Bio-Tissue is proud to feature Dr. Steven Kane as part of our #MDEMonday series. Dr. Kane is a cornea specialist who sees a high volume of complex cornea cases in Clearwater, FL. He discovered Mechanical Dry Eye a few years ago examining a 90-year-old patient unsuccessfully treated for dry eye disease by multiple doctors.
“Mechanical Dry Eye is a very important clinical problem.”
“We’ve all had the paradoxical patient that seems to have dry eye and typical ocular surface disease, but they simply don’t respond to all of the typical conventional therapies…there is a missing x-factor. And that x-factor is this Mechanical Dry Eye concept, or conjunctivochalasis.”
“Dry eye disease isn’t just simply a problem with quantitative tear film, meaning a low tear volume. Dry eye can also be from an abnormal tear film where you have tears, but they’re either unhealthy, or they’re not getting to the location that they need to, and one of the classic examples is what we call ‘Conjunctivochalasis’ or Mechanical Dry Eye.”
“My message to my peers is simple: Look and examine your patients carefully. I wish that I knew about Mechanical Dry Eye disease even earlier than I found out about it because these are some of the happiest patients in my practice and some of our largest referral sources.”
“Mechanical Dry Eye is rampant; it’s almost ubiquitous in individuals over the Medicare age of 65, and we have to look for it. The key is making the diagnosis. I get fooled still. I look, white light shining the slit beam across, and I’m thinking to myself, ‘Oh, there’s not a whole lot of redundant conjunctiva here.’ I put the fluorescein in, I turn on the cobalt blue light, and then even better, I put a yellow filter on the other side of the microscope, and it highlights the redundant fold of the conjunctiva.”