The study evaluated the effect of regular spectacle wear on dry eye parameters and binocular visual function in 120 myopic adult patients with dry eye disease (DED). The patients were divided into a group with normal wearing of glasses (n=68) and a group with minimal wearing. The regular glasses group had significantly longer mean tear break-up time (Ave TBUT) and lower ocular surface disease index (OSDI) scores (p < 0.05), with no difference in tear meniscus height (TMH). Binocular accommodative function was better in those with lower positive relative accommodation (PRA), higher negative relative accommodation (NRA), and greater both monocular and binocular accommodative flexibility (AF) (all p < 0.05). Ave TBUT correlated negatively with PRA and positively with NRA and AF (p < 0.05), while TMH showed no significant correlations. Regular spectacle wear is associated with improved tear film stability, fewer dry eye symptoms, and better binocular visual function.