New Comprehensive Clinical Classification of the Dry Eye Syndrome Severity 2024. Part 2. Treatment Algorithm — the Opinion of Ophthalmologists
The first part of the article presented the developed clinical classification of the severity of dry eye syndrome 2024, which takes into account not only objective indicators of the state of tear production and the degree of inflammation of the tissues of the ocular surface, but also subjective indi...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Ophthalmology Publishing Group
2025-03-01
|
| Series: | Oftalʹmologiâ |
| Subjects: | |
| Online Access: | https://www.ophthalmojournal.com/opht/article/view/2581 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849774032450224128 |
|---|---|
| author | А. V. Trubilin V. N. Trubilin E. G. Poluninа E. A. Kasparova D. V. Andzhelova K. A. Mirzabekova Yu. V. Evstigneeva K. V. Chinenova I. A. Leshenko |
| author_facet | А. V. Trubilin V. N. Trubilin E. G. Poluninа E. A. Kasparova D. V. Andzhelova K. A. Mirzabekova Yu. V. Evstigneeva K. V. Chinenova I. A. Leshenko |
| author_sort | А. V. Trubilin |
| collection | DOAJ |
| description | The first part of the article presented the developed clinical classification of the severity of dry eye syndrome 2024, which takes into account not only objective indicators of the state of tear production and the degree of inflammation of the tissues of the ocular surface, but also subjective indicators — patient complaints (SPEED quality of life scale). This classification allows to determine the severity of dry eye syndrome (DES), which in turn makes it possible to choose an adequate volume and type of therapy for this disease. The study presented in this article, conducted on the basis of a questionnaire of ophthalmologist experts (Delphi method), made it possible to formulate an algorithm for treating dry eye syndrome using the developed comprehensive clinical classification of the severity of this pathology. The ophthalmologist expert determined the indications for prescribing various groups of drugs — tear substitutes, corneoprotectors: gels containing dexpanthenol, ointment forms. Anti-inflammatory therapy — dexamethasone, antiallergic, nonsteroidal anti-inflammatory drugs, blood products (autologous/alogeneic serum, PRP), cyclosporine, antiseptics. Physiotherapeutic treatment — eyelid hygiene: warm compresses/irrigation of the eyelid surface with warm water + eyelid self-massage, IPL therapy, Aktiva system, Plasma jett system. The algorithm allows to determine indications for 13 types of dry eye syndrome therapy recommended for use by the international working group The Tear Film & Ocular Surface depending on the severity of dry eye syndrome (mild, moderate, severe), the presence of concomitant pathology or taking medications on an ongoing basis, as well as the duration of dry eye syndrome. Given the high level of expert agreement in the assessment (Randolph kappa coefficient above 0.6) when compiling the algorithm, it can be recommended for use in a wide ophthalmological practice, including primary outpatient care. |
| format | Article |
| id | doaj-art-84bfcfea421e4be8a7a4e934ca0a263f |
| institution | DOAJ |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| publishDate | 2025-03-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj-art-84bfcfea421e4be8a7a4e934ca0a263f2025-08-20T03:01:51ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452025-03-01221748310.18008/1816-5095-2025-1-74-831228New Comprehensive Clinical Classification of the Dry Eye Syndrome Severity 2024. Part 2. Treatment Algorithm — the Opinion of OphthalmologistsА. V. Trubilin0V. N. Trubilin1E. G. Poluninа2E. A. Kasparova3D. V. Andzhelova4K. A. Mirzabekova5Yu. V. Evstigneeva6K. V. Chinenova7I. A. Leshenko8Academy of postgraduate education of FMBA of RussiaAcademy of postgraduate education of FMBA of RussiaAcademy of postgraduate education of FMBA of RussiaKrasnov Research Institute of Eye DiseasesKrasnov Research Institute of Eye DiseasesKonovalov Ophthalmology CenterOphthalmology Clinic of Dr. KurenkovOphthalmology Clinic of Dr. KurenkovNational Medical and Surgical Center named after N.I. PirogovThe first part of the article presented the developed clinical classification of the severity of dry eye syndrome 2024, which takes into account not only objective indicators of the state of tear production and the degree of inflammation of the tissues of the ocular surface, but also subjective indicators — patient complaints (SPEED quality of life scale). This