The picture below was taken with dye in the eye to stain the tears.  You can see that the tear layer is very thin in places.  This causes irritation on people’s eyes.  You can also see the lower part of the cornea is stained in spots.  This is damage that occurs to the surface cells because of dryness. 
Dry eye is managed first with different types of artificial tears, then with plugs or Restasis eye drops. 

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