Article: Countering the dysfunctional tear film: the vast majority of patients with dry eye woefully underutilize their artificial tears. In this section, we offer an algorithm for engaging the dry eye patient.

All aspects of therapeutic intervention continue to evolve, and until newer or more effective interventions come along, a state-of-the-art plateau exists. We are at this phase in managing dysfunctions of the pre-corneal tear film.

In this section, we offer an algorithm for engaging the dry eye patient. Of course, there is enormous individual variability that requires the astute clinician to deviate from and/or modify this protocol. There are two key points to preface here. First, punctal occlusion seems to be underutilized, and second, many doctors are initiating therapy with Restasis (cyclosporine, Allergan) before doing an "inflammation detection" trial with ...

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