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A New Perspective on Dry Eye Classification: Proposal by the Asia Dry Eye Society

Authors
 Kazuo Tsubota  ;  Norihiko Yokoi  ;  Hitoshi Watanabe  ;  Murat Dogru  ;  Takashi Kojima  ;  Masakazu Yamada  ;  Shigeru Kinoshita  ;  Hyo-Myung Kim  ;  Hung-Won Tchah  ;  Joon Young Hyon  ;  Kyung Chul Yoon  ;  Kyoung Yul Seo  ;  Xuguang Sun  ;  Wei Chen  ;  Lingyi Liang  ;  Mingwu Li  ;  Louis Tong  ;  Fung-Rong Hu  ;  Vilavun Puangsricharern  ;  Ruben Lim-Bon-Siong  ;  Then Kong Yong  ;  Zuguo Liu  ;  Jun Shimazaki  ;  Members of The Asia Dry Eye Society 
Citation
 EYE & CONTACT LENS-SCIENCE AND CLINICAL PRACTICE, Vol.46(Suppl 1) : S2-S13, 2020-01 
Journal Title
 EYE & CONTACT LENS-SCIENCE AND CLINICAL PRACTICE 
ISSN
 1542-2321 
Issue Date
2020-01
MeSH
Asia ; Dry Eye Syndromes / classification* ; Humans ; Ophthalmology* ; Societies, Medical*
Abstract
The 2017 consensus report of the Asia Dry Eye Society (ADES) on the definition and diagnosis of dry eyes described dry eye disease as "Dry eye is a multifactorial disease characterized by unstable tear film causing a variety of symptoms and/or visual impairment, potentially accompanied by ocular surface damage." The report emphasized the instability of tear film and the importance of visual dysfunction in association with dry eyes, highlighting the importance of the evaluation of tear film stability. This report also discussed the concept of tear film-oriented therapy, which stemmed from the definition, and which is centered on provision of insufficient components in each tear film layer and ocular surface epithelium. The current ADES report proposes a simple classification of dry eyes based on the concept of tear film-oriented diagnosis and suggests that there are three types of dry eye: aqueous-deficient, decreased wettability, and increased evaporation. It is suggested that these three types respectively coincide with the problems of each layer: aqueous, membrane-associated mucins, and lipid/secretory mucin. Although each component cannot be quantitatively evaluated with the current technology, a practical diagnosis based on the patterns of fluorescein breakup is recommended. The Asia Dry Eye Society classification report suggests that for a practical use of the definition, diagnostic criteria and classification system should be integrated and be simple to use. The classification system proposed by ADES is a straightforward tool and simple to use, only through use of fluorescein, which is available even to non-dry eye specialists, and which is believed to contribute to an effective diagnosis and treatment of dry eyes.
Files in This Item:
T202006009.pdf Download
DOI
10.1097/ICL.0000000000000643
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Seo, Kyoung Yul(서경률) ORCID logo https://orcid.org/0000-0002-9855-1980
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181528
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