If Level 3 treatments are inadequate, add: If Level 2 treatments are inadequate, add:
Upon consideration, the patient agreed to a three-month trial of ASEDs.Īccordingly, we prescribed 20% autologous serum eye drops q2h while awake O.U. We reviewed the risks, benefits and alternatives of autologous serum, as well as the fees involved. Given his ocular history and current clinical findings, we discussed autologous serum eye drops (ASEDs) as a treatment option. Our clinical impression was that he had severe keratitis sicca (DEWS criteria stage 3) O.U. Blink rate: frequent (approximately every three to four seconds).Schirmer tear test without anesthesia: