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    Neuropathic dry eye: When serum defeats tears

    Tear replacement/conservation therapies alone would be futile in case




    As a result of international evidence-based efforts of the TFOS DEWS II to redefine DED understanding, a novel category labeled “neuropathic dry eye” has risen. Neurosensory dysfunction is not routinely contemplated or assessed in practice, and should be suspected in the presence of sign-symptom disparity or persistence of complaints despite treatment adherence.

    In this case, tear replacement/conservation therapies alone would have been futile, leading to perceived treatment failure. Instead, the identification of corneal nerve damage caused by the refractive procedures led to effective and long-standing symptomatic control with AST.




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