Dry eye and the glaucoma patient

Not a day goes by at SkyVision without a referral from a colleague who has come to wits’ end trying to manage the care of a patient who has dry eye disease.
It is surprising how many of these physician referrals are patients who had glaucoma first. The majority of these individuals have glaucoma that is well managed with stable visual fields, no evidence of progressive nerve fiber loss on OCT and IOP that is well within target range. Despite this favorable scenario, our office welcomes a patient who is miserable, sent by a doctor who is frustrated. Superlative care feels like a failure