Having dry eyes for a while can lead to tiny abrasions on the surface of the eyes.^[1] In advanced cases, the epithelium undergoes pathologic changes, namely squamous metaplasia and loss of goblet cells. Some severe cases result in thickening of the corneal surface,^[1] corneal erosion, punctate keratopathy, epithelial defects, corneal ulceration (sterile and infected), corneal neovascularization, corneal scarring,^[1] corneal thinning, and even corneal perforation.