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125 EW CORNEA October 2016 Editors' note: Dr. Salinger is medical director at V.I.P. Laser Eye Center and The Dry Eye Spa, Palm Beach Gardens, Florida. He has financial interests improved corneal surface smooth- ness, and improved symptoms of dry eye. 7 In our case study, the effects of the nutritional supplements clear- ly helped to improve the patient's symptoms sufficiently enough to avoid surgery, despite the presence of conjunctivochalasis. Once her dry eye symptoms were relieved, the conjunctivochalasis by itself was not bothersome. Although relief and healing was not instant, the improvement is obvious when observed over the long term. Nutritional supplements used in tandem with a comprehensive care plan can offer many patients a long- term, natural way to manage dry eye and their symptoms. Although not a cure, reduced inflammation and the improved quality and quantity of tear production can provide patients suffering from dry eye more freedom within their environment, their daily activities, and a better quality of life. EW References 1. Creuzot-Garcher C, et al. [Efficacy assess- ment of Nutrilarm, a per os omega-3 and omega-6 polyunsaturated essential fatty acid dietary formulation versus placebo in patients with bilateral treated moderate dry eye syn- drome]. J Fr Ophtalmol. 2011;34:448–55. 2. Barabino S, et al. Systemic linoleic and gamma-linolenic acid therapy in dry eye syndrome with an inflammatory component. Cornea. 2003;22:97–101. 3. Brignole-Baudouin, et al. A multicentre, double-masked, randomized, controlled trial assessing the effect of oral supplementation of omega-3 and omega-6 fatty acids on a conjunctival inflammatory marker in dry eye patients. Acta Ophthalmol. 2007;89:e591–7. 4. Kokke KH, et al. Oral omega-6 essential fatty acid treatment in contact lens as- sociated dry eye. Cont Lens Anterior Eye. 2008;31:141–6. 5. Barham JB, et al. Addition of eicosapen- taenoic acid to gamma-linolenic acid-sup- plemented diets prevents serum arachi- donic acid accumulation in humans. J Nutr. 2000;130:1925–1931. 6. Viau S, et al. Polyunsaturated fatty acids induce modification in the lipid composition and the prostaglandin production of the conjunctival epithelium cells. Graefes Arch Clin Exp Ophthalmol. 2012;250:211–222. 7. Sheppard JD, et al. Long-term supplemen- tation with n-6 and n-3 PUFAs improves mod- erate-to-severe keratoconjunctivitis sicca: a randomized double-blind clinical trial. Cornea. 2013;32:1297–1304. with Bausch + Lomb, Rapid Pathogen Screening, ScienceBased Health, TearLab, and TearScience. Contact information Salinger: drsalinger@VIPLaserEyeCenter.com Join the largest subspecialty society representing the fields of cornea and external disease. Member Benefits • Cornea: The Journal of Cornea and External Disease • Annual Meetings: Select discounted registration at membership events and educational programs • VideoEd: A weekly broadcast of clinical videos recorded live at national and international cornea meetings • Kera-net: The online forum for the exchange of clinical and scientific information • Cornea Society News: Quarterly newsletter sent to all Society members CorneaSociety.org Save the Date July 8-9, 2020 World Cornea Congress VIII Singapore2020 corneacongress.org/2020

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