Dry Eye

What are the symptoms of dry eye?
What causes dry eye?
Why are my eyes sometimes watery?
Do I need any tests?
How can the condition be treated?
Help yourself

What is dry eye?

If you are suffering from dry eye, your eyes do not make enough tears or the tears produced are of poor quality and do not contain the right balance of mucus, water and oil.
Dry eye is probably the most common of all eye problems. Many adults suffer from dry eye, but most people are unaware that this condition exists.
Most sufferers are middle-aged or elderly women, but men and young adults can also suffer.

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What are the symptoms of dry eye?

You may have dry, red, burning, gritty or watery eyes which are very sensitive to bright light. Your eyes may become itchy, particularly later in the day and you may notice mucus around your eyes when you wake up in the morning.
In situations where you blink less often leg when you are reading a book, watching television, or when you are driving) fewer tears are produced and the problem is more noticeable.
Your eyes may always look red, or you may feel there is something in your eye (it often feels like a tiny grain of sand).

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What causes dry eye?

The symptoms of dry eye may be caused by other medical conditions, such as allergies affecting your eyes and some types of arthritis.
Certain medicines can also lead to dry eye and the symptoms are made worse when the air is very dry or smoky.
Dry eye may also be caused by problems with your eyelids, particularly if they are inflamed, which can prevent your eyes from producing tears or prevent the tears reaching your eyes. This can happen if the tiny drainage channels that your tears pass through become blocked.

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Why are my eyes sometimes watery?

Some people with dry eye find that their eyes are constantly watery. This may be confusing when you have been told by your doctor that your eye symptoms are caused by your eyes being too dry.
This is because your tears do not contain the right balance of mucus, water and oil to coat your eyes properly. This causes the surface of your eyes to dry out and feel irritated and your eyes react by produci ng large amounts of poor quality tears to try to compensate for this.

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Do I need any tests?

If your doctor needs to confirm your condition or you have other eye problems, you may need to be referred to an eye specialist. The specialist will examine your eyes with a high-powered magnifying lens and test your eyes with special eye drops. The eye specialist may use a dye to test whether the tear drainage channels in your eyes are causing the problem.

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How can the condition be treated?

Any irritant or allergy that affects your eyes needs to be avoided if possible.
Whatever the cause of dry eye it will be helpful to put artificial tear drops into your eyes as often as is needed (every hour if necessary) to keep your eyes comfortable. These drops are available with or without a prescription from the chemist. Ointments are also available to provide longer lasting or overnight lubrication. If you need to use the drops and ointments frequently (more than four times a day), it is advisable to avoid those containing preservatives which can irritate your eyes.
Treatment of the underlying cause can sometimes improve your symptoms. In more severe cases of dry eye it may be effective to block the tiny drainage channels (known as lachrymal ducts) which drain away the tears. This will help to moisten your eyes. This can be done by ah eye specialist using temporary plugs inserted into the ducts or by treatment to block them permanently.

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Help yourself

This factsheet supported by Allergan

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