5 Key Takeaways

• 1

  Personalized dry eye care begins by understanding patients’ symptoms, frustrations, and goals and correlating their experiences with clinical findings.

• 2

  The SPEED survey and tests of tear osmolarity, MMP-9, tear volume, and tear breakup time can help characterize disease and guide treatment choices.

• 3

  The author describes combining established therapies with newer options because dry eye is chronic and has no single curative therapy.

• 4

  The therapies discussed include supplements, perfluorohexyloctane, acoltremon, canalicular gel, thermal gland expression, and intense pulsed light.

• 5

  The author uses perfluorohexyloctane for evaporative dry eye or MGD, acoltremon for aqueous deficiency, and canalicular gel alone or with topical medications.