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Dry Eye Disease Treatment

You don’t have to live with burning, stinging, red, runny eyes. The experienced eye doctors at The Eye Institute of West Florida specialize in diagnosing and treating dry eye syndrome.

If left untreated, severe cases of dry eye can cause long-term eye problems, such as corneal damage. Professional treatment of dry eye syndrome is important to rule out more serious eye conditions that may mimic dry eye symptoms.

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Dry eye syndrome, also known as dry eye disease or keratoconjunctivitis sicca, is a common eye condition characterized by a lack of sufficient moisture on the eye’s surface. Your body’s tears play a vital role in maintaining the health and comfort of your eyes by lubricating them and washing away foreign particles. When the eyes do not produce enough tears or when the tears evaporate too quickly, it can lead to dry, irritated, and uncomfortable eyes.

Dry eye syndrome can range from mild to severe and can significantly impact a person’s quality of life. Common symptoms include:

  • Watery eyes (as the eyes overcompensate for dryness) 
  • Redness 
  • Burning 
  • Stinging 
  • Sensitivity to light 
  • Blurred vision

Dry eyes can be caused by a variety of factors including:

  • Aging: Dry eye syndrome is more common after the age of 50.
  • Hormonal changes: Fluctuating hormone levels during menopause can increase dry eye symptoms.
  • Certain medications: Antihistamines, beta blockers, birth control pills, corticosteroids, and other medicines can cause dry eye.  
  • Medical conditions: Environmental allergies or autoimmune diseases such as Sjögren’s syndrome and rheumatoid arthritis can cause dry eye syndrome.
  • Environmental factors: A low-humidity or windy climate, or frequent smoke exposure, can cause dry eye.
  • Lifestyle choices: Frequent screen time, as well as smoking, can contribute to dry eye. 

Understanding what is causing your dry eyes is crucial for effective treatment and management. If you believe you are experiencing dry eye syndrome, schedule an appointment with the dry eye specialists of The Eye Institute of West Florida.

In addition to the factors listed above, one of the most common underlying causes of dry eye syndrome is meibomian gland dysfunction (MGD).

Meibomian gland dysfunction, or MGD, is a condition that leads to a decreased quantity and quality of the oil layer in the tear film. Meibomian glands are tiny glands in the eyelids that are responsible for producing the oily layer of tears that helps prevent rapid tear evaporation. When the meibomian glands become blocked or their oil production is compromised, it can lead to an unstable tear film and dry eye symptoms. MGD can result from factors like inflammation, bacterial overgrowth, or simply aging. Addressing MGD is often a key component of managing dry eye effectively.

At-Home Dry Eye Care

Things that you can do to manage dry eye symptoms at home include:

  • Limit screen time and take frequent short breaks when working on the computer
  • Use a humidifier 
  • Use over-the-counter artificial tears
  • Use a moist heat eye compress

Prescription Treatments for Dry Eye

If your dry eyes do not respond to home treatments or changes in lifestyle, your eye doctor may recommend prescription eye drops. Prescriptions such as Restasis or Xiidra can alleviate dry eye symptoms.

In-Office Dry Eye Treatments

For severe or chronic dry eye, there are several in-office treatments that can be performed at one of our offices in Pinellas County. These treatments are designed to treat the underlying cause of dry eye syndrome for long-lasting relief.

For many years the mainstay of therapy for mild Dry Eye Syndrome consisted almost exclusively of over-the-counter artificial tears or lubricants. There are hundreds of brands and formulations of artificial tears which can be quite confusing for patients. However, all these drops are not the same. A dry eye specialist will be able to identify your specific form of dry eye and recommend a brand and formulation of tears ideally suited for you. For patients with more than just mild or temporary symptoms, over the counter artificial tears alone do not constitute adequate treatment. Some over the counter remedies can actually worsen the condition.

Environmental modification is a frequently overlooked but important part of reducing dry eye symptoms. Patients should limit direct exposure to dry air from vents, fans, and other sources. Whenever possible, dry eye sufferers should also avoid allergens like dust, smoke, pollen, and pet dander. Room humidifiers and moisture goggles can also be useful.

Severe Dry Eye Syndrome is likely to initially require more intensive therapy to break the cycle of inflammation. Your eye care professional may recommend a short course of anti-inflammatory eye drops to start you on the road to recovery and to break the cycle of irritation, inflammation, and worsening dryness. Prescription drops, such as Restasis (Cylcosporin 0.05%), may be recommended. Restasis is effective by simultaneously improving the quality of tears, restoring the balance of tear film components, and increasing the natural production of healthy tears. Several other agents promoting healthy tear production are currently under study.

