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7%), whereas 1/128 and 1/32 were uncommon (3.57% each). Schirmer results were 6.5 ± 8.1 mm, and noninvasive tear break up times were 8.12 ± 6.25 mm. Participants with baseline LLT 60 nm had greater changes in LLT after Cationorm instillation, compared with those with an LLT of 60 nm. LLT changes over 15 minutes were not associated with tear clearance rate. Similar results were obtained when using Artelac Lipids. Our results showed that participants' initial LLT affected their responsiveness to lipid-containing eye drops more tha