Integrative therapeutics for ocular surface disorders.

Anil Nanda, Atoosa Kourosh, Dipa K Sheth, Fariba Eshraghi Parmer

Journal: Current opinion in allergy and clinical immunology 2024;24(5):397-403

PMID: 39137038

Abstract

PURPOSE OF REVIEW

Integrative medicine techniques are increasingly accepted into the treatment paradigm for many chronic disorders including eye disease. Over 71% of patients, including 67% of those with eye disorders, use some form of Integrative therapy. Physicians should be well versed in evidence-based therapies to know how to refer patients for the best complimentary care. We highlight the most effective integrative therapeutics from different complementary treatment paradigms to offer a framework for approaching therapy in patients with ocular surface disorders (OSDs).

RECENT FINDINGS

Lifestyle and behavioral modifications help a proportion of people with OSDs like dry eye disease and allergic conjunctivitis, which are interrelated disorders. Nutrition and supplementation can also play a role in addressing underlying inflammation and improving OSD symptoms. Acupuncture and traditional herbal medicine may also benefit some patients. New technologies offer innovative treatment pathways in the treatment of OSD but require referral to Ocular Surface Treatment Centers.

SUMMARY

Integrative treatment approach for OSD incorporates allopathic medicine, traditional remedies and lifestyle behavioral interventions, Ayurveda and herbal medicine, Nutritional Supplements, Homeopathy, Acupuncture and Chinese Medicine. New cutting-edge technologies offer breakthroughs in difficult to treat ocular surface cases. Collaboration between allergy or otolaryngology offices, complementary practitioners, as well as optometrists and ophthalmologists in Ocular Surface Treatment Centers can offer patients new avenues of treatment.

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Address: Arkansas College of Osteopathic Medicine Clinical Faculty, Fort Smith, Arkansas.; Asthma and Allergy Center, Lewisville and Flower Mound, Denton County.; Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Texas.; Department of Allergy and Immunology, Washington DC Veterans Affairs Medical Center, George Washington University, Washington, District of Columbia.; Uniformed Services University of the Health Sciences, Bethesda, Maryland.; Eye Consultants of Texas Ocular Surface Center of Excellence, University of Texas at Arlington Advisory Board, Arlington, Texas, USA.
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