COMMENTARY

Angling for Dry Eye Therapy?

Roger F. Steinert, MD

Disclosures

July 23, 2013

In This Article

A Few Words of Caution

My internist tells me that you have to be a little careful with omega-3 fatty acids. It has been known for some time to be a slight anticoagulant, so it will increase the tendency to bleed slightly. I certainly have not noticed bruising or any other issues myself.

My internist, who is also an endocrinologist and diabetes specialist, also says that there is some evidence coming out that omega-3 fatty acids might have a small tendency to increase insulin resistance and, therefore, increase blood sugar. You might want to keep an eye on that if you do go down the road of taking omega-3 fatty acids.

Another interesting connection to omega-3 fatty acids recently has been the AREDS2 study,[3] which failed to demonstrate any benefit from the addition of omega-3 fatty acids to the zinc and lutein components that do seem to be favorable for reducing the tendency of progression of age-related macular degeneration.

In summary, omega-3 fatty acids is a hot topic. There is a lot that we are learning and a lot that we still need to learn, but I think it merits everyone's attention. Certainly, if you have patients with dry eye or induced dry eye after refractive surgery, this is something to seriously consider as part of your therapeutic armamentarium.

I'm Dr. Roger Steinert. On behalf of Medscape, thank you very much.

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