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Recommendations typically include: Daytime: Preservative-free artificial tear drops used frequently throughout the day (every 12 hours in severe cases) Nighttime: A thicker lubricating eye gel or ointment applied before sleep to prevent overnight dryness Monitoring: Regular self-checks for redness, pain, blurred vision, or light sensitivity, which may indicate corneal involvement Eye Patching For patients whose eye does not close fully, an eye patch worn during sleep or throughout the day in severe cases provides a physical barrier against dryness and environmental irritants

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Peripheral blood smear revealed leukopenia with increased hyper segmented neutrophils ( Figure 2C ), macrocytic anemia with anisopoikilocytosis and increased tear drop cells, and thrombocytopenia