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James Lewis, MD, describes his approach to dry eye management. Evaporative dry eye dominates those suffering with tearing, burning, irritated eyes. Auxillary therapies including nutraceuticals,Doxycycline, Restasis, warm compresses, Cliradex, and lipid-enhanced topicals are described in addition to Intense Pulsed Light (IPL) and the major breakthrough LipiFlow™.