BDry eye syndrome
First line
Dry eye syndrome
First line
An artificial tear is the first step for dryness and burning in the eyes. The AEMPS ficha técnica frames the indication simply: symptomatic relief of eye irritation and dryness, one drop in the conjunctival sac 3 to 5 times a day, more often if needed. The 2016 Cochrane review of over-the-counter artificial tears showed that this group relieves symptoms but found no convincing differences between formulations – the choice goes by tolerance and convenience. The 2017 TFOS DEWS II report places tear substitutes at the first step of treatment, with lid hygiene, anti-inflammatory drops and meibomian gland work coming later. Two practical points from the ficha: with preservative sensitivity the single-dose form is used, and if symptoms last beyond 7 days or vision drops, an ophthalmologist should look.
Sources
ICD-10: H04.1