Department of Pharmacognosy, Faculty of Pharmacy University of Pécs, Pécs, Hungary.
Department of Ophthalmology, Medical School - Clinical Centre, University of Pécs, Pécs, Hungary.
Acta Pharm. 2024 Sep 14;74(3):383-404. doi: 10.2478/acph-2024-0028. Print 2024 Sep 1.
Dry eye disease (DED) is an ocular condition characterized by altered tear film homeostasis, resulting in symptoms like tear film instability, hyperosmolarity, inflammation, and neurosensory abnormalities. It affects visual acuity and quality of life and is influenced by age, gender, and environmental factors. The first line of treatment consists of dynamically developing artificial tears, gels, and eyelid sprays, which can be supplemented with natural ingredients for enhanced efficacy. Other therapeutic steps include auto-logous serum tears, anti-inflammatory and immunosuppressive eyedrops, or oral tablets. Management also targets Meibomian gland dysfunction and the ocular surface micro-biome. This article explores various therapeutic approaches, including natural compounds and complementary strategies. Natural compounds, such as vitamins, and herbal substances (., trehalose), offer promising benefits in enhancing tear film stability and ocular surface protection. Apitherapeutic products like manuka honey and propolis exhibit antibacterial and anti-inflammatory properties. Additionally, human tissue-derived solutions, such as auto-logous serum tears and amniotic membrane extracts, hold the potential for ocular surface regeneration. Other strategies, including polyherbal eye drops, liposomal eyelid sprays, and microbiome-supporting solutions offer alternative therapeutic avenues. Moreover, patient education, lifestyle modifications, and interdisciplinary collaboration play crucial roles in DED management, emphasizing the importance of holistic care approaches.
干眼症(DED)是一种眼部疾病,其特征是泪膜稳态发生改变,导致泪膜不稳定、高渗透压、炎症和神经感觉异常等症状。它会影响视力和生活质量,并受年龄、性别和环境因素的影响。一线治疗包括动态开发人工泪液、凝胶和眼睑喷雾,可以补充天然成分以增强疗效。其他治疗步骤包括自体血清泪液、抗炎和免疫抑制眼药水或口服片剂。治疗还针对睑板腺功能障碍和眼表微生物组。本文探讨了各种治疗方法,包括天然化合物和补充策略。天然化合物,如维生素和草药物质(如海藻糖),在增强泪膜稳定性和眼表保护方面具有广阔的应用前景。蜂产品如麦卢卡蜂蜜和蜂胶具有抗菌和抗炎作用。此外,源自人体组织的溶液,如自体血清泪液和羊膜提取物,具有眼表再生的潜力。其他策略,包括多草药滴眼液、脂质体眼睑喷雾和支持微生物组的溶液,提供了替代治疗途径。此外,患者教育、生活方式改变和跨学科合作在 DED 管理中起着至关重要的作用,强调了整体护理方法的重要性。