Dry eye is the second most common ocular disease. In China, the incidence rate of dry eye has reached 21% to 30%, and dry eye patients have accounted for more than 30% of the total ophthalmology outpatients. Dry eye has become a common health problem that affects the working efficiency and life quality of Chinese people. Over the past decade, due to the rapid development of diagnostic equipments and new treatments for dry eye, dry eye has become one of the areas with greatest concerns in ophthalmology, and many eye institutions have set up their dry eye clinics. Although the diagnosis and treatment of dry eye has been improved in recent years, the awareness of dry eye in Chinese ophthalmologists is still too simple. In the diagnosis, the interrogation and basic examination are not given enough attention, and we are over-relying on equipments. Clinical examination and instrument operation also have not been standardized. This article emphasizes that we should pay attention to the interrogation, basic examination and standardization of clinical examination and equipment operation in diagnosing dry eye. The treatment regimen should be mostly refined and optimized to be individualized and comprehensive based on the causes, types and severity of dry eye. In addition, the physical and adjuvant therapy of dry eye should be given sufficient attention and applied reasonably. (Chin J Ophthalmol, 2017, 53: 641-644).
干眼是除屈光不正外最常见的眼科疾病，我国干眼的发病率已达到21%~30%，而门诊干眼患者已占全部眼科就诊人数的30%以上，干眼已成为影响我国人口生活质量和工作效率的常见健康问题。近10年来干眼的诊疗工作备受眼科界关注，很多医疗机构开设了干眼的专科门诊，临床诊断干眼的设备和新的治疗方法也不断涌现。但是，在干眼诊疗水平不断提高的同时，临床尚存在对干眼的认识简单化，不重视问诊和基本检查，过度依赖仪器和设备，各种检查和仪器操作不规范等问题。本文强调临床工作中须重视干眼的问诊、基本检查、检查方法和仪器操作的规范化，应根据干眼的原因、类型、不同疾病阶段，精细化设计最有效和最优化的个体化综合治疗方案，并合理应用物理治疗和辅助治疗。（中华眼科杂志，2017，53：641-644）.
Keywords: Clinical protocols; Combined modality therapy; Dry eye syndromes; Practice guidelines as topic.