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.