iarjcrIARJCRIARJCR2789-606410.47310/iarjcr.2025.v05i01.002Dry Eyes, Dry Facts: A Knowledge Assessment of Dry Eye Syndrome and Its ImpactBackground: Dry Eye Syndrome (DES) is a prevalent yet underrecognized ocular condition marked by insufficient tear production or poor tear quality, causing discomfort and visual disturbances. Despite its increasing incidence, public awareness remains limited, contributing to delayed diagnosis and inappropriate management. This study assessed DES-related knowledge, awareness and misconceptions among residents of Himachal Pradesh, India and explored demographic factors influencing awareness levels. Materials and Methods: A descriptive cross-sectional study was conducted among 400 adults across Himachal Pradesh from October to December 2024. Data were collected via a structured questionnaire covering socio-demographics, DES knowledge and healthcare-seeking behavior. Responses were categorized into four knowledge levels: Very Good (≥80%), Good (60%-79%), Fair (41%-59%) and Poor (<40%). Statistical analysis identified associations between demographics and knowledge scores. Results: Participants exhibited fair overall awareness, with 38.5% achieving "Very Good" knowledge and 39.0% scoring "Good." While 81.5% correctly identified DES as a tear deficiency disorder and 86.8% recognized its chronic nature, misconceptions were common. Only 66.5% identified a gritty eye sensation as a symptom and 65.8% linked low humidity to symptom worsening. Awareness gaps were more prominent in rural populations (59% of participants) and those with lower education levels. Conclusion: Despite satisfactory overall awareness, significant gaps persist in recognizing symptoms, preventive measures and complications of DES. Targeted educational interventions and improved rural healthcare outreach are crucial to enhancing public understanding, promoting timely care and reducing preventable ocular complications.