Dry Eye Syndrome
Key points
- Dry eye syndrome occurs when there is a breakdown in the body's production of the tears that moisten, protect and cleanse the eyes.
- Excessive tearing may seem to be an unusual symptom for dry eye syndrome.
- After speaking with you about your eye symptoms and general health, including past medical problems, your doctor may suspect ocular dryness.
- Dryness of the eyes may be brief if it is related to a medication, hormonal fluctuation or other reversible condition.
What Is It?
Dry eye syndrome occurs when there is a breakdown in the body's production of the tears that moisten, protect and cleanse the eyes. Dry eye syndrome is one of the most common eye problems, and it becomes more common as people age because tear production can diminish as part of the aging process. More women are affected than men, and the syndrome is more likely to flare up at times of hormonal change such as after menopause or during pregnancy or breastfeeding. Birth control pills can trigger dry eye syndrome, and so can numerous other medications, including antidepressants, antihistamines, decongestants, antianxiety agents and diuretics or other blood pressure pills. Some medicines that are used in the eye also can cause dry eyes as an allergic reaction.
Deficiencies in tear production also are associated with several autoimmune disorders, including Sjögren's syndrome, rheumatoid arthritis and myasthenia gravis, as well as other conditions such as Bell's palsy and thyroid dysfunction.
Symptoms
Dry eye syndrome can cause:
- Burning or itchy eyes
- A feeling of something gritty (like sand) in the eyes
- Sensitivity to light
- Difficulty wearing contact lenses
- Excessive tearing
Excessive tearing may seem to be an unusual symptom for dry eye syndrome. But these irritant tears, produced as a reflex reaction to the syndrome, contain more water than normal tears, which have a balance of water, fat and mucus. Therefore, the excess tears just run off the eyes and cannot lubricate them as healthy tears do.
Diagnosis
After speaking with you about your eye symptoms and general health, including past medical problems, your doctor may suspect ocular dryness. A complete physical examination, and sometimes, certain blood tests may help to determine whether an associated autoimmune disorder is present. Your doctor may refer you to an optometrist or ophthalmologist so your eye can be evalu ated more completely for:
- Dry spots on the cornea, revealed by putting a stain in the eye
- Abnormal tear quality, as determined by analysis of the tears
- Insufficient tear production, measured by a procedure called Schirmer's test, in which a filter paper is placed inside the lower lid and, after five minutes, the amount of moisture in the paper is measured.
Expected Duration
Dryness of the eyes may be brief if it is related to a medication, hormonal fluctuation or other reversible condition. However, if it is related to an autoimmune condition, it may be chronic (longer lasting).
Written and revised by
David Cohen, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.