Dry Eye Dx and Tx: <br>Tailoring the Tear Reservoir</br> By STEPHANIE PISANO, OD May 1, 2026 4 min Contact Lens Spectrum Share Summary Takeaways Listen Insight Report Clinical Scorecard Quiz Poll Top Institutions Top Thought Leaders 1 Scleral lenses are increasingly used by patients with dry eye and ocular surface disease for symptom control. 2 Nonpreserved 0.9% sodium chloride vials are commonly used as filling solutions for scleral lenses. 3 New preservative-free filling solutions specifically designed for scleral lens wear have become available. 4 Adding artificial tears or autologous serum to saline in the scleral lens reservoir can improve patient symptoms. 5 Recent studies show that using cyclosporine in the lens reservoir effectively improves dry eye symptoms.