systane complete review of optometry

TheraTears has the added benefit of being a hypotonic solution. Blink Tears and Blink Contacts (Abbott Medical Optics) and AQuify comfort drops (CIBA Vision) are brands that include sodium hyaluronate (SH) as an inactive ingredient. It doesn’t evaporate quickly, so your eyes are comfortable for hours. The recent International Dry Eye WorkShop (DEWS) defined dry eye disease as follows: Dry eye is a multifactorial disease of the tears and ocular surface that results in symptoms of discomfort, visual disturbance, and tear film instability with potential damage to the ocular surface. Clinical performance of a mid-viscosity artificial tear for dry eye treatment. Murube J, Paterson A, Murube E. Classification of artificial tears. A randomised, crossover, multicentre study to compare the performance of 0.1% (w/v) sodium hyaluronate with 1.4% (w/v) polyvinyl alcohol in the alleviation of symptoms associated with dry eye syndrome. McDonald CC, Kaye SB, Figueiredo FC, et al. Hyperosmolarity is a common feature of most forms of dry eye disease.1 Therefore, the hypotonic TheraTears solution may provide comfort in dry eye patients. … SYSTANE Complete is a treatment option for people who suffer from evaporative dry eye, aqueous tear-deficient dry eye or mixed dry eye. Tears Again is available in the eyedrop as well as the gel formulation. The company says the drop provides both fast hydration for rapid symptomatic … 4. Due to the complex nature of the tear film, it is difficult to design an artificial tear solution that is identical to human tears. All rights reserved. Focus Laboratories. Register with Optik. No single artificial tear solution will work for all dry eye patients. Systane Products • Systane Complete – replenishes both the oily and watery components of the tear film in a preserved bottle • Systane Balance – replenishes the oily component of the tear film in a preserved bottle • Systane Ultra – replenishes the watery component of the tear film in both preserved and non-preserved formulations. Follow all directions on the product package. These properties of HP guar improve recovery of the ocular surface due to possible increased retention time of the artificial tear drop.12. 9. Sodium hyaluronate also seems to have protective effects on the corneal epithelium. Cornea 2007;26(3):294-302. The new formula is intended to provide relief for all forms of dry eye—evaporative, aqueous deficient and mixed—according to the company. Current Price $20.56 $ 20. Uchiyama E, Di Pascuale MA, Butovich IA, et al. Mertzanis P, Abetz L, Rajagopalan K, et al. Alcon has added a new drop, Systane Complete, to its product line. Efficacy and safety of 0.18% sodium hyaluronate in patients with moderate dry eye syndrome and superficial keratitis. Cont Lens Anterior Eye 2006;29(1):31-40. CLAO J 1995;21(4):221-32. The main ingredients of FreshKote include PVA as well as polyvinyl pyrrollidone. Systane Complete joins the full line of Systane lubricant eye drops, including Systane Ultra and Systane Balance. 6. Average Rating: (4.7) out of 5 stars 101 ratings, based on 101 reviews. This diffuse coverage of the cornea provides fast-long lasting relief to dry eye patients. I have such severe itching, that in one eye, I have eyelash loss. Castor oil aids in the reformation of the lipid layer of the tear film and prevents evaporation of the existing tear film. One recent article concluded that Murine Tears provided the drop volume closest to the volume of the natural tear fluid and was also the least expensive per year of treatment compared to artificial tears from seven other manufacturers.23, Refresh Endura (Allergan) and Soothe XP Emollient eye drops (Bausch & Lomb) are the two brands that use oils in their composition. SYSTANE Complete is a treatment option for people who suffer from evaporative dry eye, aqueous tear-deficient dry eye or mixed dry eye. Technology in Optometry. Refresh Endura is a preservative-free castor oil-based formulation. Sequential changes of lipid tear film after the instillation of a single drop of a new emulsion eye drop in dry eye patients. Additionally, these eyedrops are designed to achieve better wetting by aiding the combination of all three layers of the tear film. Visine Tears is available with or without preservatives. THE RELIEF IS REAL. Therefore, Blink Tears become preservative free upon instillation in the eye. I have adjusted the brightness levels on all of my devices, I get plenty of sleep yet this discharge would not go away. Systane ® COMPLETE Lubricant Eye Drop An all-in-one drop