Level III: Treatment: EVAPORATIVE DRY EYE

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If symptoms are mild and sporadic, little-to-no staining, MGD Grede 1, normal meibography

  • Patient education
  • Lipid-based artificial tears (preserved) - if symptoms controlled with 4x/day administration.
  • Lipid-based artificial tears (non-preserved) - if symptoms controlled with 4x/day is required.
  • Warm compress therapy with heat-retention mask at least BID, PLUS

If symptoms are moderate or constant, (+) staining, MGD 2, normal meilbography, diminished lipid layer thickness:

*In cases of sever meibomian gland atrophy, sympthomatic improvement may be challenging: however, aggressive proactive

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