Dry Eyes Symptoms, Causes, Treatment and Prevent

Worried of your dry eye? Here’s a comprehensive guide to the causes, signs and symptoms, diagnosis, treatment and prevention to your dry eye disease.

The layer of tears covering your cornea undergoes the principal effect of your dry eye disease. Dry eye conditions cause your tears to evaporate too fast, resulting in insufficiency of tears in your eyes. A gritty feeling with an itchy and burning sensation is the most common symptom of a dry eye. Take a look further to discover treatment methods, eye drops or other solutions for your dry eye disease.

Dry Eye: An Overview

Tears occur in three different layers and function in covering and protecting the surface of your eyes. The condition of dry eye affects this tear film the most. For a clear and comfortable vision, your team film must be stable and smooth enough. Dry eye disorder disrupts your tear film, leading to symptoms like blurred vision, itchiness or burning sensation.

The proper functioning of your tear film may face obstacles due to several factors, and this eventually leads to conditions of dry eyes. This is why healthcare experts often regard dry eye as a multi-factorial disease. Dry eye may gradually lead to serious optical complications or other severe consequences. It is, therefore, essential to find out the root causes of this problem. Timely management and treatment under the supervision of ophthalmologists can help take control over your dry eye condition.

What are the different dry eye diseases?

Most of the people mistake dry eye disease as a mere condition of insufficient production of tears from your eyes. However, this is not the case. Following is a brief description of the different types of dry eye disease:

  • Aqueous deficient dry eye: It is the condition where the production of tears from your eyes is relatively insufficient. The lacrimal gland located in the outer upper corner of your eyes is the main origin of your aqueous tears. In your tear film, these aqueous tears form the watery middle layer.

This particular condition may be due to autoimmune conditions generating inflammation in your lacrimal gland. This is the reason you cannot get enough tears.

  • Evaporative dry eye: In this condition, your tears evaporate rapidly. The ultimate cause for such a condition is the dysfunctioning of your meibomian gland. Meibomian gland present in your eyelids produces the external oily layer of your tear film. When this gland does not work properly, this may lead to dry red eyelids. The instability of this outer oily layer fails to protect your middle watery layer from drying up.
  • Mixed dry eye: there are some people who experience both aqueous tear deficiency as well as tear instability. This suggests along with instability of your tear film, your eyes fail to produce sufficient tears. Both these problems indicate to symptoms of dry eye.

Is dry eye disease common?

The occurrence of dry eye syndrome is quite common. According to research surveys, more than 16 million people of the US population experience dry eye disease. In fact, tens of millions of people across the globe are likely to experience dry eye conditions.

On the other hand, the Asian population is more prone to develop dry eye symptoms in comparison to the Europeans or North Americans. Besides racial background, females undergoing menopause frequently get this conditions.

What does a dry eye indicate?

A dry eye may occur on its own or it may be a result of some underlying medical condition. In most of the cases, dry eye indicates:

  • Almost 10% people experiencing aqueous deficient dry eye are likely to develop Sjögren’s syndrome
  • If you are undergoing a dry eye complication, there is a 50/50 chance that you are already a diabetes patient
  • Thyroid eye disease
  • Blepharitis

Symptoms of Dry Eye

In case of a dry eye condition, you might feel like the presence of some foreign substance in your eyes. This leads to a gritty, scratchy and sandy sensation. The most common symptoms of dry eye conditions are:

  • Sensitiveness towards light
  • A changed and blurry vision
  • A sensation of stinging or burning
  • Abnormal discharge of mucus from your eyes
  • Watery eyes, excessive tears running down your cheeks

The last symptom of getting watery eyes may appear confusing during a dry eye disease. However, this is a common sign of a dry eye. The actual cause of this symptom is when your meibomian gland fails to make adequate oils to cover the outer layer of your tear film. As a result, rapid evaporation of the middle water layer of your tear film takes place.

In order to compensate this, your lacrimal gland works on producing more watery tears. However, due to the absence of the oily layer these tears are not fit for coating your eyes.

Cause of Dry Eyes

Some common cause of dry eyes includes:

  • Insufficient production of tears from your eyes
  • Rapid evaporation of your tears
  • A mixed occurrence of the above two events

However, a number of other factors may be responsible for such complications, further worsening your dry eye symptoms.

What are the risks for dry eye disease?

There are some uncontrollable risks associated with your dry eye disease. In fact, your advancing ages make these risks more likely. However, you may be able to handle and adjust with some milder risks through medications.

