5. Tear MMP-9 result (Inflammadry) The InflammaDry test will be administered after tear meniscometry is performed, as it assesses the MMP-9 levels (an inflammatory marker) in tears and hence is not affected by reflex tearing (15). The fleece of the test strip is dab along the inside lining of the lower eyelid in multiple locations, the patient is asked to blink, and the strip is then rest along the inferior nasal palpebral conjunctival for another 5 seconds. Assemble the sampling fleece into the sample transfer window of the test cassette body. After which the absorbent tip is immersed in the buffer solution for 20 seconds. Remove the absorbent tip from the buffer vial, replace the protective cap, and lay the test flat on the horizontal surface for 10 minutes. A single blue line indicates a negative result, while the appearance of 2 lines (red and blue) indicates a positive result.