Traditional treatment and management strategies for dry eye patients typically involve environmental modifications. If meibomian gland dysfunction seems to be causing the dry eye symptoms, we consider eyelid hygiene, warm compresses, and even in-office expression, and then some type of artificial tear. If there aren’t any significant improvements, we may introduce immunomodulatory therapy, such as topical cyclosporine 0.05%, or anti-inflammatory therapy, such as a topical corticosteroid.
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