Shire Test Prep

Treatment: Supportive Care

When the patient returned two weeks later, he reported that his eyes felt better throughout the day. Slit lamp examination showed less inferior corneal staining. The patient then tried several different lens types and was successfully re-fit into the lens that provided the most comfort and best quality of vision.

I instructed the patient to continue his lubricant therapies—LACRISERT® (hydroxypropyl cellulose ophthalmic insert) in the morning with a drop of artificial tear on top, a nonpreserved artificial tear to be used as needed during the day, and a lubricating ointment at night. In addition, I counseled him on strategies to minimize or eliminate factors that have the potential to exacerbate his condition. These strategies included making a conscious effort to blink while driving and turning cooling or heating vents away from his face.

What else do you think I recommended to this patient to help improve his symptoms?

a. Omega-3 supplement
b. Warm compresses
c. Vitamin A supplement
d. None of the above

Indications and Usage

LACRISERT® (hydroxypropyl cellulose ophthalmic insert) is indicated in patients with moderate to severe dry eye syndromes, including keratoconjunctivitis sicca. LACRISERT is indicated especially in patients who remain symptomatic after an adequate trial of therapy with artificial tear solutions. LACRISERT is also indicated for patients with exposure keratitis, decreased corneal sensitivity, and recurrent corneal erosions.

Important Safety Information

  • LACRISERT® (hydroxypropyl cellulose ophthalmic insert) is contraindicated in patients who are hypersensitive to hydroxypropyl cellulose.
  • Instructions for inserting and removing LACRISERT should be carefully followed.
  • If improperly placed, LACRISERT may result in corneal abrasion. Because LACRISERT may cause transient blurred vision, patients should be instructed to exercise caution when driving or operating machinery.
  • The following adverse reactions have been reported, but were in most instances mild and temporary: transient blurring of vision, ocular discomfort or irritation, matting or stickiness of eyelashes, photophobia, hypersensitivity, eyelid edema, and hyperemia.

Please see full Prescribing Information for LACRISERT® (hydroxypropyl cellulose ophthalmic insert).

Jack L. Schaeffer, OD, FAAO

Jack L. Schaeffer, OD, FAAO, is president, CEO, and chief of optometry at Schaeffer Eye Center in Birmingham, AL. He is a consultant for Bausch + Lomb.

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