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Severe or Chronic Dry Eye

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Symptom Profile

  • Persistent dryness unrelieved by basic drops

  • Chronic redness, pain, foreign body sensation

  • Fluctuating/blurry vision throughout the day

  • History of autoimmune conditions (e.g., Sjögren’s)

  • Post-surgical eyes (LASIK, cataract, blepharoplasty)

Typical Patients

  • Sjögren’s syndrome

  • Rheumatoid arthritis, lupus patients

  • Long-term computer users with tear film instability

  • Failed relief from OTC drops

  • Cryopreserved or amniotic membrane candidates

Must-Have Product Types

  • Preservative-free artificial tears (frequent use)

    • Examples: Refresh Mega-3, Retaine MGD, Oasis Tears Plus

  • Lipid-enhancing drops for evaporative DED

  • Anti-inflammatory topicals (HOCl spray, iVIZIA anti-inflammatory)

  • Omega-3 high-dose supplements

    • Examples: PRN De3, Nordic Naturals Pro Omega

  • Lid hygiene system — wipes, foam cleanser, hypochlorous

  • Amniotic membranes / regenerative therapy for corneal healing

  • Moisture goggles or sealed eyewear

  • In-office treatment support (e.g. LipiFlow, iLux, IPL – listed for awareness if not sold direct)

Treat the Cause, Not the Symptom.

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