A striking percentage of patients needing eye surgery, particularly cataract surgery have the signs and symptoms of preexisting “dry eye” consisting of tear film instability, rapid tear breakup time, ocular surface disease – all resulting from inspissated secretions clogging meibomian glands leading to blockage and dysfunction. The single most effective treatment in my practice involves a pre-treatment preparation of the glandular openings followed by a painless, 12-minute treatment delivering vectored thermal pulsation. A treatment that I did earlier today is best represented by the attached video of a patient who underwent successful treatment a year ago and now is back for a “maintenance” treatment to prevent the recurrence of problems. I find that most patients like to have this type of additional maintenance treatment 2-5 years after the first treatment depending on symptoms and affordability. The Department of Ophthalmology at Duke University is in their 6th year of offering this breakthrough treatment to patients suffering from dry eye and the associated symptoms of eye fatigue and “computer vision syndrome.”