Best Treatments for Chronic Eye Pain and Dry Eye Disease: Is the Underlying Cause Neuropathy and/or Meibomian Gland Dysfunction, Aqueous or Mucin Deficiency?

This is a great review from a dear colleague at Bascom Palmer. 

The punchline is that chronic eye pain can be debilitating. It can be hard to tell what the underlying cause is but inflammation is the common cause. Patients who have chronic eye pain often also have depression, anxiety which may be due to the chronic eye pain or be pre-existing. 

Treatments that help dry eye patients often help patients with chronic eye pain. 

Autologous serum and amniotic membrane help both issues. Getting a pain specialist involved may help as well. 

Future studies are needed to understand why chronic eye pain, “pain without stain,” and similar chronic pain conditions occur in and around the eye. 

Sandra Lora Cremers, MD, FACS 

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