Lipid layerThe oily seal.
Helps reduce evaporation and supports stability. Made by the meibomian glands along your eyelids.
Why eyes go dry
If one or more layers isn’t working as it should, you can experience dry eye.
Helps reduce evaporation and supports stability. Made by the meibomian glands along your eyelids.
Hydrate, lubricate and protect. This is the bulk of your tears — water and dissolved mucins working as one gel.
Help the tear film interact with the ocular surface, gripping it so tears spread evenly with every blink.
Beneath your tears is the ocular surface — the living cells your tear film hydrates and defends.
A healthy surface is smooth, intact and well protected.
In dry eye, the surface can become disrupted and rough. Punctate epithelial erosions (PEE) may be present.
What this means
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Meibography and imaging can document your meibomian glands. Tear break-up time, Schirmer's test, lid margins, tear meniscus height, ocular surface damage and allergies are all assessed. A standard eye examination may not be equipped to perform a dry eye workup.
The tests and lines of questioning decide which subtype you have. Two people with identical symptoms can need different treatments.
Certain treatments are offered for certain subtypes and causes. Sometimes using the wrong treatment, or the wrong product, can make it worse.
Best practices, exercises and routines, supplements and periodic examination all help manage symptoms of pain and discomfort.
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