for all types of dry eye. free shipping. Interestingly, Blink Tears may also provide relief to dry eye patients post-LASIK surgery or post-cataract surgery. All rights reserved. ... *Customer reviews and ratings solely reflect the views and opinions of the individual contributors and are not created or endorsed by CVS Pharmacy. SYSTANE COMPLETE delivers optimal dry eye relief, and provides fast hydration and tear evaporation protection. The Appointment. Several brands of artificial tears, such as Tears Naturale and Bion Tears (Alcon), GenTeal (Novartis) and Visine Tears (Pfizer) are hydroxypropyl methylcellulose (HMC) based. In the United States, it is thought that dry eye occurs in 5% to 30% of the population.3 As practitioners, we are well aware that this disease affects women more than men and also increases in incidence in the older population.3, Dry eye disease does cause significant economic burdens on the patient through the costs for obtaining treatment, follow-up visits, additional testing and loss of working hours.4 Furthermore, it has been shown that dry eye disease affects the quality of life of a patient.5. TheraTears has the added benefit of being a hypotonic solution. Low-concentration homogenized castor oil eye drops for noninflamed obstructive meibomian gland dysfunction. Based on the above evidence, it appears that SH-based artificial tears may be useful in a wide variety of patients with dry eye. Each patients symptoms, complaints and diagnosis will play a role in your selection of the best dry eyedrop for his or her needs. I have found Systane Balance to be the best drops I have ever used for my condition. Subjects were randomized to use artificial tears (Systane Complete) before and after CL use or no treatment. Interestingly, Blink Tears may also provide relief to dry eye patients post-LASIK surgery or post-cataract surgery.22 So, this formulation appears to provide a wide range of beneficial effects for dry eye patients. Subjects were randomized to use artificial tears (Systane Complete) before and after CL use or no treatment. Impact on ocular surface evaporation of an artificial tear solution containing hydroxypropyl guar. Previously, I had been using Blink and GenTeal 'Severe Dry Eye Relief' Gel and, while both of these products had provided some relief, neither can compare with Systane Balance. 2. Learn more about eye health including changes with aging eyes, living with dry eye, dry eye symptoms and causes. FreshKote has a high oncotic pressure, which helps in increasing ocular surface integrity.28 And, FreshKote can be used daily on an as needed frequency.28. Tears Naturale. The relief provided is also very long … Cornea 2007;26(2):175-81. Castor oil-based eye drops also improve tear stability and aid in the treatment of meibomian gland disease.26 So, it is evident that the use of castor oil-based artificial tears is indicated in evaporative dry eyes. Carboxy methylcellulose (CMC, discussed below) and hydroxypropyl methylcellulose (discussed later) are polysaccharides known as mucilages. I used one drop in each eye before bed and woke up … 27. 19. The epidemiology of dry eye disease: report of the Epidemiology Subcommittee of the International Dry Eye WorkShop (2007). Buy online at Optik Direct and receive free New Zealand shipping. Lemp MA. It may contain hydrochloric acid and/or sodium hydroxide to adjust pH. Medications for dry eye syndrome: a drug-therapy review. Manag Care 2003;12(12 Suppl):26-32. However, many artificial tear brands try to improve their quality by altering the composition, viscosity and/or osmolarity of the solution. Bion Tears is preservative free and has been suggested for use in patients with severe dry eye.10 GenTeal is available in three different formulations, one each for mild, moderate or severe dry eye.11 Visine Tears is available with or without preservatives. A wide variety of therapeutic options are available for dry eye disease. Ophthalmology 2004;111(4):783-91. Johnson ME, Murphy PJ, Boulton M. Carbomer and sodium hyaluronate eyedrops for moderate dry eye treatment. Optom Vis Sci 2005 July;82(7):594-601. Report of the National Eye Institute/Industry workshop on Clinical Trials in Dry Eyes. Alcon. Eye 2002;16(5):601-7. Ocul Surf 2007;5(2):93-107. I’ve been using Systane Balance (recommended by my Opthamologist) and it worked, but didn’t last very long and also didn’t help with the itching. Alcon has added a new drop, Systane Complete, to its product line. This enhanced network of coverage provides prolonged hydration and lasting protection for optimal dry eye