Dry Eye Conditions

Dry eye or Dry Eye Syndrome is a very common condition that increases with age and affects around 2 million people in the UK – usually more women than men. Dry eye symptoms occur when people don’t have either enough tears, or the correct composition of tears, on the surface of their eyes to lubricate the eyes and keep them comfortable.
stock image of middle aged man putting eye drops into his eyes to treat glaucoma

What are Dry Eye Symptoms?

  • Persistently gritty
  • Itchy
  • Burning
  • Pain
  • Tired eyes

These dry eye symptoms worsen as the day goes on. Stringy mucus may appear in or around the eyes. Usually patients who have dry eye are aware of their condition. Patients with the most severe disease are at increased risk of developing corneal infection, scarring or ulceration. These conditions can cause permanent vision loss, so it is important to seek professional help if you have severe symptoms.

What Causes Dry Eye Syndrome?

There are three main components that cause dry eye symptoms and one individual may have one, two or all three components:

  1. Underproduction – where there is poor production of fluid by the lacrimal glands.
  2. Evaporative – tears evaporate too quickly. Result of poor oil production by eyelid meibomian glands.
  3. Inflammatory – seen in conjunction with dry eye and requires specific treatment.

Hormonal changes can also be a cause of eye dryness in women, with around 61% experiencing dry eye symptoms as a result of the menopause. Changing hormone levels , such as reductions in androgens and oestrogen during menopause, can affect all three layers of the tear film, impacting the quantity and quality of tears.

Centre for Sight elderly man having eyes tested at opticians

What are the Treatments?

There are a number of treatments available for dry eye symptoms, from lubricating eye drops to Intense Pulsed Light (IPL) treatment. The choice of treatment will depend on the type of dry eye condition a person has and this is best determined by an ophthalmologist who has expertise in the Cornea and Ocular surface.

Visit our Dry Eye Treatments page to find out more.

Additional Information

Symptoms and Signs
  • Persistently gritty
  • Itchy
  • Burning
  • Pain
  • Tired eyes

These dry eye symptoms worsen as the day goes on. Stringy mucus may appear in or around the eyes. Patients who have dry eye usually are aware of their condition.

Dry eye does not frequently cause blindness, but discomfort is a common reason for seeking assistance. Furthermore, dry eye syndrome can impair vision with a decreased ability to perform activities that require visual attention, such as reading and driving a car.

Please note dry eye is often a chronic condition and can take a while before there is any perceived improvement.

Severe Symptoms and Sjogren’s Syndrome

Severe symptoms are sometimes caused by Sjögren’s syndrome, which is an uncommon chronic, multi-organ, autoimmune disorder that also results in dry mouth and often arthritis. More information about this disease is available on the Sjögren’s Foundation Website.

You should be seen regularly by your doctor and ophthalmologist if you have Sjogren’s syndrome.

Tests for Dry Eye

Several tests for Dry Eye are used by your doctor. The meniscus of tears, lid wiper action and distribution along with objective tests below provide information. Not all tests are always performed and are done where appropriate depending on a) Symptoms and b) clinical findings.

Treatments for Dry Eyes

For information on treatments – please go to our Dry Eye Treatment page

Laser Eye Surgery Impact

Laser eye surgery, especially traditional Lasik can aggravate dry eye symptoms. Although Centre for Sight uses the IntraLASE laser for Lasik, which reduces the duration and severity of dry eye, patients with dry eye are first treated for their specific cause. Once corrected they can undergo laser vision correction. If they cannot be corrected, Laser eye surgery will not be recommended and other options may be considered.

Centre for Sight doctors are all fellowship trained in Cornea and the Anterior Segment. In the course of their usual practice, they are often asked to see patients for second opinions and to manage dry eye. You can be confident that you will be evaluated by doctors with expertise in this area at the time of your consultation.