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HA has been shown to modulate ocular surface inflammation through interactions with CD44 and other cell-surface receptors, thereby influencing leukocyte trafficking and reducing the expression of pro-inflammatory cytokines and chemokines ( One of the most intriguingly and seemingly counterintuitive findings of our study was the posttreatment surge in tearfluid cytokines (IFN-2, IFN-, TNF-, IL-6, IL-23 and IL-33) that accompanied clinical improvements in tearfilm stability and corneal integrity

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Additionally, urbanization, a growing middle-class population, and lifestyle changes are further driving adoption and market growth in the region