Aims-To determine the relation between dry eye and Meige's syndrome. M
ethods-325 patients with dry eye were divided into those responsive to
topical and other forms oftreatment (n=276) and those who were not (n
=49). A neuropsychiatric examination was performed to check for Meige'
s syndrome in the latter group. Results-Twenty eight (57%) of the trea
tment unresponsive patients were diagnosed with Meige's syndrome. Conc
lusions-There is a subgroup of patients with dry eye who do not respon
d to simple therapy. More than half of these patients have Meige's syn
drome and need psychiatric, as well as ophthalmic, care.