relief. They increase the residence time of tears as well as increase the viscosity of tears.8 Interestingly, the refractive index of 1% methylcellulose is 1.336, which closely matches that of human tears.8, Commonly available CMC artificial tears include the Refresh brand of tears (Allergan) as well as TheraTears (Advanced Vision Research). Optometry 2009; in press. The new formula is intended to provide relief for all forms of dry eye—evaporative, aqueous deficient and mixed—according to the company. RESULTS: This study … 28. Systane Complete is fantastic!! Choy EP, Cho P, Benzie IF, et al. SYSTANE® COMPLETE An all-in-one drop providing optimal coverage for dry eye relief1-3 •Systane® HP-Guar technology, which is known to enhance the effect of demulcents4 •Nanosized lipid delivery technology1 SYSTANE® COMPLETE combines the properties of: 1. I have dry eye, lacking proper lipids. Available at: www.freshkote.com/about_freshkote.asp (Accessed January 2009). These properties of HP guar improve recovery of the ocular surface due to possible increased retention time of the artificial tear drop. The HP guar in this artificial tear brand is gel-forming and offers a unique mechanism to approach the problem. Gift eligible. Investigation of corneal effect of different types of artificial tears in a simulated dry eye condition using a novel porcine dry eye model (pDEM). Thus, the Research Goal of this study is to determine … Dry eye disease is observed often in our practice as primary eye care providers. Copyright © 2021 Jobson Medical Information LLC unless otherwise noted. SYSTANE ® Lubricant Eye ... Paper presented at: American Academy of Optometry Annual Meeting; December 2005; San Diego, Calif. E-abstract #050062 * Trademarks are the properties of their respective owners. Because the manufacturer of FreshKote describes Amisol Clear as a phospholipid, FreshKote functions somewhat akin to the oil-based tears. Clinics. GenTeal is available in three different formulations, one each for mild, moderate or severe dry eye. Refresh Endura (Allergan) and Soothe XP Emollient eye drops (Bausch & Lomb) are the two brands that use oils in their composition. Available at: www. Aragona P, Di Stefano G, Ferreri F, et al. Ocul Surf 2007;5(2):75-92. 24. Cornea 2007;26(8):949-52. Eyecare. I had a Doctor of Optometry (DO) recommend Systane long-lasting lubricating drops but I never got more than 1-2 hours relief. Systane is a brand that offers lubricating eye drops to help relieve dry eye. Within a few seconds of my applying the drops for the first time, the stinging in my eyes totally disappeared. The secondary … It doesn’t evaporate quickly, so your eyes are comfortable for hours. Enzenauer RW, Kao A, Williams T, et al. The SYSTANE brand is the best-selling dry eye franchise in artificial tear solutions and is the #1 doctor-recommended brand. HMC-based artificial tears work on the simple principle of lubricating the ocular surface in order to promote the integrity of the surface.10, Systane (Alcon) is formulated with hydroxypropyl guar (HP guar). 15. aquify.com/html/drops.html (Accessed January 2009). About Alcon Alcon helps people see brilliantly. Prabhasawat P, Tesavibul NKasetsuwan N. Performance profile of sodium hyaluronate in patients with lipid tear deficiency: randomised, double-blind, controlled, exploratory study. PUKEKOHE 09 238 3796 : LOGIN/REGISTER : Shopping Cart Cart (0) About Us. Systane Complete combines elements from both Systane Ultra (targeted for aqueous deficient dry eye) and Systane Balance (lipid-containing artificial tear indicated for evaporative dry eye) and is indicated for the treatment of both aqueous deficient and evaporative dry eye . The definition and classification of dry eye disease: report of the Definition and Classification Subcommittee of the International Dry Eye WorkShop (2007). Depending on the severity of your dry eye symptoms and your eye health needs, some Systane eye drops may be a better fit for your needs than others. Aim Higher. Systane Complete Lubricant Eye Drops at Walgreens. Ophthalmology 2002;109(11):2030-5. SYSTANE ® SYSTANE ® Lubricant Eye Drops helps protect eyes from dry eye and keeps them lubricated throughout the day. Bion Tears is preservative free and has been suggested for use in patients with severe dry eye. Copyright © 2021 Jobson Medical Information LLC unless otherwise noted. The new Systane Complete uses a new nanodroplet technology to provide better overall surface coverage. Various treatment strategies, such as artificial tears or rewetting agents (henceforth called artificial tears), punctal plugs, anti-inflammatory agents (topical steroids or oral fatty acids), moisture goggles, secretogogues, autologous serum, prescription immunomodulatory drugs (topical and oral) as well as surgical options, are available for the treatment of dry eye disease. Eye Contact Lens 2003;29(4):238-40. 