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What is Dry Eye

Prevalence, Symptoms, Causes, Complications, Tests, and Treatments

Dry Eye – What Is It?

Dry Eyes is a condition in which there are not enough tears to lubricate and nourish the eyes. Other names for dry eye include aqueous tear deficiency, dry eye syndrome, dysfunctional tear syndrome, evaporative tear deficiency, keratoconjunctivitis sicca (KCS), lacrimal keratoconjunctivitis, and LASIK-induced neurotrophic epitheliopathy.

The term “dry eyes” is not as simple as it may sound. It actually is quite complex. It involves the quantity or tears, quality of the tears, or both.

  • Decreased in the production of tears by the lacrimal gland so there is not enough moisture for your eyes. This is fairly common in people older than 50 years, and especially afflicts women more than men.
  • Decreased in the quality of tears produced by the lacrimal gland. Tears are a combination of several substances, namely: oil, water, mucus, and antibodies and special proteins. Any problems with any of these components can cause Dry Eyes.

Dry eye affects an estimated 25 million people in the United States and is
one of the most common reasons that people visit their eye doctor.

[Source: Market Scope. 2011 Comprehensive Report on the Global Dry Eye Products Market. St. Louis, Mo: Market Scope, November 2011]

What Causes Dry Eyes

Dry eyes can be the result of an eye-strain caused by infrequent blinking while reading, working on a computer or watching TV. However, it may also be caused by other conditions that make it either temporary or more chronic in nature, such as:

  • Accidents that may scar the eyelid membrane like thermal or chemical burns
  • Adverse effect of some medications you are taking like antihistamines, nasal decongestants, tranquilizers, some anti-hypertensive medicines, Anti-depressants, birth control pills, Parkinson’s medications, or even excessive dose of vitamins
  • After undergoing LASIK refractive surgery
  • Age, especially during the post-menopausal stage among women
  • Chronic conjunctivitis, the membrane lining the eyelid and covers the front of the eye or the lacrimal (tear) gland
  • Exposure to irritants such as chemical fumes, tobacco smoke, or drafts from cooling/heating units
  • Extended wearing of contact lenses that may result to loss of sensation in the cornea
  • Gland dysfunction in the eyelids
  • Hormone replacement therapy for women
  • In exposure keratitis, a condition in which the eye’s cornea, the front part of the eye, becomes inflamed so the eyelids do not close completely when asleep
  • Pregnancy
  • Presence of allergies associated with dry eyes
  • Some homeopathic remedies. These are typically derived from plants, herbs, minerals, or animal products
  • Very dry air like in an airplanes

Studies indicate that prevalence of Dry Eyes increases with age.
It is estimated that 3.2 million women and 1.68 million men,
age 50 and over have dry eyes.

[Sources: Schaumberg DA, Dana R, Buring JE, Sullivan DA. Prevalence of dry eye disease among US men: estimates from the Physicians’ Health Studies. Arch Ophthalmol. 2009;127:763-8 and Schaumberg DA, Sullivan DA, Buring JE, Dana MR. Prevalence of dry eye syndrome among US women. Am J Ophthalmol. 2003;136:318-26.]

Symptoms of Dry Eyes

Here are some of the common signs and symptoms associated with Dry Eyes:

  • Blurred or double vision
  • Dull pain and/or feeling of weight on the eyelids
  • Eye tiredness and/or soreness
  • Eyelids that stick together when you wake up.
  • Feeling of dirt, sand, foreign object in the eye
  • Mild swelling of eyelid
  • Redness of the eyes
  • Sensitive eye reaction to smoke, air, and light
  • Stinging, scratchy and burning sensation in the eyes
  • Stringy mucus, usually yellowish, in or around the eyes

In some instances, dry eyes cause excessive tears. This is just the nervous system’s protective mechanism at work. But this liquid is mostly water and lacks the composition of the normal tears for the proper lubrication of the eye.

Risks and Complications of Dry Eyes

Dry Eyes has become so common nowadays that many, including you, may dismiss it as a mere result of eye fatigue due to your day-to-day activities and ignore it altogether.

Although generally, dry eyes do not cause serious problems (only discomfort and interruption to normal activities), if left untreated, it can lead to more complications like 1) Corneal ulcer (ulcerative keratitis), an inflammatory infection where there is abrasion or scarring of epithelial layer of your cornea which may result to blindness, and 2) Conjunctivitis (pink eye), an inflammation of the conjunctiva, where the whites of the eyes look inflamed, and red or pink;

It is always safe to consult a board-certified Ophthalmologist
for accurate diagnosis and effective treatments.

Treatments for Dry Eyes

Depending on the underlying cause(s) of dry eyes, several treatments can be done, all with the primary aim of keeping the eye adequately lubricated.

Some of these treatments include:

  • Antibiotic drops
  • Applying a warm compress to the outer eyelids
  • Artificial tears
  • Corticosteroids drops to control inflammation
  • Discontinuance of contact lens usage
  • Eye ointments
  • Immune suppressing cyclosporine (Restasis) drops
  • Eye Closure/Rest
  • Natural treatment such as Omega 3
  • Salivary gland transplantation
  • Scleral contact lens
  • Special eyewear
  • Thermal cautery

More information here: How to Relieve Dry Eye Syndrome

Why Go To An Ophthalmologist When You Have Dry Eyes?

The discomfort and interruption on daily activities caused by dry eyes make this condition one of the most common reasons why people visit their eye doctor.

However, Dry Eyes may also have  serious underlying causes such as diabetes, hypothyroidism, fibromyalgia, dehydration, lupus, rheumatoid arthritis, scleroderma, sjogren’s syndrome, vitamin A deficiency, and the blinding disease: glaucoma .  That said, early diagnosis and treatment of dry eyes by a Board-certified Ophthalmologist is strongly advised.

[Sources:

  • Diseases and Conditions Dry Eyes. August 4, 2012. http://www.mayoclinic.org/diseases-conditions/dry-eyes/basics/definition/con-20024129 (accessed January 24, 2015).
  • Facts About Dry Eyes. August 2009. https://www.nei.nih.gov/health/dryeye/dryeye (accessed January 25, 2015).
  • Hypothyroidism – Signs and Symptoms. March 3, 2014. http://www.thyroiduk.org.uk/tuk/about_the_thyroid/hypothyroidism_signs_symptoms.html. Market Scope, November 2011. National Eye Institute (NEI). August 2009. https://www.nei.nih.gov/health/dryeye/dryeye (accessed January 25, 2015).]

Cataract, Glaucoma and other eye diseases are detected through a comprehensive eye exam which may include visual acuity test, dilated eye exam, optic nerve scan and tonometry.

If you would like Dr. Richardson to thoroughly check your eyes for cataracts or other vision disorders,
give us a call at (626) 289-7856 or...

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