You must consult a healthcare specialist if you observe the occurrence of any of these risk factors:

  • Environmental factors and lifestyle patterns: Risks of your dry eye may increase with changing weather conditions. Again looking at screens for a long time, allergies, smoking habits or using contact lenses are some driving factors of dry eye risks.
  • Ongoing medication: Medications for allergies, pain, blood pressure, depression, menopause or glaucoma may again pose risks for the development of your dry eye.
  • Underlying medical condition: If you are experiencing any kind of neurological, endocrine, autoimmune or optical conditions, this may become a serious threat for your super dry eyes.
  • Undertaking eye surgery: Even certain eye surgeries like cataract, cornea surgery or LASIK can equally enhance the risks of your dry eye.

Diagnostic Processes for Dry Eye Syndrome

Healthcare professionals use certain strategies to diagnose your dry eye condition. The most common strategies for dry eye diagnosis include:

1. Medical history

Before your diagnosis, you healthcare provider will definitely enquire the complete details of your past medical record. At such cases, you may require to fill in a questionnaire to inform your health concerns and ongoing symptoms in detail. For this, you need to prepare information on the following:

  • Your current symptoms associated with your eyes
  • For how long you are facing these symptoms
  • Which environmental triggers worsen your condition
  • Prevalence of other related symptoms like cavities, a dry mouth, mouth ulcers, joint pain or fatigue
  • Your allergies
  • Any history of eye diseases
  • History of other conditions like an infection or allergies
  • Any previous surgery
  • Your smoking habits
  • Which products you use for your eyes
  • How frequently do your wash your eyes
  • Any medical history or trauma related to your eyes

2. Eye exam

Next the eye specialist will run an eye exam to check your optical health and the causes of your symptoms. For this, the doctor will examine:

  • Your signs and symptoms of dry eye
  • Besides dry eye disease, any other possible cause of your symptoms
  • Your tear film health; examining the proper functioning of the three layers of tears covering your cornea

Finally, the doctor will proceed towards testing your eye.

3. Testing

No single test can diagnose your eye health. Healthcare providers run a series of tests for this purpose.

  • Slit lamp exam: This test is to check the amount of tear production from your eyes. The specialist shines a light in each of your eye. A microscope helps in examining the condition of your eyes and eyelids.
  • Schirmer’s test: Another way to check your tar production includes placing a tiny sheet of paper along the edge of your eyelid. On leaving the paper there for several minutes, your eyes produce tears in response. By looking at the area of the paper your tears cover, you can assess their amount.
  • Tear breakup time (TBUT) test: This test is to assess how fast your tears evaporate. For this test, the eye specialist first applies a dye into your eye. Next, the specialist observes the stability of your tear film with the help of a microscope. The time interval between your last blink and when your first dry area appears on your cornea. If this interval ranges below 10 seconds, it indicates dry eye disease

Healthcare providers also run other tests like antibody assessments to examine your underlying conditions of dry eye.

If you find trouble to see things clearly, we are more than happy to help. Arrange an appointment with our optometrist and get early treatment.

How can you manage your dry eyes?

The primary goals of dry eye treatment are to:

  • Ease your ongoing symptoms
  • Soothe your eyes
  • Give you a clear vision
  • Minimize the damage of your eye surface
  • Treat the underlying cause

Depending on the severity of your symptoms, your healthcare specialist will select which treatment will work the best for your dry eye condition.

Tips and Home Remedies to Fix Your Dry Eyes

Certain dry eyes remedies can make your symptoms mild, and offer you natural cure for dry eyes.

  • Avoid environmental triggers: common triggers such as cigarette smoke, allergens coming with wind may flare up your symptoms. Try to put on sunglasses or wraparound glasses when you go outdoors.
  • Use humidifiers in bedroom: Depending on your residential climate or in winter seasons, you may get to experience a dry climate with low humidity. This lack of humidity is often responsible for your dry red eyelids. In such cases, you can fit humidifiers in your bedrooms to overcome the dryness.
  • Place a warm compress on your eyes: You can get heat masks for your eyes at medical stores. Apply them on your eyes and let them rest for 10 minutes. This is a potential eye dryness cure that eases your symptoms. It enhances your meibomian gland to release more lipids to keep your eyes moist.
  • Give rest to your eyes: When you are using a computer or reading for a long time, you can take short breaks to provide rest to your eyes. After every 20 minutes of activity, you should focus your eyes on something at a distance of 20 feet, and maintain the focus up to 20 seconds. This rule may help improve your eye’s condition. In addition, remember to blink frequently while looking at TVs or computer and mobile screens to stimulate tear production of your eyes.
  • Take help of supplements: You can also take help of supplements to improve your dry eyelids. For example, omega 3 fatty acid supplements are highly useful in triggering your tear production. However, you must consult with your healthcare provider before consumption of such supplements.

