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051). The SPEED scores negatively correlated with LLT in all patients (r=-0.136, p0.001). Younger patients also had thinner average LLT (p0.001), lower meiboscale (p0.001) and a higher number of expressible meibomian glands (p0.001). Additionally, they had significantly more total blinks (p0.001), incomplete blinks (p0.001), and incomplete blink rate (p=0.006). Manifestations of DED vary with age. In our cohort, younger age patients had more symptoms and blinks, which may have resulted from thinner LLT as the struc
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