almostadoctor app banner for android and iOS almostadoctor iPhone, iPad and android apps almostadoctor iOS app almostadoctor android app


  • Common in the elderly – reduced tear secretion
  • Persistent gritty sensation without red eye
  • Sjörgen’s syndrome: autoimmune condition, dry eyes and mouth which often accompanies connective tissue disorders e.g. rheumatoid arthritis
  • Diuretics and anticholinergic agents may exacerbate dry eye.


  • Staining of the cornea with fluorescin
  • Schrimer’s test (strip of filter paper in fornix, measure advancing edge of tears)


  • Artificial tear drops or simple ointments
  • Acetylcysteine drops (in filamentary keratitis)
  • Treatment of blepharitis
  • Temporary punctal plugs or permanent punctal occlusion (tear conservation).

Related Articles