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The Ophthalmologist / Issues / 2026 / March / Collagen Emerging Importance in Dry Eye Therapy
Anterior Segment Discussion Research & Innovations

Collagen: Emerging Importance in Dry Eye Therapy 

Advances in corneal science are reshaping how we understand – and potentially treat – dry eye disease

By Jay S. Pepose 3/10/2026 5 min read

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Clinical Report: Collagen's Role in Dry Eye Therapy

Overview

Collagen plays a critical role in maintaining corneal epithelial integrity and homeostasis, which is disrupted in dry eye disease. Fragmentation of collagen leads to increased inflammation and epithelial instability, exacerbating dry eye symptoms.

Background

Understanding the role of collagen in the cornea is essential for addressing dry eye disease, a condition that affects a significant portion of the population and can lead to visual impairment. The structural integrity provided by collagen is vital for epithelial cell function and tear film stability, making it a key target for therapeutic interventions.

Data Highlights

No numerical data available in the source material.

Key Findings

  • Collagen provides structural support and directs epithelial adhesion and migration in the cornea.
  • In dry eye disease, increased epithelial proliferation occurs as a compensatory response to cell loss.
  • Desiccating stress destabilizes the tear film and increases inflammatory mediators like MMP-9 and IL-6.
  • Fragmented collagen acts as a pro-inflammatory ligand, promoting inflammation and disrupting epithelial barrier function.
  • Superficial punctate keratitis (SPK) leads to visual disturbances due to micro-irregularities in the epithelial surface.

Clinical Implications

Clinicians should consider the role of collagen in maintaining corneal health when treating dry eye disease. Targeting collagen integrity may provide new avenues for therapy, particularly in patients with refractory symptoms.

Conclusion

Collagen's structural and signaling roles are crucial in the pathophysiology of dry eye disease, highlighting the need for further research into collagen-targeted therapies.

References

  1. Contact Lens Spectrum, 2013 -- Dry Eye Dx and Tx
  2. Contact Lens Spectrum, 1999 -- Future Trials for Dry Eye
  3. Ophthalmology Management, 2021 -- RX PERSPECTIVE
  4. TFOS DEWS III: Executive Summary - ScienceDirect
  5. Stuart Therapeutics Announces Initial Results of Phase III Clinical Trial for ST-100 (Vezocolmitide) Ophthalmic Solution
  6. Corneal Physician — Dry Eye Disease Treatments: Pharmaceutical vs Procedural
  7. TFOS DEWS III: Management and Therapy - ScienceDirect
  8. TFOS DEWS III: Executive Summary - ScienceDirect
  9. Stuart Therapeutics Announces Initial Results of Phase III Clinical Trial for ST-100 (Vezocolmitide) Ophthalmic Solution, a Novel Dry Eye Disease Candidate

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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