Which of the following is not a treatment of keratitis sicca?

• A. Artificial tears
• B. Lid hygiene
• C. Punctal plugs
• D. Epiphora

Answer: (D)

Keratitis sicca is a dry eye condition where the tear film is inadequate or unstable, so treatments aim to restore lubrication and retain moisture. Artificial tears provide lubrication to supplement the tear film. Lid hygiene helps reduce lid margin inflammation and debris that can worsen evaporative dry eye. Punctal plugs block tear drainage, helping keep tears on the eye longer to relieve dryness.

Epiphora means excessive tearing. It’s a symptom, not a treatment for dry eye. While tearing can occur secondarily to dry eye, the goal is to improve lubrication and tear film stability, not to induce tearing.