Highlights ·        Dry eye disease (DED) has been associated with systemic and chronic diseases like hypertension, diabetes, and autoimmune diseases.1 ·        Dry eyes in hypertensive patients have not been studied as extensively as with diabetes; however, its prevalence was estimated to be 48.5%.2 ·        There is a high prevalence of chronic metabolic diseases such as diabetes, hypertension, dyslipidemia, and obesity among patients with DED.