Is It Normal for Artificial Tears to Cause Eye Pain? - Ophthalmology

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Artificial tears for dry eye syndrome?


A few months ago, I visited a clinic where the doctor prescribed artificial tears.
This past week, when I use the artificial tears, my eyes sometimes feel a stinging sensation.
Is this normal?

Ahao, 10~19 year old female. Ask Date: 2021/09/26

Dr. Gao Pilin reply Ophthalmology


Hello Ah Hao: Artificial tears generally do not cause a stinging sensation, but if there is inflammation in the eyes, corneal injury, or other abnormal conditions, a stinging sensation may occur.
It is advisable to have it checked.

Reply Date: 2021/09/26

More Info


It is not typical for artificial tears to cause eye pain or a stinging sensation. Artificial tears are designed to lubricate the eyes and alleviate dryness, and they should generally provide relief rather than discomfort. However, there are several factors that could contribute to the stinging sensation you are experiencing after using artificial tears.

1. Quality of the Artificial Tears: Not all artificial tears are created equal. Some formulations contain preservatives, which can irritate the eyes, especially if used frequently. If you are using a preservative-containing product, consider switching to a preservative-free version, which is often gentler on the eyes.

2. Underlying Eye Conditions: If you have an underlying eye condition, such as inflammation, infection, or damage to the cornea, using artificial tears may exacerbate the discomfort. Conditions like dry eye syndrome can lead to a compromised ocular surface, making the eyes more sensitive to any drops, including artificial tears.

3. Incorrect Usage: If the drops are not applied correctly, or if they come into contact with the eyelids or eyelashes before entering the eye, this could lead to irritation. Ensure that you are using the drops as directed, and avoid touching the tip of the bottle to any surface to prevent contamination.

4. Allergic Reactions: Some individuals may have an allergic reaction to certain ingredients in the artificial tears. If you suspect this might be the case, consult with your eye care provider for alternatives.

5. Sensitivity to Temperature: If the artificial tears are stored in a very cold environment, the temperature difference when applied to the eye can cause a brief stinging sensation. Allowing the bottle to reach room temperature before use may help.

6. Corneal Sensitivity: If you have a history of eye injuries or surgeries, your cornea may be more sensitive than usual. This heightened sensitivity can lead to discomfort when using any eye drops, including artificial tears.

If you continue to experience pain or discomfort after using artificial tears, it is essential to consult with an eye care professional. They can perform a thorough examination to determine if there is an underlying issue that needs to be addressed. Additionally, they may recommend alternative treatments or formulations that are better suited to your specific needs.

In summary, while it is not normal for artificial tears to cause pain, various factors can contribute to this sensation. It is crucial to identify the cause and seek professional advice to ensure the health and comfort of your eyes. Regular follow-ups with your eye care provider can help manage any ongoing issues and ensure that you are using the most appropriate treatment for your condition.

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