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New research · Ophthalmology
Journal of glaucoma · 14h
ReviewJournal of glaucoma · 2026

Rethinking Dry Eye and Ocular Surface Disease in Glaucoma: Pathophysiology, Diagnosis, and Management.

Miriam Kolko
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OphthalmologyReview

Ocular surface disease affects up to 60% of patients using glaucoma eye drops.

Rethinking Dry Eye and Ocular Surface Disease in Glaucoma: Pathophysiology, Diagnosis, and Management.

Miriam Kolko
Journal of glaucoma · 2026
Purpose

To highlight the overlooked role of ocular surface disease (ocular surface disease) in glaucoma, explore its pathophysiological links to treatment, and propose integrated strategies to improve patient care.

Methods

A narrative review of current literature on the relationship between glaucoma therapies and ocular surface health was conducted.

60%
Results
60%
means dry, irritated, or inflamed eyes are common with these drops
More results

Glaucoma remains the leading cause of irreversible blindness worldwide, with treatment adherence being a critical determinant of long-term outcomes.

Symptoms such as dryness, burning, and blurred vision significantly reduce quality of life and compromise adherence to treatment.

More results

Structured evaluation using questionnaires, slit-lamp examination, and diagnostic tests can facilitate early detection and tailored management.

“
Conclusion · 1 of 3

The ocular surface, long considered secondary in glaucoma care, is central to optimizing both adherence and visual outcomes.

Conclusion · 2 of 3

Protecting ocular surface health through preservative-sparing regimens, procedural interventions, and patient-centered strategies is essential.

Conclusion · 3 of 3

Reframing ocular surface disease as an integral component of glaucoma management may improve long-term quality of life and enhance treatment success.

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