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Generally the process will start with your physician taking down a patient history that includes a description of your complaints, as well as a physical examination to check the functioning of the area in question

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4 Chronic dry eye has been demonstrated to cause ocular surface inflammation, evidenced by an increase in pro-inflammatory cytokines and chemokines in the tear fluid, increased expression of immune activation and adhesion molecules by the conjunctival epithelium and increased number of T lymphocytes in the conjunctiva