Role of Eye Drops

Your healthcare provider may recommend you different kinds of eye drops. However, consult an ophthalmologist as to which one treats your condition the best.

  • Over the counter eye drops produce artificial tears in your eyes. This lubricates your eyes and offers you a temporary relief from the symptoms. However, consult your healthcare specialist before using this drop.
  • Ointments or other lubricants help to keep your eyes moist, especially when they dry up while you sleep.
  • Certain eye drops are designed to treat inflammation in your eyes. This can help alleviate the dry corner of eye by producing tears of better quality. You can notice improvements of your eye health within 3 months. A stinging sensation may occur when you are using them for the first time. However, this sensation fades away with your regular use habits.
  • Again, some other kinds of eye drops enhance the production of your basal tears by stimulating your trigeminal nerve.
  • Lastly, certain custom made drops from your serum is quite effective in alleviating your dry eye pain. However, this strategy is quite expensive.

Punctual Occlusion

If you are not getting enough tears, punctual occlusion may be an effective option for you. This can be a temporary or a permanent procedure to enhance your tear production. The healthcare providers inserts a plug into your punctum, the tear drum present on your lower eyelid. You need not worry as this process is absolutely painless. Remember that this plugging helps in tear retention in your eyes.

In temporary punctual occlusion, there is a quick dissolution of the plug. Observing your reactivity and improvement of your dry eye, the doctor recommends you a permanent occlusion in the punctum. A silicon plug is used in this case for the durability of the plug in your tear ducts for a much longer period.

Dry Eye Therapy

There are other dry eye therapy options as well to provide you help for dry eyes. For example,

  • The ‘thermal pulsation therapy’ offers a warmth and massage to your red and dry eyelids. This triggers oil production from your meibomian glands. People suffering from tear film instability due to meibomian gland dysfunction can benefit from this therapy.
  • Another dry eye solution is the ‘intense pulse light’ therapy. This process uses the light pulses to melt down the blocked gland in eye. This stimulates your gland to open up and release oils for lubricating your eyes.

Therapy with Contact Lenses

You can feel pain even while blinking if you are facing a dry eye condition. This is due to the irritation in your eye surface occurring due to the rubbing of your dry eyelids. Contact lenses offer cure for dry eyes by lubricating your eye surface. Different forms of therapeutic contact lenses include:

  • Some soft bandage lenses deliver protection to your eyes by healing the damages in your cornea.
  • Rigid sclera lenses lubricate your eye surface and improve your vision by contacting your sclera, instead of the cornea.

How to prevent dry eye conditions?

To prevent the risks of dry eye disease, you can follow measures like:

  • Take an annual check-up from a healthcare expert for your overall health and wellbeing. This can help you detect your risks of dry eye disease at an early stage. Also clarify all your enquiries and concerns related to your health.
  • Try to focus on managing medical conditions and ongoing lifestyle diseases such as diabetes. Remember that high blood sugar levels increases your risks of dry eye disease.
  • Take advice from a healthcare provider on making lifestyle changes to improve your dry eye symptoms. For example, cutting on smoking habits, taking frequent breaks from long computer screen activities or attaching humidifiers in bedrooms.

Does your dry eye go away?

Dry eye disease is basically a chronic condition that does not have any permanent cure. Instead, you may seek treatment options that help managing your symptoms. Although it is quite a stressful process, but the effort is worth it as that eases your current dry eye symptoms.

Self care during dry eye disorder

Dry eye disorder causes massive discomfort in your daily life. While managing your symptoms, you may start to feel anxiety, stress and exhaustion. In fact, all these can ultimately affect your quality of life. Consult your healthcare provider and eye specialist in such case to manage your dry eye symptoms effectively.

Remember that millions of people suffer from dry eye disease. You can connect with different communities through online platforms to take their suggestions based on their experience. In fact, sharing your challenges and concerns can help in making your life a little better each day.   

When to see the doctor?

Once you develop the dry eye disease, your ophthalmologist will guide you on when you need to visit an appointment. If any other medical condition underlies your dry eye condition, you need regular follow-ups from general physicians as well.

You need to immediately see an eye specialist if you encounter:

  • Occurrence of new symptoms
  • Worsening of your existent symptoms
  • Side effects from ongoing treatments

Key Takeaways

Dry eye disease impacts much more than simply disturbing the comfort of your eyes. You can even begin to face impairments in working, socializing or enjoying your life. A chronic dry eye condition may lead to severe risks if not treated timely.

Contact Vision Cure Clinic to get treatment and effective solutions to your dry eye symptoms from our efficient ophthalmologists and eye specialists.

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