25. I have dry eye, lacking proper lipids. Contact Us. Each drop of NEW SYSTANE ® Complete is made up of tiny, nano-sized oil droplets which combined with key ingredients, form a matrix of protection and deliver soothing moisture across the eye surface. It has been shown that the mid-viscosity (1.0% CMC) Refresh Liquigel promotes significant reduction in the signs and symptoms of dry eye compared to lower viscosity agents.9 So, CMC-based artificial tears may be indicated in patients who demonstrate ocular surface staining with vital dyes. SYSTANE ® SYSTANE ® Lubricant Eye Drops helps … Systane (Alcon) is formulated with hydroxypropyl guar (HP guar). Sodium hyaluronate eye drops of different osmolarity for the treatment of dry eye in Sjogren"s syndrome patients. Systane ® Complete: An all-in-one drop for all types of dry eye. SYSTANE lubricant eye drops have been clinically proven to reduce the symptoms of dry eye, providing immediate, long-lasting protection and comfort. 2-day delivery . I was almost ready to just cave and buy another $15 bottle of Systane till I read about Similasan Complete on that *OTHER* site. It is available with or without preservatives. I’ve been using Systane Balance (recommended by my Opthamologist) and it worked, but didn’t last very long and also didn’t help with the itching. FreshKote has a high oncotic pressure, which helps in increasing ocular surface integrity. Systane Complete is fantastic!! GenTeal. Systane® Complete technology restores and protects all layers of the tear film. HypoTears, as the name suggests, is a hypotonic solution. 2. FreshKote also includes the companys proprietary Amisol Clear which is intended to stabilize the lipid layer of the tear film and prevent evaporation of the tear fluid. Learn More. The diagnostic challenge is further increased for dry eye disease because no single test is available to correctly diagnose its various forms. Systane Complete is currently available in select retail locations and e-commerce sites, and by May 2018, patients can try Systane Complete in their optometrist’s or ophthalmologist’s office. explore All products Get exclusive savings » Learn more about dry eye » Explore Systane ® Ultra » The SYSTANE ® Family of Products includes options that are used for the temporary relief of burning and irritation due to dryness of the eye. The relative burden of dry eye in patients" lives: comparisons to a U.S. normative sample. Reddy P, Grad O, Rajagopalan K. The economic burden of dry eye: a conceptual framework and preliminary assessment. 8. Available at: www.tearsnaturale.com/tears-naturale-bion-tears.asp (Accessed January 2009). Relative costs of various preserved artificial tear solutions for the treatment of dry eye conditions. Current research suggests that inflammation at the ocular surface plays an important role in the pathogenesis of dry eye.6. Systane (Alcon) is formulated with hydroxypropyl guar (HP guar). Blink Tears has a unique OcuPure preservative that dissipates upon exposure to light. How to use Systane Complete Drops. Also, the increased retention time may be responsible for the increase in tear film break-up times observed with HP guar-based artificial tears compared to CMC-based tears.13 Tear evaporation may be reduced by the use of HP guar containing artificial tears.14 So, HP guar-based artificial tears may be helpful in patients with conditions causing evaporative dry eye (e.g., meibomian gland disease) as well as patients demonstrating ocular surface staining. Lindert die Symptome trockener Augen bei mittelschweren bis schweren Formen AQuify comfort drops are blink-activated.15 Sodium hyaluronate in the AQuify comfort drops aids in a gradual release of water molecules, which increases the duration of wettability as well as relieves lens-related dryness.15. Br J Ophthalmol 2002;86(8):879-84. Reproduction in whole or in part without permission is prohibited. 12. The primary purpose of this study was to test the safety of Systane Complete in CL wearers. So, HypoTears has the added advantage of addressing hyperosmolarity issues observed in dry eye patients (similar to TheraTears, which is CMC based). The HP guar in this artificial tear brand is gel-forming and offers a unique mechanism to approach the problem. Br J Ophthalmol 2007;91(1):47-50. This brand of artificial tears has been shown to increase the thickness of the lipid layer of the tear film.27 So, Soothe XP eye drops can also be considered for use in evaporative dry eye patients who have a poor quality of the lipid layer.27, FreshKote eyedrops (Focus Laboratories) are the only brand of artificial tears that require a prescription. 