Dry Eye Conditions

Dry eye symptoms are very common, often increase with age, and affect around 2 million people in the UK – usually more women than men.

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Why It Matters / Prevalence & Risk Groups 

Dry eye affects millions of people in the UK and is one of the most common reasons for visiting an eye specialist.

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Haven't changed lifestyle

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UK adults experience dry eye

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Symptom of Menopause

10-20%

Over 40's report symptoms

Risk factors overview 

Dry eye can affect anyone, but certain factors increase the likelihood of developing symptoms. Ageing, particularly if you are over 50, naturally reduces tear production; hormonal changes, including menopause are a well-known trigger; and long hours on digital screens can decrease blinking, leading to faster tear evaporation.

Environmental elements such as air-conditioning, central heating and windy conditions also play a role. Certain medications, autoimmune conditions, and previous eye surgery can further contribute. Understanding your individual risk factors can help guide early diagnosis and effective treatment.

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What Are Dry Eye Symptoms?

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Persistently gritty

A constant sensation of sand or grit in the eyes, often worsening throughout the day.

Itchy

Irritation or itchiness that makes you want to rub your eyes, especially in dry or windy environments.

Burning

A burning or stinging feeling caused by an unstable tear film or inflammation on the eye's surface.

Pain

Discomfort or soreness that can range from mild irritation to sharper, more persistent pain.

Tired eyes

Eyes that feel heavy or fatigued, particularly after prolonged screen use, reading or concentrating.

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These dry eye symptoms often intensify throughout the day, especially after long periods of screen use or exposure to air-conditioning or wind. Some people may also notice stringy mucus around the eyes, a sign that the tear film is unstable.

 

While many patients recognise their own symptoms, it’s important to be aware that severe or untreated dry eye can increase the risk of corneal infection, scarring, or ulceration. These complications can lead to lasting vision problems, which is why seeking prompt assessment and specialist care is essential if your symptoms are worsening, persistent, or affecting daily comfort.

What Causes Dry Eye Syndrome?

Dry eye disease is typically caused by a breakdown in one of the three core systems that keep the tear film stable and healthy.

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Reduced Tear Production (Aqueous-deficient dry eye)

Common reasons include ageing, hormonal changes (especially in women), certain medications, dehydration, autoimmune or systemic conditions. Without enough of the watery (aqueous) layer, the eye cannot stay properly lubricated.

2

Increased Tear Evaporation (Evaporative dry eye)

This happens when the tears evaporate too quickly, usually because the lipid (oil) layer is not functioning properly. Common reasons include Meibomian Gland Dysfunction (MGD), long screen use, dry or heated environments and contact lens use. When oils are poor or missing, the tear film breaks up quickly and the eye feels dry, gritty and irritated.

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Poor Tear Film Quality or Instability

Even if enough tears are produced, the tear film may not spread or stay on the eye properly. This happens when the mucin layer is disrupted or when the ocular surface s unhealthy. Common reasons include reduced or damaged goblet cells, inflammation of the eye surface, allergies or chronic irritation and eyelid problems. Poor tear quality leads to fluctuationg vision, dryness, blurred patches and discomfort.

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Additional risk factors

Beyond ageing, hormones, and screen use, several lifestyle and environmental factors can increase the likelihood of developing dry eye. These include low-humidity environments (air-conditioning, heating, air travel), smoking, certain medications such as antihistamines or antidepressants, and medical conditions including autoimmune disease (e.g., rheumatoid arthritis, thyroid disease).

Contact lens wear, especially for long hours, can also destabilise the tear film. Understanding these triggers can help patients and clinicians tailor treatment and prevent worsening symptoms.

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Post-surgery/laser note

Dry eye symptoms can temporarily worsen after procedures such as cataract surgery, laser eye surgery, or eyelid operations. This is usually due to temporary disruption of the tear film, mild inflammation, or nerve healing on the surface of the eye.

 

In most cases, symptoms improve as the eye recovers, but patients with pre-existing dry eye may experience more noticeable discomfort. Pre-operative assessment and tailored aftercare at Centre for Sight ensure that dryness is identified early and managed effectively throughout your recovery.

Not Sure If You're Eligible?

Schedule a comprehensive eye examination to determine your suitability for dry eye treatment.

Diagnosis & Assessment

At Centre for Sight, understanding the cause of your dry eye begins with a consultant-led assessment, supported by advanced imaging to precisely evaluate your tears, ocular surface and meibomian gland function.

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How We Assess Your Vision

We use a detailed, step-by-step approach to identify the root cause of your symptoms; whether it’s insufficient tear production, rapid evaporation, gland dysfunction, or inflammation.

What to Expect

Consultant-led examination

Tear film & corneal imaging

Meibomian gland evaluation

Review of symptoms & lifestyle

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Tests & Scans You May Have

Our dry eye assessment uses state-of-the-art equipment to build a complete picture of how your tears are produced, how long they last, and how healthy the ocular surface is.

