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Dry Eye Syndrome

If you suffer from chronically dry eyes, you aren’t alone: up to 16 million people in the United States have dry eye Trusetd Source Checkbox Trusted Source Prevalence of Diagnosed Dry Eye Disease in the United States Among Adults Aged 18 Years and Older Farrand KF, Fridman M, Stillman IÖ, Schaumberg DA Go to Source syndrome. Dry eye can be uncomfortable, and for many of our patients, over-the-counter remedies such as artificial tears only provide temporary relief. Fortunately for our patients in the Portsmouth, Virginia Beach, and Chesapeake, VA areas, the eye doctors at Tidewater Eye Centers provide a number of treatment options to help them achieve effective and long-lasting relief from dry eye symptoms.

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What is Dry Eye Syndrome?

Dry eye syndrome, sometimes referred to as dry eye disease, is a common eye condition caused by a lack of eye lubrication. Chronic dry eye is more than simply an annoyance: without proper treatment, dry eye syndrome can lead to lasting vision problems including ulcers, pain, or even vision Trusetd Source Checkbox Trusted Source What is Dry Eye? American Academy of Ophthalmology Go to Source loss.

Graphic describing the anatomy of the eyeball

Symptoms of Dry Eye

Dry eye syndrome symptoms may include:

  • Blurry vision
  • Watery eyes
  • Red eyes
  • Eyes that burn or sting
  • Itchy eyes
  • The sensation that something is in your eyes
  • Thick, stringy discharge from the eyes
  • Light sensitivity
  • Eye fatigue
  • Difficulty wearing contact lenses

Causes of Dry Eye

Dry eye syndrome can be caused by one or more of these risk factors:

  • Environmental factors, such as pollutants, dust, smoke, or wind
  • Dietary factors
  • Wearing contact lenses for too long
  • Medications, including birth control pills, antidepressants, diuretics, antihistamines, decongestants, and blood pressure medications
  • Hormonal changes
  • Menopause
  • Lupus
  • Diabetes
  • Rheumatoid arthritis
  • Thyroid disease
  • Sjogren’s syndrome
  • Autoimmune disorders
  • Blepharitis
  • Eye disorders such as entropion or ectropion
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How Tears Work

Every time you blink, your tears moisturize your eyes and clear them of debris. There are three layers to the tear film: an oil (lipid) layer, an aqueous layer, and a mucin layer. In order to keep your eyes properly lubricated, a balance must be reached between the quality of your tears and the amount of tears produced.

Types of Dry Eye

Aqueous-Deficient Dry Eye

When a person has aqueous-deficient dry eye, the water (aqueous) part of their tears is poorly balanced. Many of our patients are able to achieve relief from aqueous-deficient dry eye using over-the-counter eye drops.

Evaporative Dry Eye

Evaporative dry eye is a result of a deficiency of the oil (lipid) layer of the tear film. Without sufficient lipids, the aqueous tear layer can’t hold enough moisture. This causes tears to evaporate more quickly than they should.

Meibomian Gland Dysfunction

The leading cause of dry eye syndrome is meibomian gland dysfunction. The lipid layer of the tear film is produced by the meibomian glands. Evaporative dry eye is often caused by a blockage of the meibomian glands. Blepharitis is also a side effect of meibomian gland dysfunction. This occurs when bacteria accumulates on or under the upper or lower eyelids, and can also cause dry eye symptoms.

Home Remedies for Dry Eye

Over-the-counter or home remedies for dry eye may help temporarily alleviate symptoms. Things you can try at home to improve dry eye include:

Changing your environment: Try turning fans away from your face, using a humidifier, reducing the amount of time you wear contact lenses, and taking frequent breaks from looking at computer or smartphone screens.

Artificial tears: Over-the-counter eye drops can provide temporary relief from dry eye syndrome. It is important to select eye drops without preservatives that are designed to lubricate your eyes, not just reduce redness.

