For the first time since punctal plugs, dry eye is sexy. Remember when we used to think that we understood dry eye and that we had the ultimate solution? All we had to do was put a plug in our patients’ punctum; they would instantly have tears filling up their eyes, and their dry eye would go away. If you did a lot of plugs, you had a dry eye center of excellence. But over time, new technologies offered additional solutions, and our centers of excellence lost their focus.

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