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Commentary|Articles|October 22, 2026

Matching artificial tears to dry eye phenotype: a Q&A with Omur Ucakhan, MD

Omur Ucakhan, MD, explains why artificial tears are not interchangeable and how dry eye phenotype should guide formulation choice.

Artificial tears remain the first-line therapy for dry eye disease (DED), yet today’s multi-component formulations differ widely in composition, mechanism of action and preservative content. A recent review in Expert Review of Ophthalmology examined the structure and function of the tear film, mapped the current landscape of over-the-counter artificial tear formulations and offered guidance on aligning product selection with each patient’s underlying dry eye biology. The authors also called for well-designed, long-term studies comparing the safety, efficacy and quality-of-life profiles of different formulations, including preservative-containing and preservative-free options.¹

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