![]() ![]() 1 The Scleral Lenses in Current Ophthalmic Practice: an Evaluation (SCOPE) study surveyed 723 practitioners, all of whom had fit at least five patients with scleral lenses.įor instance, the survey showed 57% to 60% of respondents recommended using nonpreserved saline to fill the bowl of the lens prior to application. Lipson, ODĪfter looking at current scleral lens prescription and management practices, a recent survey-based study found a considerable amount of consensus among participating practitioners. 2017 36:567-71.Ī good scleral lens fit depends on the right diameter and thickness. Effect of sleep position on the ocular surface. ![]() It just makes sense.”Īlevi D, Perry HD, Wedel A, et al. “It’s at least worth mentioning that their sleep pattern can affect the disease. “In some ways, it’s easier than having the patient take artificial tears or have them do lid hygiene,” Dr. Still, the current findings should lead many practitioners to add sleep patterns to their list of patient questions. Perry and his fellow researchers hope objective findings from a sleep center will further support the correlation uncovered by the patient questionnaires. “Something as simple as going from sleeping on their stomach to sleeping on their back can make a world of difference-and this is especially true for patients with severe meibomian gland disease, floppy eyelid syndrome” and other lid-involved conditions.Įventually, Dr. “It’s another step that can help in terms of treating very difficult, complicated patients,” he says. “Not the easiest thing to do, but it can be done.” He also notes only 10% of the population sleeps on their backs, despite its benefits for those with MGD and dry eye. “We found that some patients got better just by changing their sleep patterns,” Dr. However, they found no statistically significant correlation between the sleep position and degree of MGD. They also found the OSDI scores were elevated in patients who slept on their sides compared with those who slept on their back. In comparing the outcomes, they found a statistically significant difference with back sleeping compared to left side sleeping using lissamine green staining. While other studies have focused on nocturnal lagophthalmos, sleep apnea and floppy eyelid syndrome, this is the first to look at sleep position specifically, with more diagnostic parameters such as OSDI scoring, tear osmolarity, lissamine staining and Schirmer I testing, the authors said in the study. Perry and colleagues asked 100 patients with DED symptoms and 25 controls to complete a sleep questionnaire and the Ocular Surface Disease Index (OSDI). To learn more about the possible association, Dr. So there is a relationship between the way they sleep and presenting problems of meibomian gland disease, and dry eye disease in general.” “When you question these patients, you frequently find they usually sleep on the side with the more severe meibomian gland disease. Perry, MD, of Ophthalmic Consultants of Long Island in Rockville Centre, NY, and the Department of Ophthalmology, Nassau University Medical Center in East Meadow, NY. “Meibomian gland disease is often very asymmetric,” says Hank D. Perry, MDĪ new study adds yet another facet to the already complicated conditions of dry eye disease (DED) and meibomian gland dysfunction (MGD): sleep position. Sleeping on your back could help alleviate ![]()
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