Se presentan dos casos clínicos asociados a enfermedades crónico-degenerativas, atendidos en la cínica de optometría de la Facultad de Estudios Superiores Iztacala (FESI) de la Universidad Nacional Autónoma de México (UNAM). Objetivo: Evidenciar que los pacientes con mala calidad del sueño y síndrome metabólico son una población vulnerable para presentar alteraciones de superficie ocular y enfermedad de ojo seco. Método: Valoración a través del protocolo de atención del Centro de Diagnóstico de Alteraciones de Superficie Ocular (CDASO). Resultados: Los pacientes con enfermedades crónico-degenerativas y una mala calidad del sueño tienden a presentar: ojo seco mixto. Conclusión: El optometrista debe aplicar un protocolo de diagnóstico de la enfermedad de ojo seco asociado a enfermedades crónico-degenerativas y promover el abordaje multidisciplinario para el correcto tratamiento y seguimiento del paciente.
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