classification allows to determine the severity of dry eye syndrome (DES), which in turn makes it possible to choose an adequate volume and type of therapy for this disease. The study presented in this article, conducted on the basis of a questionnaire of ophthalmologist experts (Delphi method), made it possible to formulate an algorithm for treating dry eye syndrome using the developed comprehensive clinical classification of the severity of this pathology. The ophthalmologist expert determined the indications for prescribing various groups of drugs — tear substitutes, corneoprotectors: gels containing dexpanthenol, ointment forms. Anti-inflammatory therapy — dexamethasone, antiallergic, nonsteroidal anti-inflammatory drugs, blood products (autologous/alogeneic serum, PRP), cyclosporine, antiseptics. Physiotherapeutic treatment — eyelid hygiene: warm compresses/irrigation of the eyelid surface with warm water + eyelid self-massage, IPL therapy, Aktiva system, Plasma jett system. The algorithm allows to determine indications for 13 types of dry eye syndrome therapy recommended for use by the international working group The Tear Film & Ocular Surface depending on the severity of dry eye syndrome (mild, moderate, severe), the presence of concomitant pathology or taking medications on an ongoing basis, as well as the duration of dry eye syndrome. Given the high level of expert agreement in the assessment (Randolph kappa coefficient above 0.6) when compiling the algorithm, it can be recommended for use in a wide ophthalmological practice, including primary outpatient care.https://www.ophthalmojournal.com/opht/article/view/2581ophthalmologydry eye syndromeocular surfacedry eye syndrome diagnosticsclassification |
| spellingShingle | А. V. Trubilin V. N. Trubilin E. G. Poluninа E. A. Kasparova D. V. Andzhelova K. A. Mirzabekova Yu. V. Evstigneeva K. V. Chinenova I. A. Leshenko New Comprehensive Clinical Classification of the Dry Eye Syndrome Severity 2024. Part 2. Treatment Algorithm — the Opinion of Ophthalmologists Oftalʹmologiâ ophthalmology dry eye syndrome ocular surface dry eye syndrome diagnostics classification |
| title | New Comprehensive Clinical Classification of the Dry Eye Syndrome Severity 2024. Part 2. Treatment Algorithm — the Opinion of Ophthalmologists |
| title_full | New Comprehensive Clinical Classification of the Dry Eye Syndrome Severity 2024. Part 2. Treatment Algorithm — the Opinion of Ophthalmologists |
| title_fullStr | New Comprehensive Clinical Classification of the Dry Eye Syndrome Severity 2024. Part 2. Treatment Algorithm — the Opinion of Ophthalmologists |
| title_full_unstemmed | New Comprehensive Clinical Classification of the Dry Eye Syndrome Severity 2024. Part 2. Treatment Algorithm — the Opinion of Ophthalmologists |
| title_short | New Comprehensive Clinical Classification of the Dry Eye Syndrome Severity 2024. Part 2. Treatment Algorithm — the Opinion of Ophthalmologists |
| title_sort | new comprehensive clinical classification of the dry eye syndrome severity 2024 part 2 treatment algorithm the opinion of ophthalmologists |
| topic | ophthalmology dry eye syndrome ocular surface dry eye syndrome diagnostics classification |
| url | https://www.ophthalmojournal.com/opht/article/view/2581 |
| work_keys_str_mv | AT avtrubilin newcomprehensiveclinicalclassificationofthedryeyesyndromeseverity2024part2treatmentalgorithmtheopinionofophthalmologists AT vntrubilin newcomprehensiveclinicalclassificationofthedryeyesyndromeseverity2024part2treatmentalgorithmtheopinionofophthalmologists AT egpolunina newcomprehensiveclinicalclassificationofthedryeyesyndromeseverity2024part2treatmentalgorithmtheopinionofophthalmologists AT eakasparova newcomprehensiveclinicalclassificationofthedryeyesyndromeseverity2024part2treatmentalgorithmtheopinionofophthalmologists AT dvandzhelova newcomprehensiveclinicalclassificationofthedryeyesyndromeseverity2024part2treatmentalgorithmtheopinionofophthalmologists AT kamirzabekova newcomprehensiveclinicalclassificationofthedryeyesyndromeseverity2024part2treatmentalgorithmtheopinionofophthalmologists AT yuvevstigneeva newcomprehensiveclinicalclassificationofthedryeyesyndromeseverity2024part2treatmentalgorithmtheopinionofophthalmologists AT kvchinenova newcomprehensiveclinicalclassificationofthedryeyesyndromeseverity2024part2treatmentalgorithmtheopinionofophthalmologists AT ialeshenko newcomprehensiveclinicalclassificationofthedryeyesyndromeseverity2024part2treatmentalgorithmtheopinionofophthalmologists |