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Turkey Medicals member and Hatay hospital Eye Health and Diseases Specialist Dr. gave recommendations for the prevention of “dry eye” disease in society and in medicine.

According to Specialist Dr., there are three conditions for dry eye disease to not occur, and listed them as good tear quantity and quality, smoothness of the corneal surface, and the ability of the eyelids to function well.

Highlighting the 4 reasons that make up the dry eye problem, among these reasons, Specialist cited the deterioration of eye health due to the deceleration of the blink reflex, problems with the lids and eyelashes, and the decrease in tears.

Blink goes down to 1 in 9

Noting that normally a person blinks 12-15 times a minute, while tears can remain on the corneal surface for 15-45 seconds without disturbing the uniformity of the film layer, Specialist Dr. said, “Focusing on a very careful point, reading books, spending long periods of time at the computer can reduce the number of blinks. Normally, when blinking 900 times an hour, this number can go down to 100. Factors such as air conditioning and cigarette smoke also reduce the time of tear rupture. In addition, dry eye can also occur with vitamin A deficiencies,” she said.

Symptoms of illness

Specialist Dr. noted that the main symptoms of dry eye disease include redness, burning and stinging, blurred vision, sticking, feeling stuck, excessive watering, noting that dry eye is a problem that can lead to blindness.

Specialist Dr. who said that when the functions of tears disappear, the eyes become prone to infection, said: “Oxygen cannot be transported in a healthy way. Since the cornea is a non-vascular structure, it is supplied with oxygen, when this nutrition is disrupted, vascularizations and cracks occur in the cornea. These are a focus for infection. Structural changes can occur that will lead to a truly permanent loss of vision. Therefore, it is important to protect the tear as much as possible and keep the eye wet,” she explained.

Specialist Dr. listed the main causes of dry eye disease as follows:

“If the blink reflex is reduced, there may be problems with the nerves regulating the blinking mechanism due to the presence of certain diseases, and keratitis occurs. In valve problems, weakness in valve function may occur with the development of facial paralysis. The outward rotation of the eye for reasons such as thyroid or tumor, the outward rotation of the lid in old age or after trauma are factors that disrupt the transport of tears.

Tears can also decrease during menopause

If there are problems with eyelashes, infection of the sebaceous glands, eye diseases such as trachoma, special types of conjunctivitis, certain drug reactions, and skin diseases can disrupt the balance in the eye structure. In case of a decrease in tears, there are problems with the tear glands.

These problems can be caused by the absence or small size of the tear gland, as well as damage to the tear gland due to causes such as inflammation, tumor, radiation, burn, and trauma. Simultaneous disorders in other glands secreting in the body also need to be investigated. The amount of tears can decrease with hormonal effects in menopause and pregnancy.”

Noting that it is possible to treat dry eye disease and that many methods are used in the treatment, Dr. noted that:

“It is aimed at increasing the production of tears with the help of various medications. Trying to prevent the tear from escaping. Tears are normally produced from the tear gland, transported by the functions of the lid and come to the tear sac. There is a system of channels in the lacrimal sac, these channels open to the lower part of the nose. It can reduce dryness if it is lacerated with tears. There are tiny holes that allow passage into the channels, they are clogged. Laser application or silicone plugs are being placed. These plugs can stay there for six months to a year.

An attempt is being made to reduce the evaporation of tears by using low-water lenses and/or glasses.

Tears can be replaced. They can be in the form of drops and gels, as well as in the form of pomade. If a person has a lack of vitamins A and B12 in his body, vitamin support is performed.

The pH ratio needs to be kept at a certain level. If the valve has turned outward and there is valve paralysis, valve surgery can be performed. A person needs to create a healthier environment by balancing environmental factors. It is important to have a smoke-free environment, not to use air conditioning, spend less time at the computer and adjust the humidity balance of the house. The pH ratio needs to be kept at a certain level. If the valve has turned outward and there is valve paralysis, valve surgery can be performed.”

A person needs to create a healthier environment by balancing environmental factors. It is important to have a smoke-free environment, not to use air conditioning, spend less time at the computer and adjust the humidity balance of the house.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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