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Artificial tears are lubricating eye drops used to relieve dryness and irritation of the ocular surface. [1] Dry eye syndrome (keratoconjunctivitis sicca) is a common ocular surface disorder and is characterized by disruption of the tear film and increased inflammation.
There is a wide variety of artificial tear eye drops that provide different surface healing strategies. One can find bicarbonate ions, hypotonicity, high viscosity gels and ointments, and non-preserved types. They all act differently and therefore, one may have to try different artificial tears to find the one that works the best. [3]
Human tears. Tears are a clear liquid secreted by the lacrimal glands (tear gland) found in the eyes of all land mammals. [1] Tears are made up of water, electrolytes, proteins, lipids, and mucins that form layers on the surface of eyes. [2] The different types of tears—basal, reflex, and emotional—vary significantly in composition. [2]
A punctal plug, also known as tear duct plug or lacrimal plug, is a small medical device that is inserted into the tear duct (puncta) of an eye to block the duct. This prevents the drainage of liquid from the eye. They are used to treat dry eye. Artificial tears are usually still required after punctal plug insertion. [1]
With the eye generally profusely watering, the type of tears being produced have little adhesive property. Water or saline eye drops tend therefore to be ineffective. Rather a 'better quality' of tear is required with higher 'wetting ability' (i.e. greater amount of glycoproteins) and so artificial tears (e.g. viscotears) are applied frequently.
Currently, this article only discusses the use of artificial tears for the "treatment" of keratoconjunctivitis sicca (dry eye syndrome). We would like to discuss other indications as well. We also wish to inform patients/consumers on the different types of artificial tears on the market.
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