EXECUTIVE SUMMARY

  • Classical Ophthalmology relies on binary diagnostic models that inadequately describe the temporal and functional evolution of disease.
  • Many ocular “conditions” represent stages within a continuous pathological spectrum (continuum), not independent entities.
  • Blepharitis, MGD, dry eye disease, and chalazion are different expressions along the same pathological trajectory.
  • Disease does not “reside” solely within the organ, but within the microenvironment that surrounds and regulates it.
  • Just as Dentistry matured by elevating the periodontium, Ophthalmology matures by elevating the eyelid.
  • Dermophthalmology introduces a systemic, preventive, scientifically mature framework of understanding and intervention.
  • A model shift implies a shift in language, definitions, and clinical practice.
  • This White Paper lays foundations for future guidelines, prevention policies, and public health frameworks.