Duration: 60-90 minutes

What to Expect

Comfortable, non-invasive tests

Clear explanation of results

Identification of root causes

Recommended next steps

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What Happens at Your First Appointment

Your first visit is designed to be thorough yet comfortable, giving you clear answers and a personalised plan.

Duration: 60-90 minutes

What to Expect

Warm welcome & registration

Thorough but comfortable tests

Same-day insights into your condition

Tailored management plan

What are the Treatments for Eye Dryness?

There are a number of treatments available for eye dryness, including lubricating eye drops, Intense Pulsed Light (IPL) treatment and Low Light Laser Therapy (LLLT). The choice of treatment will depend on the type of dry eye condition you have 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.

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Lifestyle and self-care 

Simple daily measures such as reducing screen strain, improving blink habits, managing the environment, and using warm compresses can help support the tear film and ease symptoms.

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Eye-drops & prescription therapies

From preservative-free lubricants to anti-inflammatory medications and targeted prescription treatments, drops can improve comfort, reduce inflammation, and stabilise the ocular surface.

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Clinic-based treatments

Specialist therapies, including Meibomian gland expression, IPL, Low Light Laser Therapy, punctal plugs and in-clinic lid hygiene procedures, can address the root causes of evaporative and inflammatory dry eye.

Why Choose Centre for Sight

Centre for Sight is one of the UK’s most established and pioneering eye care providers, with over 30 years of experience and multiple national firsts. We were the first clinic in the UK to perform LASIK, and among the earliest to introduce femtosecond laser technology for both laser eye surgery and cataract procedures. Our consultants have collectively performed over 35,000 cataract surgeries, delivering exceptional outcomes backed by audited results and world-class surgical expertise. You will benefit from fully consultant-led care, advanced diagnostic technology, and personalised treatment planning,  all supported by our reputation as a trusted centre where ophthalmologists from around the world come to observe and train. At Centre for Sight, innovation, safety, and excellence are built into every step of your journey.

Patient Success Stories

Our Centres

London Centre

Suite 2, 14 Queen Anne Street, London W1G 8HZ

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Centre for Sight London, located at 14 Queen Anne St, Suite 2, in the prestigious Harley Street area, offers consultations, follow-up care, and YAG laser procedures.

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Sussex Centre

Hazelden Place, Turners Hill Road, East Grinstead, West Sussex, RH19 4RH

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Arguably the most modern private eye hospital in the UK, our hospital in Sussex offers Laser Vision Correction, Corneal Transplants, Stem Cell Surgery and more.

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Surrey Centre

48 High Street, Oxshott, Surrey, KT22 0JR

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Centre for Sight London, located at 14 Queen Anne St, Suite 2, in the prestigious Harley Street area, offers consultations, follow-up care, and YAG laser procedures.

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Latest News

Explore our most recent updates, expert insights and news from across our clinics.

frequently asked questions

Find answers to the most common questions about dry eye, it’s causes and how it can be treated.

Dry eye is diagnosed during a comprehensive eye exam, where your eye doctor assesses tear production, tear quality, and tear film stability. Tests may include measuring tear quantity, evaluating how quickly tears evaporate, and examining the eyelids and eye surface for signs of inflammation or gland dysfunction.

Treatment depends on the severity and underlying cause. Common approaches include artificial tears and lubricating gels, warm compresses and lid hygiene to improve oil gland function, prescription anti‑inflammatory drops, punctal plugs to conserve tears, and advanced therapies like thermal pulsation or intense pulsed light (IPL) for meibomian gland dysfunction. Lifestyle changes such as taking breaks during screen time and using humidifiers can also help.

Yes many cases can be improved with simple lifestyle measures. Regularly blinking during screen use, avoiding direct air blowing in your eyes, using a humidifier in dry environments, protecting your eyes from wind and sun, quitting smoking, and ensuring good eyelid hygiene can significantly reduce symptoms. However, persistent or severe dry eye should be evaluated by an eye care professional.

The duration of dry eye varies depending on the underlying cause. Some cases are temporary, triggered by environmental factors like wind or prolonged screen use, while chronic dry eye may persist for months or years if related to ageing, autoimmune conditions, or meibomian gland dysfunction. Early diagnosis and treatment can significantly reduce long-term discomfort.

Dry eye can affect anyone, but certain groups are at higher risk. These include people over 50, women (especially post-menopause), contact lens wearers, people taking medications like antihistamines or antidepressants, and those with autoimmune diseases such as Sjögren’s syndrome or rheumatoid arthritis. More information about this disease is available on the Sjögren’s Foundation Website. Environmental exposure to wind, air-conditioning, or screen use also increases risk.

Have Questions?

Our patient care team is here to answer any questions you may have about dry eye conditions.