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Vismax is a preservative-free ophthalmic solution containing 0.28% sodium hyaluronate, developed for the treatment of moderate to severe dry eye disease. Sodium hyaluronate is a high-molecular-weight polysaccharide that acts as a lubricant and viscoelastic agent, mimicking the properties of natural tears to improve ocular surface hydration and stability. By binding to water and adhering to the corneal epithelium, it increases tear film breakup time (TBUT) and reduces ocular surface damage. The Department of Medical Services of the Ministry of Public Health of Thailand has evaluated its efficacy and safety in comparison to other concentrations of sodium hyaluronate, such as 0.18% formulations.
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