Stop or reduce medications that lower tear production or harm the surface of the eye, like topical preservatives and anticholinergics. “Ask your physician before any change in medication regimen.”
This is important for patients who may have dry eye disease caused by medications, such as antidepressants, isotretinoin, or long-term glaucoma treatments.
B- Lid hygiene & warm compresses (manual or heated masks): [40, 41]
The heat from the warm compress helps to open the meibomian glands to improve oil gland function, increase oil flow into the eyes, stabilize the tear film, and slow down tear evaporation. [42]
Used for posterior blepharitis / MGD-predominant evaporative dry eye; first-line for lid disease.
