Eye Care Professional Exam

Do You Have Chronic
Dry Eye Disease?

Your personal dry eye experience matters

Everyone is unique, and answering the questions in the quiz below can help you when you talk to your eye doctor. You may have decreased tear production due to inflammation caused by Chronic Dry Eye. Chronic Dry Eye is a chronic disease and there’s no permanent cure for it. Chronic Dry Eye is sometimes called dry eye disease or dry eye syndrome. It is also known by the medical name keratoconjunctivitis sicca.

To help you find out if you have Chronic Dry Eye disease, take this quiz. Answer ALL the questions below and click the "FINISH QUIZ" button at the bottom of the page. Make sure you take a printout of the results with you when you visit your eye doctor.


  1. Have you been using artificial tears for a long time?
    Yes No

    If you answered "yes," tell your eye doctor exactly how long:


  2. Have you tried many types of artificial tears?
    Yes No

    If you answered "yes," tell your eye doctor exactly how many:


    Tell your eye doctor their names. (Please specify.)






  3. Are you using artificial tears often?
    Yes No

    If you answered "yes," tell your eye doctor exactly how often:


  4. Do you feel like your use of artificial tears has increased over time?
    Yes No

    If you answered "yes," tell your eye doctor exactly how much:


  5. Are your dry eyes affecting your daily activities?
    Yes No

    If you answered "yes," please let your doctor know what activities are affected:


  6. Are your dry eyes getting worse?
    Yes No

    If you answered "yes," tell your doctor how your eyes feel:


  7. Are you satisfied with your current dry eye treatment?
    Yes No

    If you answered "no," make sure you tell your eye doctor.

  8. Are you ready to discuss treatment options for your dry eye with your doctor?
    Yes No

Don´t wait for your annual appointment. Contact your eye doctor TODAY and make an appointment to talk about treatment options for your eyes. If you don´t currently have one, you can Find-A-Doctor now.

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Approved Use
RESTASIS® (Cyclosporine
Ophthalmic Emulsion) 0.05% helps increase your eyes’ natural ability to produce tears, which may be reduced by inflammation due to Chronic Dry Eye. RESTASIS® did not increase tear production in patients using anti-inflammatory eye drops or tear duct plugs.

Important Safety Information
Do not use RESTASIS® Ophthalmic Emulsion if you are allergic to any of the ingredients. To help avoid eye injury and contamination, do not touch the vial tip to your eye or other surfaces. See more below >

You’re Not Alone
Patient Stories

Meet other people
who suffer from
Chronic Dry Eye
due to inflammation.

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Only your eye doctor can determine what treatment is best for your dry eyes. So the more information you provide, the more it will help your doctor select the treatment that may work best for you.

Important Safety Information
Do not use RESTASIS® Ophthalmic Emulsion if you are allergic to any of the ingredients. To help avoid eye injury and contamination, do not touch the vial tip to your eye or other surfaces. RESTASIS® should not be used while wearing contact lenses. If contact lenses are worn, they should be removed prior to the use.

The most common side effect is a temporary burning sensation. Other side effects include eye redness, discharge, watery eyes, eye pain, foreign body sensation, itching, stinging, and blurred vision.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Click here for full Product Information for RESTASIS® Ophthalmic Emulsion.

Dr. Tendler is an actual RESTASIS® patient and is compensated for appearing on this website.