Ophthalmologist Dr Kenneth Ooi explains how TFOS DEWS III has shifted dry eye assessment towards a layered approach, moving from the periorbital area to the tear film and ocular surface. He discusses his research linking meibomian gland dysfunction with systemic hypercholesterolaemia, why GPs should be alerted, and how he combines NovaTears with Hylo-Forte to stabilise the tear film, building a treatment ‘pyramid’ before gradually withdrawing therapy once inflammation settles.
Read the accompanying mieducation article for further insights into the diagnosis and management of evaporative dry eye.
