Page 81 - The Book Pi in eye
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Pi in eye



                                on who have had recent eye surgery, whose lids open during sleep,
                                people on Cpap machines, or those who are too busy to put drops.
                                Simple cheap humidifiers increase the moisture in dry places and are
                                a  more  natural  and  functional  way  to  keep  eyes  moist.  There  are
                                some  sun  glasses  which  spry  moisture  at  regular  intervals.  These
                                eyeglasses also block wind or dust reaching the eye.
                                   Evaporation can be protected by simple steps like sunglasses or
                                wide brim hats to keep sunlight out.

                                   Punctal Occluders
                                   The method to decrease the drainage is akin to putting stoppers in
                                the  drainage  pipe  of the  basin.  Don’t worry,  in  experienced  hands
                                this  is  a  quick  painless  in  office  procedure  taking  a  few  seconds.
                                There  are  various  types  of  punctal  occluders  or  plugs  available  as
                                seen in the table below.

                                 Type           Temporary  Intermediate          Permanent
                                 Material       Collagen      Synthetic Polymer  Silicone or Acrylic
                                 Duration       2-4 weeks     3 -6 months        Lasts for years
                                 Usage          Diagnostic    Lasik/             Therapeutic
                                                              Therapeutic
                                 Long Term      Dissolves     Slowly dissolves   Inert

                                   Figure 11.4 Comparison of Punctal occluders

                                   It is customary to start with collagen punctum occluders to see if
                                the person can tolerate them. Only one of the two punctum in each
                                lid is blocked. Based on the response further decisions are taken.



















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