Dry eye is very common and has multiple causes. There is no cure for dry eye but it can be managed so the patient is comfortable and does not have fluctuating vision. Management of dry eye must be achieved before LASIK or cataract surgery is performed. All forms of corneal refractive surgery (LASIK, PRK) and cataract surgery exacerbate dry eye for three to six months necessitating the need for optimazation of the ocular surface prior to surgery. Management of dry eye involves punctal occlusion with plugs, Restasis, and the treatment of pre-existing Rosacea and any associated meibomitis with warm compresses and Doxycycline.