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Dry Eye Syndrome

DEFINITION OF DRY EYE SYNDROME

Dry Eye Syndrome (DES), also known as Keratoconjunctivitis Sicca, is a common condition where the eyes do not produce enough tears or the quality of tears is poor, leading to dryness, irritation, and discomfort. Prolonged screen time, pollution, aging, and nutritional deficiencies contribute to tear film instability, causing redness, blurred vision, and eye fatigue.

RISK FACTORS OF DRY EYE SYNDROME

SYMPTOMS

 

The dry or uneven tear film causes friction on the cornea and conjunctiva

 Mild to intense burning, especially after reading, screen time, or exposure to wind or air conditioning

      • Subjective feeling of dryness, even if the eyes appear moist

      • Often worsens throughout the day or in dry environments (airplanes, heated rooms)

Chronic irritation and inflammation of the ocular surface

    • Why it’s misleading: The eyes may actually produce too many reflex tears in response to dryness

    • Tears lack proper composition, so they don’t lubricate effectively

TREATMENT TYPES

    • Blink more consciously, especially during screen use

    • Follow the 20-20-20 rule (every 20 minutes, look 20 feet away for 20 seconds)

    • Use a humidifier in dry rooms

    • Avoid direct air conditioning, fans, or wind on your face

    • Wear wraparound sunglasses outdoors to reduce tear evaporation

    • Stay hydrated (drink plenty of water)

  • Over-the-counter, preservative-free artificial tears for frequent use

  • Use 3–6 times per day, or as needed

  • Gel drops or ointments for nighttime use

Avoid drops with vasoconstrictors (like “get-the-red-out” drops), which can worsen symptoms over time.

  • Warm compresses to loosen oil gland secretions (10 minutes, 1–2x daily)

  • Clean lash line with lid wipes or diluted baby shampoo

  • Helps manage blepharitis and meibomian gland dysfunction (MGD), which often contribute to dry eye

        • Cyclosporine (Restasis) – long-term use improves tear production

        • Lifitegrast (Xiidra) – targets inflammation and discomfort

        • Corticosteroid drops (short-term use only for flares)

      • Tiny, biocompatible plugs inserted into the tear drainage ducts (puncta)

      • Helps retain natural and artificial tears on the eye surface

      • Temporary or permanent options available

      • Especially helpful in moderate to severe dry eye

FAQS

Dry Eye Syndrome is a condition where your eyes don’t produce enough tears or the tears evaporate too quickly, leading to dryness, irritation, inflammation, and sometimes blurry vision. It can affect one or both eyes and range from mild to severe.

  • Aging (especially over 50)

  • Hormonal changes (e.g., menopause)

  • Long screen time (reduced blinking)

  • Medications (antihistamines, antidepressants, birth control)

  • Contact lens use

  • Autoimmune diseases (e.g., Sjögren’s syndrome)

  • Environmental factors (wind, AC, dry air)

      • Grittiness or sandy sensation

      • Burning or stinging

      • Redness

      • Excessive tearing (paradoxical)

      • Blurred or fluctuating vision

      • Sensitivity to light

      • Eye fatigue

      • Difficulty wearing contact lenses

  • While many cases are mild, chronic or untreated dry eye can lead to:

    • Corneal damage or ulcers

    • Increased risk of eye infections

    • Severe discomfort and reduced quality of life

     

  • Early treatment helps prevent complications.

  • Dry eye is usually chronic, but symptoms can be well-managed with proper care. Treatment depends on the cause and severity and may include:

    • Artificial tears

    • Prescription drops

    • Eyelid hygiene

    • Punctal plugs

    • Lifestyle and diet changes

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