What is Ocular Surface Disease?

WHAT IS OCULAR
SURFACE DISEASE

Ocular Surface Disease (OSD) refers to a group of eye disorders and conditions that affect the surface of the eye, including the cornea, conjunctiva, and tear film. The ocular surface is the outermost layer of the eye and is crucial for maintaining the health and proper function of the eye. OSD encompasses various conditions that can cause discomfort, visual disturbances, and eye damage.

“The economic burden on society and impact of Dry Eye Disease on the individual, through its detrimental effect on vision, quality of life, and work productivity, as well as the psychological and physical impact of pain, are considerable. The most significant costs are indirect costs due to reduced work productivity”.

Some Common Examples and Features of Ocular Surface Disease (OSD) include:

Dry Eye Syndrome

Dry Eye Disease or Keratoconjunctivitis Sicca is one of the most prevalent forms of OSD. It occurs when there is an inadequate quantity or quality of tears to lubricate and nourish the eye's surface. Symptoms include dryness, burning, itching, redness, and sensitivity to light.

Blepharitis

Blepharitis is the inflammation of the eyelids, typically caused by the buildup of bacteria and debris along the eyelid margins. It can lead to symptoms like eye irritation, redness, and crusty eyelids.

Conjunctivitis (“Pink Eye”)

Conjunctivitis is the inflammation of the conjunctiva, the clear membrane covering the white part of the eye and the inner surface of the eyelids. It can be caused by infections, allergies, or irritants, and symptoms often include redness, itching, tearing, and discharge.

Corneal Disorders

Various conditions can affect the cornea, the clear front surface of the eye. These can include infections, injuries, and degenerative diseases, which can result in blurred vision, pain, and sensitivity to light.

Allergic Eye Disease

Allergies can cause inflammation of the ocular surface, leading to symptoms such as itching, redness, tearing, and swelling.

Ocular Surface Trauma

Any injury or trauma to the eye, including chemical burns or foreign objects entering the eye, can damage the ocular surface and cause pain and visual disturbances.

Contact Lens-Related Issues

Prolonged use of contact lenses, poor hygiene, or sensitivity to lens materials can lead to ocular surface problems, including dryness and infections.

Treatment for OSD varies depending on the specific condition and its underlying causes. It may include lubricating eye drops, anti-inflammatory medications, cyclosporine drops (eg. Restasis or Cequa), liftegrast drops (eg. Xiidra), punctal plugs, warm compresses, lid hygiene, an in-office MiBo Thermoflo procedure or intense pulsed light (IPL) procedure. Proper diagnosis by an eye care professional is essential to determine the most appropriate treatment plan for individuals with ocular surface disease.

It's important to note that the exact cause of dry eye syndrome can vary among individuals, and a combination of factors may be responsible. If you experience persistent dry eye and want to manage your symptoms, please schedule a Ocular Surface Evaluation at Kings Peak Vision to accurately diagnose your condition and create a treatment plan tailored to you.

Ocular Surface Evaluation

Schedule A Ocular Surface Evaluation

Fill out the form below to schedule an evaluation with us.

References
Craig JP, Nelson JD, Azar DT, Belmonte C, Bron AJ, Chauhan SK, de Paiva CS, Gomes JAP, Hammitt KM, Jones L, Nichols JJ, Nichols KK, Novack GD, Stapleton FJ, Willcox MDP, Wolffsohn JS, Sullivan DA. TFOS DEWS II Report Executive Summary. Ocul Surf. 2017 Oct;15(4):802-812. doi: 10.1016/j.jtos.2017.08.003. Epub 2017 Aug 8. PMID: 28797892.