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Dry Eye Syndrome

Medically reviewed by Last updated on Aug 31, 2022.

What do I need to know about dry eye syndrome?

Dry eye syndrome happens when the eye has trouble keeping moisture. This may be caused by a lack of tears or having tears that cannot moisturize the eye. It may also happen when tears leave the eye too quickly. Dry eye syndrome may also be called dry eye disease or keratoconjunctivitis sicca (KCS).

What causes dry eye syndrome?

  • Dry or windy environments that cause tears to evaporate
  • Conditions that decrease the amount of tears the eye glands make
  • Eye diseases that cause inflammation of the surface of the eye or eye glands
  • Chemical or thermal burns of the eye

What increases my risk for dry eye syndrome?

  • Age older than 65
  • Pregnancy or menopause
  • Medical conditions such as Sjögren's syndrome, hyperthyroidism, or graft-vs-host disease
  • Eye surgery such as LASIK, cataract surgery, or cosmetic surgery to lift the eyelids
  • Certain medicines, such as Parkinson disease medicine, hormone replacement therapy, or blood pressure medicine
  • Wearing contact lenses

What are the signs and symptoms of dry eye syndrome?

  • Stinging, burning, or itching in one or both eyes
  • Red or watery eyes
  • Eye pain when you look at light
  • Feeling like something is in your eye
  • Blurry eyesight or loss of vision
  • Not being able to cry or make tears when you are sad or upset

How is dry eye syndrome diagnosed?

Tell your healthcare provider about your symptoms and any medicines that you take. Your provider will use a microscope to examine your eyes for swelling or injury. He or she will also look for problems with the glands that make tears. He or she may measure the amount of moisture in your eyes with a tiny test strip.

How is dry eye syndrome treated?

Your provider may change the type of contact lenses that you wear. You may need to stop wearing your contact lenses. Your provider may stop or change medicine that is causing your dry eyes. You may also need any of the following:

  • Medicine may be given to decrease pain or swelling, or treat an eye infection. You may also need medicine to increase the amount of tears your eye makes. These medicines will be given as eyedrops.
  • Lacrimal plugs can be placed into your lacrimal gland. Your lacrimal gland is where tears drain from your eyes to your nose. Plugs prevent tears from leaving your eyes. This may also prevent dry eye.
  • Surgery may be needed if other treatments do not work. Surgery can be done to permanently close your lacrimal glands. This will prevent tears from leaving your eyes. This may also prevent dry eye.

Treatment options

The following list of medications are in some way related to or used in the treatment of this condition.

What can I do to manage my symptoms?

  • Use artificial tears, gels, and lubricating ointments as directed. They are available without a doctor's order. These products can replace tears and help add moisture to your eyes. Ask your provider how often to use these products. Also ask where to buy them.
  • Apply a warm compress to your eyelids as directed. Use a soft washcloth soaked in warm water. Leave the compress on your eyelids for 5 minutes. Gently massage your eyelids after you remove the compress. These actions may help open your tear glands. Your tear glands can make oil that will help keep tears and moisture on the eye's surface.
  • Wear glasses or sunglasses that cover the sides of your eyes and fit close to your face. These will protect your eyes from dry air. They may also help keep moisture in your eyes.
  • Use a humidifier in your home. A humidifier may help keep moisture in the air and prevent dry eyes.
  • Take vitamins and supplements as directed. Certain vitamins and supplements may help decrease eye dryness. Examples include fish oil and vitamin A. Ask your provider what supplements you need and how often to take them.
  • Eat foods with high amounts of omega-3 fatty acids. Examples include salmon, tuna, walnuts, and flaxseeds. Omega-3 fatty acids may help relieve dry eyes. Ask your provider for a list of foods that contain fatty acids and how much you should eat each day.
    Sources of Omega 3
  • Do not smoke. Nicotine and other chemicals in cigarettes and cigars can cause lung damage. Smoke from cigarettes and cigars can make dry eyes worse. Ask your provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your provider before you use these products.

When should I contact my healthcare provider?

  • Your dry eyes do not get better with treatment or get worse.
  • You have thick, yellow drainage from one or both eyes.
  • Your eyelids or skin around your eyes is red and swollen.
  • You have changes in your vision.
  • You have questions or concerns about your condition or care.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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Treatment options

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Further information

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