Managing Chronic Dry Eye: Concerns with Artificial Tears Usage - Ophthalmology

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Issues with Dry Eye Disease Eye Drops


Last July and August, I visited an ophthalmologist and was diagnosed with dry eye syndrome.
The healthcare system provided me with Tear Naturale artificial tears, and I have already refilled my prescription twice.
I calculated that I have been using it for over five months, consuming 5-6 bottles at a rate of 2-3 times a day.
The doctor mentioned that dry eye syndrome is a chronic condition and that I should continue using the drops.
He prescribed me artificial tears again but allowed me to purchase preservative-free options available outside.
I still have two more refills left, which means I will have used about 7-8 bottles in total over six months.
Is it safe to use them long-term? The doctor also prescribed me a purple-capped allergy eye drop.
After I finish that, do I need to return to the ophthalmologist, or can I just buy artificial tears from the pharmacy moving forward?

Hong, 20~29 year old female. Ask Date: 2023/02/18

Dr. Gao Pilin reply Ophthalmology


Hello: It is fine to use it no more than four times a day in the long term.
Of course, if you purchase products without preservatives from outside, there are no limits on the frequency of use, and there are no side effects.

Reply Date: 2023/02/18

More Info


Chronic dry eye is a prevalent condition that can significantly affect a person's quality of life. It is characterized by insufficient tear production or excessive tear evaporation, leading to symptoms such as dryness, irritation, and discomfort in the eyes. Your experience with artificial tears, specifically Tear Naturale, is common among patients with chronic dry eye.
Using artificial tears is a standard treatment for managing dry eye symptoms. These lubricating eye drops help to moisten the eyes, providing temporary relief from dryness and discomfort. The fact that you have been using them consistently for over five months, with a frequency of 2-3 times daily, indicates a proactive approach to managing your condition. However, there are several considerations regarding the long-term use of artificial tears, especially concerning preservatives and the overall effectiveness of the treatment.

1. Preservative-Free Options: You mentioned that your doctor suggested using preservative-free artificial tears. This is an important consideration because preservatives in eye drops can sometimes exacerbate dry eye symptoms, particularly with long-term use. Preservative-free formulations are gentler on the eyes and can be used more frequently without the risk of irritation. If you find that your symptoms persist despite using artificial tears, it may be beneficial to switch to preservative-free options entirely.

2. Frequency of Use: While using artificial tears multiple times a day is common, it's essential to monitor how your eyes respond to this treatment. If you find that you need to use them excessively (more than four to six times a day), it may indicate that your dry eye condition is not adequately managed. In such cases, it would be prudent to consult your eye care professional for further evaluation and potential adjustments to your treatment plan.

3. Additional Treatments: In addition to artificial tears, there are other treatment options available for chronic dry eye. These may include punctal plugs, which are small devices inserted into the tear ducts to reduce tear drainage, thereby increasing tear film stability. Other treatments may involve prescription medications that help increase tear production or reduce inflammation in the eyes. Discussing these options with your eye doctor could provide you with a more comprehensive approach to managing your dry eye symptoms.

4. Regular Follow-Up: Since you mentioned that you have a follow-up appointment scheduled, it is crucial to keep this appointment. Regular check-ups allow your eye care provider to assess the effectiveness of your current treatment plan and make necessary adjustments. If you have concerns about the frequency of your artificial tear usage or if you experience any new symptoms, be sure to communicate these to your doctor during your visit.

5. Lifestyle and Environmental Factors: Managing chronic dry eye also involves considering lifestyle and environmental factors. Staying hydrated, using a humidifier in dry environments, and taking regular breaks from screens can help alleviate symptoms. Additionally, wearing sunglasses or protective eyewear in windy or dry conditions can help reduce tear evaporation.

In conclusion, while long-term use of artificial tears is generally safe, it is essential to monitor your symptoms and consult with your eye care provider regularly. Exploring preservative-free options and considering additional treatments can enhance your management of chronic dry eye. Your proactive approach to your eye health is commendable, and with the right strategies, you can work towards improving your comfort and quality of life.

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