Dry Eye Syndrome (Keratoconjunctivitis Sicca): Therapy

General measures

  • Alleviation of symptoms by restoration of normal tear secretion or use of tear substitutes or supplements (dietary treatment with supplements).
  • Lid margin hygiene and lid margin care (lid edge care):
    • Morning and evening hot compresses (at least 39 ° C; melting point of meibom lipids: 28-32 ° C; in meibom gland dysfunction: – 35 ° C) for 5-15 minutes on the closed eyelids, thereby liquefying the oily secretion in the clogged meibom glands and encrustations loosen.
    • Cleaning the edges of the eyelids with lukewarm water and a mild detergent (such as diluted baby shampoo) using a damp cloth or cotton swab. Alternatively, you can use a cloth soaked in olive oil. In doing so, remove all incrustations in the area of the eyelids, especially between the eyelashes.
    • Massage the eyelids (eyelid massage). To do this, with the eye closed, the upper and lower eyelid with a cotton swab or compress, each in the direction of the eyelashes, massaged; thereby the oily secretion is pressed out of the glands.
  • Nicotine restriction (refrain from tobacco use) including passive smoking! Avoid tobacco smoke and smoky rooms!
  • Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
  • If necessary, change of medication that can causally trigger dry eyes (only after medical instruction!)
  • Avoidance of the following environmental stresses:
    • Working at a computer screen (VDU work; “office eye syndrome”) → regular breaks.
    • Intensive screen viewing (TV, computer, tablet or cell phone) – the blink is delayed, resulting in insufficient moistening as well as eyestrain
    • Wearing contact lenses → In the evening, take out the contact lenses in time and give his eyes a break.
    • Car fan
    • Ozone, e.g. from copiers and printers
    • Dry indoor air due tooverheated rooms, heating / underfloor heating, air conditioning, ventilation.
    • Insufficient or incorrect lighting
    • Environmental pollution (e.g. dust).
    • Draft

Conventional non-surgical therapy methods

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grains, vegetables).
  • Observance of the following specific nutritional recommendations:
  • See also under “Therapy with micronutrients (vital substances)”.

Physical therapy (including physiotherapy)

  • Air space humidification