A warm compress: Holding a heat mask over your eyes for 15 minutes is often helpful.
Vitamins and supplements: Tear production may be benefitted by eye health supplements and Omega-3 fatty acids.

man using eye drops for dry eye
happy couple at the beach

Professional Treatment for Dry Eye

When over-the-counter products and home remedies aren’t providing adequate relief from dry eye symptoms, it is time to seek professional help from your ophthalmologist. At Tidewater Eye Centers, we provide a full range of dry eye treatments, including:

TearCare®

With a single comfortable TearCare session, our eye doctors can clear blockages in the meibomian glands, which is a common cause of dry eye. Patients simply relax in our office wearing a TearCare device over their eyes. The device applies constant therapeutic heat to the meibomian glands over the course of 15 minutes. Following the application of moist heat, a gentle massage is performed to clear blockages and remove debris. According to clinical research, just 12 minutes of TearCare treatment provides more relief than weeks or months of using a warm Trusetd Source Checkbox Trusted Source A novel system, TearCare®, for the treatment of the signs and symptoms of dry eye disease Badawi D Go to Source compress.

OCuSOFT® Thermal 1-Touch™

This in-office dry eye treatment provides our patients with fast relief. A small device is used to deliver steady, targeted heat, breaking up blockages in the meibomian glands so that the eye’s natural lubrication can properly function.

BlephEx® for Blepharitis

Blepharitis is a condition that frequently accompanies dry eye syndrome, and is caused by excessive bacterial growth on or under the eyelids. Blepharitis is often caused by meibomian gland dysfunction. BlephEx is a micro-sponge that our eye doctors gently pass over the inner and outer surfaces of the eyelids, removing bacteria and biofilm and exfoliating the area to prevent future buildup. After sweeping BlephEx medical grade sponges over the area, the doctor rinses away Trusetd Source Checkbox Trusted Source BlephEx Information for Providers Alcon Go to Source debris.

Prescription Eye Drops

For patients who suffer from aqueous-deficient dry eye syndrome, we offer Restasis® and Xiidra®. These prescription eye drops provide our patients with long-lasting symptom relief, unlike eye drops that are available over-the-counter.

Punctal Plugs

Punctal plugs are also known as tear duct plugs or lacrimal plugs. Your eye doctor will insert these tiny devices into your tear ducts to prevent drainage and help keep your eyes lubricated.

punctal plugs graphic

Frequently Asked Questions About Dry Eye

Does dry eye go away?

If you suffer from chronic dry eye, it won’t go away on its own. When over-the-counter remedies don’t provide you with dry eye symptom relief, it is important to seek professional treatment in order to prevent more serious eye problems like recurring eye infections, ulcers, and damage to the Trusetd Source Checkbox Trusted Source Dry Eyes Mayo Clinic Go to Source cornea.

How can I have dry eye if my eyes are constantly watering?

It may seem like dry eye syndrome and watery eyes are contradictory. However, the eyes sometimes produce extra tears to combat dryness and a lack of lubrication, which may be caused by poor tear production, poor tear quality, and rapid tear evaporation.

Contact Us

If you suffer from the uncomfortable symptoms of dry eye syndrome, our eye doctors can help you find lasting relief. Complete the form below to schedule a dry eye consultation: our eye care experts are proud to serve patients from Chesapeake, Virginia Beach and Portsmouth, VA and nearby communities.

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1 Farrand KF, Fridman M, Stillman IÖ, Schaumberg DA. Prevalence of Diagnosed Dry Eye Disease in the United States Among Adults Aged 18 Years and Older. Am J Ophthalmol. 2017 Oct;182:90-98. doi: 10.1016/j.ajo.2017.06.033. Epub 2017 Jul 10. PMID: 28705660. Available: https://pubmed.ncbi.nlm.nih.gov/28705660/. Accessed January 18, 2023.
2 American Academy of Ophthalmology. What is Dry Eye? Available: https://www.aao.org/eye-health/diseases/what-is-dry-eye Accessed January 18, 2023.
3 Badawi D. A novel system, TearCare®, for the treatment of the signs and symptoms of dry eye disease. Clin Ophthalmol. 2018;12:683-694. Published 2018 Apr 10. doi:10.2147/OPTH.S160403. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903489/. Accessed January 31, 2023.
4 Alcon. BlephEx Information for Providers. Available: https://professional.myalcon.com/ocular-health/dry-eye/blephex/?gclid=Cj0KCQjw5uWGBhCTARIsAL70sLI2MesSKSdBtmFZDUBOvHbDOWmV1sV5Z3zr7juQ7puhPpuM0pPCp_YaAsqHEALw_wcB&gclsrc=aw.ds. Accessed January 31, 2023.
5 Mayo Clinic. Dry Eyes. Available: https://www.mayoclinic.org/diseases-conditions/dry-eyes/symptoms-causes/syc-20371863 Accessed January 18, 2023.

The doctors at Tidewater Eye Centers have either authored or reviewed the content on this site.