Dry eye syndrome: a new look at etiopathogenesis and treatment

OD Rudkovska
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Abstract

Computer syndrome” or dry eye syndrome (DES) is asthenopia and dryness of the cornea and conjunctiva. The supposed cause of “computer syndrome” is an excessive constriction of the pupil and accommodation weakness. The article offers to use mydriatics in mild cases and laser mydriasis in severe cases in a complex of treatment. It is also suggested leaving slight myopia and physiological astigmatism while refractive surgery, contact and spectacle correction of myopia, so that the pupil does not narrow sharply and does not overstrain accommodation system, that is, there would be no conditions for the DES occurrence. The apparatus treatment, vision hygiene and healthy lifestyle are also required for a complete restoration of the working capacity of the accommodative muscles in case of DES.
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干眼综合征:病因和治疗的新视角
“电脑综合症”或干眼综合症(DES)是一种角膜和结膜的疲劳和干燥。所谓“电脑综合症”的原因是瞳孔过度收缩和适应能力不足。本文提出在综合治疗中,轻症应用散瞳术,重症应用激光散瞳术。建议在近视屈光手术、隐形眼镜和眼镜矫正时,保留轻度近视和生理性散光,使瞳孔不急剧变窄,调节系统不过度紧张,即不存在DES发生的条件。器械治疗、视力卫生和健康的生活方式也需要完全恢复适应性肌肉在DES情况下的工作能力。
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