“…To gain further insight into the microbial community composition of the dry eye, we narrowed our focus to examine the closed eye microbial composition at the time of randomization. As indicated by our more general analysis, both diversity (richness, ANOVA, f =6.1, P =0.016, evenness, ANOVA, f =24, P =5.8 x10 -5 6 and Shannon diversity, ANOVA, f =23, P =8.1 x10 -8 , Fig. 4a) and multivariate clustering of these communities are distinct at baseline (PCoA, PERMANOVA, R 2 =1.34 P =0.00033, RDA, variance =53.95, f =7.12, P =0.001 and CCA, chi 2 =0.09, f =7.12, P =0.001, Fig.…”