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    Redefining Dry Eye Disease

    By Bennie H. Jeng, MD, MS; Anat Galor, MD
    Cornea/External Disease

    In this interview from AAO 2014, Dr. Anat Galor discusses the paradigm shift in the management of dry eye, beginning with a more detailed understanding of the mechanisms that result in ocular surface pain. While dry eye systems are identified at the ocular surface, the disease may be associated with systemic comorbidites and corneal neuropathy. The sensitivity to wind, light or dry environments that exacerbates inflammation in one patient can also provoke nonspecifc corneal pain in another. For this reason, says Dr. Galor, clinicians must learn to distinguish the subtype of dry eye based on the disease mechanism. This important first step will inform diagnostic options and focus therapy on the origin of a patient's symptoms.