This randomized controlled trial aims to investigate the efficacy of periorbital massage therapy in alleviating symptoms and improving clinical outcomes in patients diagnosed with dry eye disease.

Participants will be randomized into either a periorbital massage intervention group or a control group receiving standard care. The intervention group will receive gentle periorbital massage techniques, while the control group will receive conventional dry eye treatments. The primary outcome measure will be assessed using the Schirmer Strips and Ocular Surface Disease Index (OSDI) questionnaire. This study holds promise for providing insights into the potential benefits of periorbital massage therapy as a complementary approach for managing dry eye disease symptoms and enhancing patients' overall quality of life.

Inclusion Criteria:

• Symptoms of dry eye (such as burning, dryness or foreign body sensation)
• Ocular signs of dry eye (such as tear film instability, reduced tear production or meibomian gland dysfunction)
• Patients having moderate and severe dry eye disease according to schirmer test Willing and able to comply with the study protocol

Exclusion Criteria:

• Active ocular infection
• Ocular surgery within past 3 months
• Use of contact lenses
• Use of systemic medications that can affect tear production or tear quality
• Pregnancy or lactation