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The article reports that Tear Film & Ocular Surface Society's Dry Eye Workshop (DEWS) II Report updated the definition of dry eye disease, describing it as 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. It mentions that increased osmolarity of the tear film and inflammation of the ocular surface focused on meibomian gland dysfunction (MGD).

The article focuses on dry eye disease (DED) is common, proper diagnosis can be a challenge. Signs and symptoms don't always correlate, and patients can present with a wide range of symptoms, if they have any at all. Topics include the clinicians should be prepared to assess patients carefully for DED, which involves a combination of subjective and objective measures, and the proper diagnosis of DED requires an extensive understanding of the condition.

The article addresses the effect of diet on ocular health. Topics discussed include impact of dry eye disease (DED) on society, two primary categories of dietary polyunsaturated fatty acids (PUFAs), and three dietary changes brought about by the advent of the agricultural revolution. It also mentions definition of dry eye by the Tear Film and Ocular Surface Society's Dry Eye Workshop II.

The article suggests a new way to assess patients who still struggle with symptoms, and it all begins with a closer look at their eyelid function and dysfunction. It mentions the eyelids are the primary protectors of the tear film, corneal nerves and conjunctiva; and contain the meibomian glands and some of the accessory lacrimal glands critical for tear film stability.