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The article discusses a 2018 study which shows that lifitegrast ophthalmic solution 5% effects a significant decline in all seven symptoms of dry eye disease excluding its signs. Topics covered include the decrease from baseline to 12 weeks in mean tear osmolarity, and different outcomes from data based on osmolarity response criteria. Also note is the unclear trend toward corneal staining and photophobia score improvements.

The article focuses on the meibomian gland dysfunction (MGD). Topics include the cause and the remedies of dry eye disease, the identification and characteristics of different kind of MGD, provides the four components along with their respective treatment including obstruction, inflammation, biofilm formation and tear film instability

The author outlines medical diagnoses related to feeding and swallowing difficulties in patients with CHARGE syndrome. The first group are unable to take any nourishment by mouth without medical consent, the second group will have specialized diets determined by speech-language pathologists, and the third group demonstrate muscle weakness, most often in the jaw, lips, and tongue.