagnostic tools and technique. We performed a broad literature search for articles discussing different methods for diagnosis of DED including assessment of tear osmolarity, tear film stability, ocular biomarkers and others. Articles indexed in PubMed and google scholar were included. With the growing cosmetic industry, environmental pollution, and booming of digital screens, DED is becoming more prevalent. Its multifactorial etiology renders the diagnosis challenging and invites the emergence of new diagnostic tools and tests. Diagnostic tools can be classified, based on the parameter they measure, into tear film osmolarity, functional visual acuity, tear volume, tear turnover, tear film stability, tear film composition, ocular biomarkers and others. Although numerous methods exist, the most accurate diagnosis can be reached through combining the results of more than one test. Many reported tests have shown potential as diagnostic/screening tools, however, require more research to prove their diagnostic power, alone or in combination. Future research should focus on identifying and measuring parameters that are the most specific to DED diagnosis.

关键词： dry eye disease tear film stability tear osmolarity ocular biomarkers

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