Can You Use Artificial Tears with Eye Drops? Dry Eye Concerns Explained - Ophthalmology

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Can artificial tears be used when instilling eye drops? And other dry eye issues?


I have been feeling that my eyes are getting drier lately.
I visited an ophthalmologist three times, but they couldn't diagnose me with dry eye syndrome.
It wasn't until I went to Changhua to visit a friend that I realized the issue.
However, my right eye developed acute conjunctivitis, and the doctor only prescribed medication for the conjunctivitis.
Currently, my dry eye seems to be getting worse.
The doctor prescribed eye drops for the conjunctivitis to be applied every three hours to my right eye.
Can I also use artificial tears? If so, how long should I wait between applications? If I don't use them and my eyes remain dry, will it worsen? Are there any methods to alleviate the symptoms? I heard that placing a bowl of water in the room can help with humidity.
For the past two days, my eyes have been tearing excessively, about every two seconds, and I've noticed three more wrinkles on my eyelids.

Xiao B, 10~19 year old female. Ask Date: 2004/08/15

Dr. Zhang Yuhua reply Ophthalmology


Hello: When adding eye drops, it is essential to wait at least five minutes between applications and to use them under the guidance of the prescribing physician.
There are many treatments for dry eye syndrome; please do not self-diagnose or purchase medication to avoid potential risks.
Thank you!

Reply Date: 2004/08/15

More Info


When dealing with dry eye concerns, especially in the context of using artificial tears alongside prescribed eye drops for conditions like conjunctivitis, it is essential to understand the nature of both treatments and how they can be used together effectively.

Firstly, artificial tears are designed to lubricate the eye, providing relief from dryness and irritation. They can be particularly beneficial for individuals experiencing symptoms of dry eye syndrome, which may include a gritty sensation, burning, or excessive tearing. On the other hand, medicated eye drops prescribed for conditions such as conjunctivitis (inflammation of the conjunctiva) often contain active ingredients that target the underlying cause of the inflammation, such as antibiotics or anti-inflammatory agents.

In your case, since you have been prescribed eye drops for acute conjunctivitis, it is generally safe to use artificial tears in conjunction with these drops. However, it is crucial to space out the application of the two types of drops to avoid dilution of the medicated eye drops. A common recommendation is to wait at least 15 to 30 minutes between applying the medicated drops and the artificial tears. This allows the medicated drops to be absorbed effectively without being washed away by the artificial tears.

If you find that your eyes are still feeling dry despite using the prescribed drops, it is advisable to use artificial tears as needed. However, be mindful of the frequency of application. Overusing artificial tears, especially those containing preservatives, can lead to further irritation. If you are using preservative-free artificial tears, you can apply them more frequently without the risk of irritation.

To alleviate dry eye symptoms further, consider the following strategies:
1. Humidification: Placing a bowl of water in your room can indeed help increase humidity, which may reduce dryness in the air and subsequently help your eyes feel more comfortable. Using a humidifier is another effective option.

2. Environmental Adjustments: Try to avoid direct airflow from fans or air conditioning units, as these can exacerbate dry eye symptoms. Wearing sunglasses outdoors can also protect your eyes from wind and sun exposure.

3. Frequent Blinking: When staring at screens for extended periods, people often forget to blink, which can worsen dryness. Make a conscious effort to blink more frequently, or follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds.

4. Warm Compresses: Applying a warm compress over your closed eyelids can help stimulate the meibomian glands in your eyelids, which produce the oily layer of your tears. This can improve tear quality and reduce evaporation.

5. Dietary Considerations: Staying hydrated and consuming foods rich in omega-3 fatty acids (like fish, flaxseeds, and walnuts) can support eye health and tear production.

6. Consultation with an Eye Specialist: If your symptoms persist or worsen, it may be beneficial to revisit your eye care provider. They can assess your condition more thoroughly and may recommend additional treatments, such as punctal plugs, which help retain tears on the surface of the eye.

In summary, using artificial tears alongside your prescribed eye drops is generally safe and can provide relief from dryness. Just be sure to space out their application appropriately. Additionally, implementing environmental changes and self-care strategies can further alleviate your symptoms. If your condition does not improve, seeking further medical advice is essential to ensure appropriate management of your dry eye and conjunctivitis.

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