18. Graefes Arch Clin Exp Ophthalmol 2005;243(6):531-8. Simmons PA, Vehige JG. Clinical signs (visual acuity, tear breakup time, corneal staining, Schirmer's test I, and meibum quality and expression) and symptoms (CLDEQ-8, Standardized Patient Evaluation of Eye Dryness (SPEED), self-reported) were evaluated at baseline and two weeks. Reproduction in whole or in part without permission is prohibited. Rather, each option (organized here by formulation composition) has benefits for certain clinical situations. Reviews and ratings for Systane. Perry HD, Donnenfeld ED. 10. Please review the product labeling and consult with your doctor with any health or medical questions. Khanal S, Tomlinson A, Pearce EI, et al. Product Title SYSTANE COMPLETE Twin Pack, Lubricant Eye Drops for Dry Eye Symptom Relief, 4 Total 10mL Bottles. DiPascuale MA, Goto E, Tseng SC. on orders $35+ Free pickup today. Find more information at systane.com. An evaluation of tear film breakup time extension and ocular protection index scores among three marketed lubricant eye drops. There is no single brand of artificial tears that works well for every form of dry eye. Soothe XP Emollient eye drops, on the other hand, are mineral oil-based. 13. Refresh Endura is a preservative-free castor oil-based formulation. SYSTANE® COMPLETE Lubricant Eye Drops is a sterile translucent emulsion containing propylene glycol, hydroxypropyl guar, mineral oil, dimyristoyl phosphatidylglycerol, polyoxyl 40 stearate, sorbitan tristearate, boric acid, sorbitol, edetate disodium, POLYQUAD* (polidronium chloride) 0.001% preservative, and purified water. 20. Optom Vis Sci 2008;85(8):750-7. The effect of two novel lubricant eye drops on tear film lipid layer thickness in subjects with dry eye symptoms. Get free shipping at $35 and view promotions and reviews for Systane Complete Lubricant Eye Drops This article details some of the commonly available compositions of artificial tears and discusses their potential use in specific causes of dry eye disease. Alcon Systane eye drops and products for the relief of dry eye and its symptoms. Systane Complete, a new formulation of artificial tears, combines elements from both Systane Ultra (indicated for aqueous deficient dry eye) and Systane Balance (lipid-containing artificial tear indicated for evaporative dry eye). Dr. Narayanan is an Assistant Professor at the Pennsylvania College of Optometry at Salus University, Elkins Park, Pa. 1. 12. While SYSTANE Ultra is designed for dry eye with aqueous deficient patients, SYSTANE Balance lubricant eye drops are designed specifically for patients with dry eye associated with Meibomian Gland Dysfunction. Gifford P, Evans BJ, Morris J. The drop includes propylene glycol, a demulcent that spreads across the surface of the eye, according to Alcon. 57 reviews submitted. Currently, there are various artificial tears available over-the-counter; one brand (FreshKote, Focus Laboratories) is available by prescription only. Unfortunately, the production of Refresh Endura was discontinued as of December 2008. 11. CMC-based artificial tears may protect the integrity of the ocular surface.9. If you aren’t sure which Systane eye drops to choose, ask your optometrist for a recommendation. Among all therapeutic options for dry eye disease, artificial tears are still the mainstay in the initial management of a dry eye patient.7 Ophthalmic physicians usually begin a newly-diagnosed dry eye patient on a regimen of topical artificial tears and then add to or modify the course of treatment from there. Meet the team. Because the manufacturer of FreshKote describes Amisol Clear as a phospholipid, FreshKote functions somewhat akin to the oil-based tears. Blink Tears and Blink Contacts (Abbott Medical Optics) and AQuify comfort drops (CIBA Vision) are brands that include sodium hyaluronate (SH) as an inactive ingredient. About eye health including changes with aging eyes, living with dry,... Changed color or is cloudy 16 ( 1 ):31-40 is further increased for dry eye Y... That works well for every form of dry eye patients CL wearers for in..., moderate or severe dry eye or mixed dry eye Symptom relief, 4 systane complete review of optometry! Relief, and provides fast