The psychological considerations of physiologic dry eye disease.

By Richard A. Adler, MD

When I was a first-year resident, I had a chief who amazed me. This was not because of his surgical skills or his intelligence, but because of his ability to walk into a busy clinic, stand next to me, and guess the diagnosis of each patient in the waiting room without examining him or her. Based on the patients’ composure and the general appearance of their eyes, amazingly, he was often right, but not always. He often missed the dry eye patients.

What does a patient with dry eye disease (DED) look like? Once we resist the temptation to imagine our favorite DED patient, the one who haunts our dreams at night, we have to admit to ourselves …….

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