Dry eye management would not be complete without an assessment of, and treatment for, eyelid diseases. Many of the important glands contributing to tear production are located on the edge of the eyelids and are prone to inflammatory disruption. Warm compresses, specialized eyelid cleansers, and prescription medications can reduce the eyelid inflammation, called blepharitis, that frequently accompanies Dry Eye Syndrome. Laser therapies like IPL treatment can also be beneficial.

Tear duct plugs come in various forms and can be painlessly inserted by your eye doctor only after ocular surface inflammation has been adequately treated. These microscopic plugs, commonly made of dissolving collagen or longer-lasting silicone, comfortably reduce the drainage of tears away from the eye’s surface, thus retaining moisture where it is needed most.

Some patients may also benefit from nutritional supplements such as Flax Seed Oil, Fish Oil, and other dietary modifications rich in essential fatty acids, such as Omega-3, Omega-6, and linoleic acid, which may aide healthy tear production.

The key to unlocking the right medication for severe dry eye syndrome may lie in the ingredients of your own blood. Autologous Serum Eye Drops are a derivative of your own blood serum (the clear fluid in your bloodstream) and is used to aid in the relief of ocular surface disorders. Click for more information on Autologous Serum Eye Drops.

A select few Accredited Dry Eye Centers of Excellence in the country are now able to offer dry eye sufferers a revolutionary treatment called Intense Pulsed Light Therapy (IPL). This mild non-invasive treatment allows us to target the most common underlying causes of Dry Eye Syndrome like ocular rosacea, blepharitis, and meibomian gland dysfunction, rather than just treating the symptoms. Click for more information on Intense Pulse Light treatment.

The LipiFlow® TearScience® system uses thermal pulsation therapy to clear blockages preventing healthy tear flow to the eye’s surface.

Your Pinellas County Dry Eye Doctors

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Why You Should See a Doctor for Dry Eye

You don’t have to live with burning, stinging, red, runny eyes. The experienced eye doctors at The Eye Institute of West Florida specialize in diagnosing and treating dry eye syndrome. You can trust our team to deliver personalized and effective treatment that fits your lifestyle.

If left untreated, severe cases of dry eye can cause long-term eye problems, such as corneal damage. Professional treatment of dry eye syndrome is important to rule out more serious eye conditions that may mimic dry eye symptoms.  

How can I prevent dry eye syndrome?

Dry eye syndrome cannot always be prevented. However, there are steps you can take to protect your eye health:

  • Eat a diet rich in vitamins and omega-3 fatty acids
  • Do not smoke
  • If you wear contact lenses, use good hygiene and follow your eye doctor’s instructions.
  • Use the 20/20/20 rule: When looking at a screen, every 20 minutes look at something 20 feet away for at least 20 seconds.

Which over the counter eye drops are best for dry eyes?

It is best to check with your eye doctor to determine which drops are right for you. In general, patients with dry eye should look for artificial tears or lubricating drops and avoid eye drops that are intended to reduce redness. If you use eye drops frequently, you may want to choose a type that is free from preservatives.

How common is dry eye syndrome?

More than 16 million Americans suffer from dry eye disease. 

How do I know if I have dry eye syndrome?

One of our eye doctors can examine your eyes and discuss your symptoms in order to determine the cause of your dry eye symptoms. A diagnosis of dry eye syndrome depends on the cause of your dry eyes as well as the frequency of your symptoms.

Can dry eye cause blindness?

Dry eye syndrome is generally not a direct cause of blindness. If left untreated, patients with dry eye may develop complications such as eye infections, corneal ulcers, and a reduced quality of life. While you are unlikely to lose your vision due to dry eye, it is important to see your eye doctor to maintain your eye health and get relief from dry eye symptoms.

Schedule a Dry Eye Examination Today

We believe you deserve the best vision care possible. We are here to answer any questions and help you achieve better vision. Call us at (727) 581-8706 or book an appointment online.

References

  • de Paiva CS. Effects of Aging in Dry Eye. Int Ophthalmol Clin. 2017 Spring;57(2):47-64. doi: 10.1097/IIO.0000000000000170. PMID: 28282314; PMCID: PMC5347479.
  • Farrand KF, Fridman M, Stillman IO, Schaumberg DA. Prevalence of Diagnosed Dry Eye Disease in the United States Among Adults Aged 18 Years and Older. Am J Ophthalmol 2017;182:90-8
  • American Academy of Ophthalmology. What Is Dry Eye? Available: https://www.aao.org/eye-health/diseases/what-is-dry-eye Accessed September 5, 2023.