Do You Need a Doctor for Dry Eyes or Just Artificial Tears? - Ophthalmology

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Dry eyes


Excuse me, doctor.
Do I need to see a doctor for dry eye syndrome, or can I just buy artificial tears at the pharmacy? I've heard that some artificial tears contain steroids; is that true?

Lun, 10~19 year old female. Ask Date: 2023/11/03

Dr. Gao Pilin reply Ophthalmology


Hello: If you are experiencing symptoms of dry eye syndrome, such as dryness, pain, stinging, light sensitivity, or blurred vision, it is advisable to consult an ophthalmologist as soon as possible.
An ophthalmologist can assess your condition, determine the severity of your symptoms, and provide appropriate treatment recommendations.
Inadequate treatment may worsen the problem.
Artificial tears do not contain steroids.

Reply Date: 2023/11/03

More Info


Dry eye syndrome is a common condition that can significantly affect your quality of life. It occurs when your eyes do not produce enough tears or when the tears evaporate too quickly. Symptoms can include dryness, irritation, a gritty sensation, and even blurred vision. The question of whether you need to see a doctor for dry eyes or if you can simply purchase artificial tears over the counter is a nuanced one.

In many cases, mild dry eye symptoms can be managed effectively with over-the-counter artificial tears. These eye drops can provide temporary relief by lubricating the eyes and helping to maintain moisture. However, it is essential to choose the right type of artificial tears. Some formulations contain preservatives, which can irritate the eyes if used frequently. Preservative-free options are generally recommended for regular use, especially for individuals who experience chronic dry eye symptoms.

While artificial tears can be beneficial, they may not address the underlying causes of dry eyes. If you find that your symptoms persist despite using artificial tears, or if you experience more severe symptoms such as significant discomfort, redness, or vision changes, it is advisable to consult an eye care professional. A doctor can perform a comprehensive eye examination to determine the cause of your dry eyes and recommend appropriate treatment options. This may include prescription medications, lifestyle changes, or procedures to improve tear production or reduce tear evaporation.

Regarding your concern about corticosteroids in artificial tears, it is important to clarify that not all artificial tears contain steroids. Some prescription eye drops for dry eyes may contain corticosteroids to reduce inflammation, but these are typically not available over the counter. Long-term use of steroid eye drops can lead to complications, such as increased intraocular pressure or cataract formation, so they should only be used under the supervision of a healthcare provider.

In summary, while over-the-counter artificial tears can provide relief for mild dry eye symptoms, it is crucial to seek medical advice if your symptoms are persistent or worsening. An eye care professional can help identify the underlying cause of your dry eyes and recommend a tailored treatment plan. Additionally, they can guide you on the appropriate use of artificial tears and whether any prescription options are necessary for your specific situation. Remember, taking proactive steps in managing your eye health can lead to better outcomes and improved comfort.

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