Musings on pterodactyl eggs and dry eye

What if we are wrong about the cause of dry eye disease?It is not very likely, I know, but what if we are? What if inflammation is not the primary event in the pathophysiology of DED, but is rather no higher than second on the cascade? For some 15 years now we have been discussing whether inflammation or dryness itself is the chicken or the egg. Just for the sake of discussion, what if the root cause of DED is neither?

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