Insulin resistance and prediabetes do not only affect blood sugar levels; they may also disrupt the entire ocular system. Symptoms such as fluctuating blurry vision, dry eyes, burning sensation, tearing, and eye fatigue are often linked to metabolic imbalance, chronic inflammation, and tear film instability.

The operation of eyelids, the Meibomian glands and the tear film plays a crucial role in the stability of vision. These mechanisms can lead to dry eye, blepharitis and changing vision, especially in people with prediabetes or metabolic syndrome.

The main approach of the article is that the eyes need systemic care and not just artificial tears. Daily eyelid hygiene, thermotherapy and tear film stabilization can help restore the ocular surface and visual comfort.

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