Severe or Chronic Dry Eye

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Symptom Profile Persistent dryness unrelieved by basic drops Chronic redness, pain, foreign body sensation Fluctuating/blurry vision throughout the day History of autoimmune conditions (e.g., Sjögren’s) Post-surgical eyes (LASIK, cataract, blepharoplasty) Typical Patients Sjögren’s syndrome Rheumatoid arthritis, lupus patients Long-term computer users with tear film instability Failed relief from OTC drops Cryopreserved or amniotic membrane candidates Must-Have Product Types Preservative-free artificial tears (frequent use) Examples: Refresh Mega-3, Retaine MGD, Oasis Tears Plus Lipid-enhancing drops for evaporative DED Anti-inflammatory topicals (HOCl spray, iVIZIA anti-inflammatory) Omega-3 high-dose supplements Examples: PRN De3, Nordic Naturals Pro Omega Lid hygiene system — wipes, foam cleanser, hypochlorous Amniotic membranes / regenerative therapy for corneal healing Moisture goggles or sealed eyewear In-office treatment support (e.g. LipiFlow, iLux, IPL – listed for awareness if not sold direct)

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