What Are the Symptoms of Dry Eyes? 

  • Scratchiness
  • Foreign Body Sensation
  • Pain
  • Redness
  • Watery Discharge
  • Heaviness in Eyelids
  • Light Sensitivity
  • Eye Fatigue
  • Blurred Vision

If you experience these symptoms, you may be suffering from dry eye disease. 

What is Dry Eye Disease?

Dry eye disease occurs when the balance of factors that keep the eyes moist and comfortable is disrupted. This can result from inadequate tear production, tear evaporation, or underlying medical conditions.

The risk of developing dry eye disease increases with age, and women are more likely to be affected than men. However, the condition is becoming increasingly common among younger individuals due to increased screen time and other lifestyle factors. 

Dry eyes can start out as uncomfortable and annoying, but left untreated, dry eye disease can lead to serious complications, including permanent vision impairment. Early diagnosis and treatment are crucial to prevent long-term damage. 

A close up of an eye with the words " how to make your eyes look bigger ".

What Role Do Our Tears Have in Dry Eye Disease?

The tear film is a complex fluid with various substances that work together to create a protective barrier over the eye's surface. 

Major tear film components:

  • Mucins (proteins): Binds tears to the eye, ensuring even spread.
  • Aqueous: Nourishes the eye, fights infection, and removes debris
  • Lipids: Prevents tear evaporation, maintaining a smooth surface

The balance of these components is vital for a healthy tear film, ensuring optimal vision and comfort. Any disruption to this balance causes dry eyes. 

What Are the Causes of Dry Eyes?

There are two leading causes of dry eyes, and often there is overlap between these two main causes of dry eyes.

  • Evaporative Dry Eye, or Meibomian Gland Dysfunction, is classified by the rapid evaporation of tears caused by a deficiency in the oil layer.
  • Aqueous-deficient dry eye is classified by a reduction in the quantity of tears produced by the lacrimal glands.
A close up of an eye with the reflection of a cactus in it

Several factors can affect tear production or the condition of the eye in general. Dry eyes can result from many factors, including but not limited to:

Incomplete Blink

Proper blinking spreads our tears evenly over the ocular surface and helps our lids secrete oil from our Meibomian glands. 

Age

The amount and quality of tears the eyes produce decrease with age

Gender

Due to hormonal changes, pregnancy, the use of contraceptives, and menopause, women have a higher chance of developing dry eyes. 

Cosmetics & Skincare Products

You may find ingredients that are toxic and cause dry eyes in cosmetic and skin care products. Products exist that are hypoallergenic, organic, or vegan. 

Eyelid Problems

Conditions such as ectropion (out-turning of the lids) and entropion (in-turning of the lids) can produce more exposure or friction and cause the normal tear film to break up faster

Recent Surgical Procedures

Refractive eye surgery like LASIK can cause decreased tear production. This is due to a permanent change to the front surface of the eye.

Medications

Medications such as blood pressure medications, antidepressants, sleeping pills, heartburn tablets, drugs for acne, birth control, hormone replacement, allergies, cold, and Parkinson’s disease can reduce tear production. 

Health Conditions

Vitamin A deficiency and autoimmune diseases like rheumatoid arthritis, Sjögren’s syndrome, scleroderma, lupus, and thyroid disease can decrease tear production 

Indoor and Outdoor Environmental Conditions

Exposure to dry air, whether indoors (air conditioning, heating) or outdoors (dry climates, wind, pollution), can contribute to dry eyes. 

Lifestyle Factors

Substance use (tobacco, excessive alcohol), lack of sleep, and dehydration can all lead to tear film instability

Contact Lenses

Wearing contact lenses can irritate the eyes and contribute to dryness

Screen Time

Excessive screen use can lead to reduced blinking, leading to tear evaporation. 

A venn diagram of the two circles with different words in them.

How Might Dry Eyes Affect You?

Short-term effects of dry eye disease include constant eye irritation, blurry vision, regularly tired eyes, and difficulty wearing contact lenses.

 

  • Dry eyes can start out as uncomfortable and annoying, but more than that, they can cause permanent vision impairment if not taken care of and managed well.
  • Dry eyes can also impact the way you usually live your life. People may face lifestyle restrictions. Simple daily activities like reading, working, and driving can become difficult.
  • Dry eyes can also get in the way of productivity at work and non-work-related activities. Dry eyes can even impact the quality of life.

 

Therefore, diagnosing and treating dry eye disease in its early stages is essential.