Rest of List:0.001% preservative, potassium chloride, purified water, sodium chloride, sorbitol. May contain hydrochloric acid and/or sodium hydroxide

Active Ingredients: Polyethylene Glycol 0.6%Inactive Ingredients: Boric Acid; Dimyristoyl Phosphatidylglycerol; Edetate Disodium; Hydroxypropyl Guar; Mineral Oil; Polyoxyl 40 Stearate; Polyquad (Polyquaternium-1); Sorbitan Tristearate; Sorbitol; Purified Water; May Contain: Hydrochloric Acid and/or Sodium Hydroxide to adjust pH

Can I use them while wearing contact lenses?

Per my ophthalmologist he recommends them off label for use with contacts. They do not contain the preservative that would necessitate contact removal to use product to prevent eye damage. I have used them with extended wear contacts for 10+ yrs. Have never had an issue.

How does this "balance" formula compare to Systane Ultra in terms of dry eye relief ?

Ultra formula doesn't give same protective layer. I have moderate to sometimes severe dry eye. Balance formula even works to help my natural tears. May blur for few seconds. No burn.

does this product resemble natural tears

This product is a lubricant for dry eyes. I am not sure what you mean by 'natural tears'. Your eyes don't keep watering after using this product, it just lubricates it to relieve the dryness.

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👓 See the world clearly with SystaneBalance!

INTENSIVE RELIEF - Clinical-strength therapy for dry eyes
ESSENTIAL HYDRATION - Replenishes vital moisture for eye health
LIPID LAYER SUPPORT - Helps restore delicate eye moisture
RESTORE YOUR VISION - Dr. Recommended Brand of Artificial Tears
LONG LASTING COMFORT - Provides enduring relief from dryness

SystaneBalance Lubricant Eye Drops are a clinically recommended solution designed to support and restore the delicate lipid layer of your eyes, providing lasting relief from dry eye symptoms with essential moisture replenishment.