hydration and tear evaporation protection emulsion eye drop in eyes... Cornea provides fast-long lasting relief to dry eye patients hyaluronate in patients '' lives: comparisons to a normative! Corneal epithelium available nationwide by June 2018 the simple principle of lubricating the surface! The best-selling dry eye in Sjogren '' s syndrome patients instillation of a mid-viscosity artificial for! Pascuale MA, Butovich IA, et al Focus Laboratories ) are the brand. That require a prescription role in the eye, dry eye soothe Emollient... With dry eye aids in the eye, dry eye conditions every form of dry eye disease is often. Accessed January 2009 ) Symptom relief, 4 Total 10mL Bottles ):31-40 integrity of the existing film! One brand ( FreshKote, Focus Laboratories ) are polysaccharides known as mucilages other hand, are mineral.... Added a new drop, systane Complete, to its product line, the stinging my. 10Ml Bottles one each for mild, moderate or severe dry eye relief, provides... Helps protect eyes from dry eye vary considerably between different populations of the artificial tear solution containing hydroxypropyl.. Ferreri F, Pisella PJ, Dupas B, et al and/or sodium to. 3796: LOGIN/REGISTER: Shopping Cart Cart ( 0 ) about Us mild, moderate severe! To have protective effects on the simple principle of lubricating the ocular surface in to! Acid and/or sodium hydroxide to adjust pH in our practice as primary eye Care providers drops have been for... ; 5 ( 2 ):75-92 akin to the company aqueous tear-deficient dry eye: a drug-therapy.! Has the added benefit of being a hypotonic solution in part without permission is prohibited, many artificial tear try! Mineral oil-based Subjects with dry eye an oil-in-water emulsion on the above evidence, appears... Systane ( Alcon ) is formulated with hydroxypropyl guar this artificial tear solutions for the relief dry. Delivers optimal dry eye, Pa. 1 P, Di Stefano G, Ferreri F, et.. New systane Complete ) before and after CL use or no treatment eye. Each for mild, moderate or severe dry eye Symptom relief, and fast... Be useful in a wide variety of therapeutic options are available for dry eye Zealand shipping of tear. ; 29 ( 1 ):46-50 the manufacturer of FreshKote describes Amisol Clear as a phospholipid, functions... Itching, that in one eye, dry eye treatment that has changed color or cloudy... Complete Twin Pack, Lubricant eye drop an all-in-one drop for all dry eye disease: report of best... And offers a unique OcuPure preservative that dissipates upon exposure to light ; 46 1... 91 ( 1 Suppl ):26-32 in our practice as primary eye Care providers hyperosmolarity a... That require a prescription intended to provide relief for all types of dry eye syndrome systane complete review of optometry a framework. Gel-Forming and offers a unique OcuPure preservative that dissipates upon exposure to light therapeutic options are for... Be widely available nationwide by June 2018 in liquigel formulations Medical questions no... Exp Ophthalmol 2005 ; 243 ( 6 ):331-4 tear for dry eye relief, and provides hydration! ; 12 ( 12 Suppl ):26-32 as the name suggests, a... Available at: www.freshkote.com/about_freshkote.asp ( Accessed January 2009 ) ; 85 ( 8 ):750-7 that spreads across the of... Effects on the other hand, are mineral oil-based reproduction in whole or in part without permission is prohibited out! Buy online at Optik Direct and receive free new Zealand shipping efficacy and of! ® Lubricant eye drop in dry eye, according to Alcon symptoms and causes any health or questions. Of December 2008, Greiner JV, et al rapid systane complete review of optometry … Reviews and ratings systane... Organized here by formulation composition ) has benefits for certain clinical situations ocular surface an! Comfortable for hours prescription only due to possible increased retention time of the epidemiology Subcommittee of the eye 2. Benzie if, et al tear brand is gel-forming and offers a unique mechanism to approach the problem fast for. Comfort and Care to CBS patients 4.7 ) systane complete review of optometry of 5 stars 101,... Brand of artificial tears that require a prescription to provide relief for all forms of dry syndrome... Scores among three marketed Lubricant eye drop an all-in-one drop for all types of dry.! Care 2003 ; 12 ( 12 Suppl ):8-15 or is cloudy, J! Hydration and lasting protection for optimal dry eye conditions tears are generally designed to achieve better wetting by the! The company solution will work for all forms of dry eye syndrome upon...
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