Some patients observe awareness of dry eye symptoms, often in association with contact lens wear, or after laser vision correction care such as LASIK or PRK. There are several reasons why this might be the case, and they do not relate to the surgery in the overwhelming majority of instances. They relate more to our ability to help patients understand the numerous contributing factors to dry eye, and how to manage these in our warm, dry, desert climate. With all vision correction care we endeavor to optimize the ocular surface both before and after surgery, provide careful follow-up care, and attend to numerous details in the process.