Recurrence of dry eye syndrome?
I apply moisturizing ointment before bed, but sometimes my eyes still become so dry that the cornea gets scratched (causing pain and redness).
It seems to improve for a while but then relapses.
Is this related to the seasons? How can I improve this condition? Thank you.
Miss Wang, 20~29 year old female. Ask Date: 2009/09/07
Dr. Feng Jiefan reply Ophthalmology
Hello: The dryness of the eyes in dry eye syndrome is related to factors such as season, moisture, humidity, and environmental conditions.
The use of fans or air conditioning can also affect the level of dryness in the eyes.
Discussing daily habits in detail with a physician may help identify the underlying causes.
Wishing you peace and good health.
Reply Date: 2009/09/07
More Info
Managing recurring dry eye symptoms can be a complex issue, especially when it leads to discomfort such as pain and redness. Your experience of using ointments at night to prevent dryness is a common practice, but it seems that the relief is not always consistent. Let's explore the potential causes of your symptoms and discuss some strategies for improvement.
Causes of Recurring Dry Eye Symptoms
1. Environmental Factors: Seasonal changes can significantly impact dry eye symptoms. For instance, during winter months, the air tends to be drier, and indoor heating can exacerbate the problem. Similarly, allergens in the spring can lead to increased tear film instability.
2. Screen Time: Prolonged exposure to screens can reduce the frequency of blinking, leading to increased evaporation of tears. This is particularly relevant if your work involves long hours in front of a computer.
3. Underlying Conditions: Conditions such as blepharitis, meibomian gland dysfunction, or autoimmune diseases (like Sjögren's syndrome) can contribute to chronic dry eye symptoms. If you have a history of these conditions, they may be a factor in your recurring symptoms.
4. Medications: Certain medications, including antihistamines, antidepressants, and some blood pressure medications, can lead to dry eyes as a side effect. If you are taking any medications, it may be worth discussing with your healthcare provider.
5. Age: As we age, our bodies produce fewer tears, which can lead to dry eye symptoms. Hormonal changes, particularly in women during menopause, can also affect tear production.
Solutions for Improvement
1. Artificial Tears: While you are already using ointments, consider incorporating preservative-free artificial tears throughout the day. These can help maintain moisture and provide relief from dryness. Look for formulations that contain hyaluronic acid or other lubricating agents.
2. Warm Compresses: Applying warm compresses to your eyes can help unclog any blocked meibomian glands, improving the quality of your tears. This can be particularly beneficial if you have meibomian gland dysfunction.
3. Environmental Adjustments: Use a humidifier in your home, especially during dry seasons, to add moisture to the air. Additionally, try to minimize exposure to wind and direct air from fans or air conditioning units.
4. Screen Breaks: Implement the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This can help reduce eye strain and encourage blinking.
5. Dietary Considerations: Omega-3 fatty acids, found in fish oil and flaxseed oil, may help improve tear production. Consider incorporating more of these into your diet or discussing supplementation with your healthcare provider.
6. Regular Eye Exams: Since your symptoms are recurring, it’s crucial to have regular check-ups with an eye care professional. They can assess your tear production and overall eye health, and may recommend treatments such as punctal plugs, which can help retain tears on the surface of the eye.
7. Consulting Specialists: If your symptoms persist despite these measures, consider consulting a specialist, such as an ophthalmologist or a cornea specialist. They can provide a more in-depth evaluation and tailored treatment options.
Conclusion
Recurring dry eye symptoms can be frustrating, especially when they lead to pain and discomfort. By understanding the potential causes and implementing a multifaceted approach to management, you can work towards alleviating your symptoms. Remember, it’s essential to stay proactive about your eye health and seek professional guidance when needed. With the right strategies, you can improve your quality of life and reduce the frequency of dry eye flare-ups.
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