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    3. Dry eye syndrome
    ophthalmology

    Dry eye syndrome

    Also known as: dry eye disease, keratoconjunctivitis sicca, ocular surface disease, evaporative dry eye, meibomian gland dysfunction

    Dry eye syndrome is a chronic tear-film disorder causing grittiness, burning and fluctuating vision. Lubricating drops and eyelid care are first-line; acupuncture may support tear quality and comfort as an adjunct, particularly in Liver-Kidney Yin deficiency patterns common in screen-heavy, older patients.

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    Lifestyle & Diet

    • •Follow the optometrist's lubricant and lid-care routine.
    • •Take regular screen breaks and blink consciously during screen work.
    • •Stay well hydrated; limit alcohol and smoking.
    • •Wear wraparound sunglasses in wind and sun.

    Cautions & Contraindications

    See sources
    • •Periorbital points (BL1, ST2, EX-HN4) require advanced training: shallow insertion, no lifting-thrusting, firm pressure on removal to prevent bruising.[]
    • •Avoid periorbital needling in patients on anticoagulants or with bleeding disorders.[]
    • •Do not delay optometry or ophthalmology review for progressive or painful symptoms.[,]

    When to reassess or seek care again

    See sources

    Review symptom scores (grittiness, burning, screen tolerance) every 4–6 sessions. If no improvement after 6–8 sessions, or symptoms worsen, refer back to optometry/ophthalmology.

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    Sources & Further Reading

    Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.

    1. Dry eyes — Healthdirect
      Healthdirect Australia · 2024
    2. Dry eye disease — clinical guidance
      Australian Family Physician (RACGP) · 2023
    3. Sjögren's syndrome — Versus Arthritis / clinical overview
      Healthdirect Australia · 2024
    4. Safe needling practice for Chinese medicine practitioners
      AHPRA / Chinese Medicine Board of Australia · 2024
    5. TFOS DEWS II report — dry eye disease management
      Tear Film & Ocular Surface Society · 2017

    Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.

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