How is dry eye treated?

長期感到眼乾、眼攰,睏倦,甚至出現頭痛及視力模糊,都是屬於乾眼症的症狀。對都市人來說,乾眼症是一種十分常見的眼科疾病,這是由於瞼板腺功能障礙(MGD)而引起的。有些患者會置之不理,但若不及早治療,乾眼症嚴重時或會導致眼角膜受損及引發眼角膜潰瘍,造成視力下降,甚至失明。乾眼症究竟要點樣治療?下文就為您剖析常見的乾眼症治療方法。

乾眼症自我檢測

如果擔心乾眼症檢查費用過於昂貴,可以先通過以下的問題去進行乾眼症自我檢查,如果出現2個或以上的症狀,有很大可能是患上乾眼症,建議儘早向我們的眼科醫生進行瞼板腺功能障礙檢查並提供適合的乾眼症治療方法。

  1. 常常眼睛乾澀或疲勞?
  2. 眼皮緊繃或沉重?
  3. 眼睛模糊有異物感?
  4. 眼睛常發癢?
  5. 眼睛是否在早晨起身時感覺分泌物多且黏稠?
  6. 眼睛是否對光、風、煙等外在刺激很敏感?
  7. 眼鏡是否在有冷氣的地方感到不適?
  8. 眼睛是否有灼熱感或刺痛感?

Dry eye - meibomian gland dysfunction examination

透過瞼板腺功能障礙檢查,醫生可以了解患者目前的乾眼症病況,為患者提供專業的乾眼症治療方法。

乾眼症檢查包括:

  • Ocular Surface Disease Index (OSDI) questionnaire
  • Tear osmolality measurement (salt content of tears).
  • MMP-9 protein level index (inflammatory marker).
  • Tear evaporation test (how quickly tears evaporate)
  • Infrared meibomian gland imaging (shows the status of the meibomian gland within the eyelid).
Meibomian gland dysfunction test
Meibomian gland dysfunction test
Meibomian gland dysfunction test

關於乾眼症檢查及治療費用,歡迎聯絡我們了解更多。

Dry eye treatment is comprehensive

如果在測試後確定患上乾眼症,就要做好心理準備長期治療及保養,因為乾眼症是無法根治的眼疾。醫生會針對每個患者的病況,為患者定制個人化的乾眼症治療方法,當然費用也會因人而異。一般會以儀器/藥物為患者治療乾眼症,以下是常見的乾眼症治療方法:

儀器治療方案1:強脈衝光(IPL)療程


證明可有效改善瞼板腺阻塞,具有消炎功能及療程時間快速,過程舒適無痛。

強脈衝光(IPL),又稱彩光,它已早被廣泛應用於皮膚相關疾病的治療。隨著科技的發展,強脈衝光(IPL)亦被證實是有效的乾眼症治療方法之一,利用脈衝光發放的能量加強眼瞼血液循環,改善不正常血管,針對性地調節油脂分泌,從而達到最佳療效。

Number of treatments: At least 3 to 4 times, 2-4 weeks apart, depending on the situation

*Especially recommended for patients with blepharitis

INTENSE PULSED LIGHT (IPL) TREATMENT FOR DRY EYE

儀器治療方案2:LipiFlow 熱量脈動
Vectored Thermal Pulsation (VTP)治療


美國食品藥物管理局註冊認可(FDA)檢查及治療瞼板腺功能障礙儀器

The process is to insert a special treatment probe and heat massage into the eyelid to melt the oil that has blocked the meibomian gland for a long time, which can promote the secretion of oil, so as to relieve the meibomian gland blockage and relieve the symptoms of dry eyes. The therapeutic effect can last from 9 months to 3 years.

LipiFlow treatment for dry eye

Instrumental Treatment Plan 3: BlephEx Eyelid Hygiene

Blepharitis is inflammation of the eyelids, which usually occurs when bacteria overgrow, so we need to eliminate bacterial buildup. BlephEx helps with deep cleansing, eyelid and eyelash roots, bacteria, biofilm, Demodex mites, dandruff, flaky and necrotic cells. Safe and effective eyelid hygiene.

Dry eye BlephEx eyelid hygiene

淚小管栓塞手術

一般乾眼症治療方法都是以疏通瞼板腺或通過人工淚液為主,但這類治療方法對於嚴重的乾眼症患者可能無法起到功效,這時就可以考慮淚小管栓塞手術。淚小管栓塞手術即是以栓塞法將淚小管開口加以阻塞,作用原理類似水槽的塞子,讓淚液可以留在眼表面,維持眼球上的淚膜穩定,以緩解乾眼症。至於手術費用是幾多就需要來到診所進行檢查後再做諮詢。因為並不是每個人都適合進行此類手術。

Dry eye medication

Drug therapy:

  • Prescription anti-inflammatory eye drops.
  • Artificial tears (refill oil)
  • Antibiotics: reduce bacteria on the surface of the eye and improve the quality of meibomian gland oil.
Dry eye medication

其它乾眼症治療方法:

  • Meibomian gland squeezes the oil
    Pressure is applied to the patient's eyelids, which in turn squeezes out the contents of the meibomian glands.
Dry eye meibomian gland squeeze oil

If you suffer from dry eye, how should you take care of your eyes in daily life?

患者除了及早接受乾眼症測試及治療之外,可配合日常護理,以下有3項建議給大家:

Warm compress for dry eyes

Warm compresses for eyes
Press warm pressure on eyes at least once a day for 15 minutes. It is recommended to do it before going to bed.

* A towel soaked with hot water is not a suitable compress because it does not sufficiently heat the meibomian glands.

Dry eye environment, humidity and working environment

注意濕度及環境
環境濕度的增加及工作環境的改善可減輕眼睛刺激和乾燥的症狀。平日要避免風扇和冷氣直吹眼睛,避免在吸煙區或神廟這類地方呆太久。

Omega 3 supplement for dry eye syndrome

Eating habits
Taking omega-3 supplements (Omega-3) has been shown to have anti-inflammatory properties.

雖然乾眼症目前無法完全根治,但患者可以透過積極的治療和保養來改善症狀,提升生活品質。患上乾眼症後一定要定期就醫、遵循醫生的方法去治療乾眼症、保持良好的眼部衛生及用眼習慣等,避免症狀惡化,引起其他眼疾。如果還有任何疑問,可以點擊下方按鈕,向我們的眼科醫生進行諮詢。

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