Severe or Chronic Dry Eye

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)