Temperature on Evaporative Dry Eye

Inclusion Criteria: * Age ≥18 years * The presence of at most one symptom including burning, foreign body sensation, itching or eye fatigue for 3 months * OSDI score ≥ 13 and TBUT \<5 s or NIBUT \< 10s * Able and willing to comply with the treatment/follow-up schedule Exclusion Criteria: * A recent history (past 30 days) of topical ophthalmic medication use, including antibiotics, steroids, non-steroidal anti-inflammatory drugs, or required the chronic use of topical ophthalmic medications * Eyelids or intraocular tumors that should not put pressure * Active allergy or infection or inflammatory disease that may have prevented the subjects from completing the study at the ocular surface * Any structural change in lacrimal passage * Glaucoma * Diabetes or other systemic, dermatologic, or neurologic diseases that affect the health of ocular surface * Use of any systemic anti-inflammatory drugs or medication that may interfere with tear production, such as antianxiety, antidepressive, and antihistamine medications within 3 months