The present review is of dry eye syndrome, an entity caused by various
conditions that lead to tear film abnormalities. The tear film consis
ts of aqueous, mucin, proteins and lipids. Dry eye syndrome may be cau
sed by local ocular disorders or systemic diseases. The symptoms inclu
de foreign body sensation, redness, photophobia and burning sensation.
Clinical tests such as the Schirmer test, fluorescein staining test a
nd Rose Bengal test are useful diagnostic tools. Laboratory tests are
important assets in the diagnosis and identification of the underlying
systemic disease. Biopsy of the accessory salivary gland is important
in the diagnosis of Sjogren's syndrome. The management of dry eye syn
drome includes replacing the deficient tear film and prolonging its re
sidence time on the ocular surface. (C) 1998 Prous Science. All rights
reserved.