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Suffering from Dry Eyes: Causes, Symptoms, Treatment
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Published on 11/11/25
(Updated on 12/18/25)
76

Suffering from Dry Eyes: Causes, Symptoms, Treatment

Written by
Dr. Aarav Deshmukh
Government Medical College, Thiruvananthapuram 2016
I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.
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Introduction

If you’ve ever felt that scratchy, sandy feeling in your eyes every morning, you’re not alone. Millions of people worldwide are suffering from dry eyes, a condition that can range from mildly annoying to downright painful. In this article, we’ll dive deep into the world of dry eye syndrome—what causes it, how to spot the telltale symptoms, and the wide spectrum of treatments (from prescription meds to simple at-home remedies). Whether you’re dealing with chronic irritation or you just want to avoid complications down the road, this guide’s for you. Let’s get started!

Why Dry Eyes Happen

At its core, dry eye syndrome (also known as xerophthalmia) is when your tear film isn’t keeping your eye surface properly lubricated. Tears have three layers—lipid, aqueous, and mucin—and if any one of them is imbalanced, your eyes can feel like a desert. Many factors contribute: age, hormonal changes, certain medications, and even staring at screens for hours without blinking enough (guilty as charged!).

Who is at Risk?

While anyone can experience occasional dryness, some folks are more prone. Post-menopausal women, contact lens wearers, people on antihistamines or certain antidepressants, and those living in arid climates tend to be at higher risk. A study from the American Academy of Ophthalmology showed that nearly 5 million Americans over age 50 suffer moderate to severe dryness. So if your grandma’s complaining, she’s part of a pretty big club!

Common Causes of Dry Eyes

Understanding the root causes is key to effective treatment. Below, we break down the most common culprits behind dry eyes.

Environmental Factors

  • Low humidity or blowing air (think desert, airplane cabins, or an overzealous fan).
  • Smoke, pollution, and allergens floating around, irritating your ocular surface.
  • Prolonged screen time—a modern epidemic. Staring at laptops, tablets, or smartphones cuts your blink rate in half.
  • Dry winter conditions in heated indoor spaces.

Remember that time you binge-watched a whole season without once looking away from the TV? Yeah, your eyes paid the price.

Health Conditions & Medications

  • Autoimmune disorders like Sjögren’s syndrome, rheumatoid arthritis, or lupus can directly attack tear glands.
  • Diabetes and thyroid disease, both known to affect tear production.
  • Medications: antihistamines, decongestants, birth control pills, and certain antidepressants often list “dry eyes” as a side effect.

If you start a new prescription and notice itchy, red eyes, talk to your doctor about switching or adjusting dosages—sometimes a slight tweak can make a big difference!

Recognizing the Symptoms

Dry eye syndrome doesn’t always show up with dramatic red flags. Sometimes it’s subtle, at other times it feels like a grainy sandstorm every time you blink. Here’s what to look for:

Early Warning Signs

  • Intermittent stinging or burning sensation, especially when you wake up or after long screen sessions.
  • Occasional redness or a gritty feeling—as though you’ve got grit in your eye.
  • Light sensitivity, or photophobia, making bright offices or sunlight uncomfortable.
  • Blurred vision that usually clears up once you blink.

Many chalk these feelings up to allergies or fatigue, but if they persist for more than a week, it’s time to adress the issue head-on (pun intended).

Severe Complications

When left unchecked, dry eyes can lead to complications that no one wants:

  • Increased risk of eye infections—tears normally wash away bacteria, so without enough lubrication, germs can stick around.
  • Damage to the front surface of your eye, including abrasions or corneal ulcers.
  • Chronic inflammation—your eyes might get permanently red and irritated.
  • Scarring on the cornea, which can affect vision permanently in worst-case scenarios.

Bottom line: don’t ignore persistent discomfort. Prevention is always better than cure!

Diagnosis and Professional Treatment

When you schedule an appointment with an ophthalmologist or optometrist, they’ll run a series of tests to pinpoint exactly what’s going on. Here’s what you might expect:

Tests and Exams

  • Schirmer’s test: measures how much tear production you have by placing a tiny strip of filter paper under your eyelid for five minutes.
  • Fluorescein staining: tinted drops help highlight damaged cells on the cornea under a blue light.
  • Tear breakup time (TBUT): they’ll see how long your natural tears hold up before breaking.
  • Meibomian gland evaluation: checks if your oil glands are clogged, causing faster tear evaporation.

Some clinics even use high-tech devices like interferometers to measure tear film thickness—futuristic, right?

Medical Therapies

Based on test results, your eye doc will craft a personalized treatment plan. Common options include:

  • Artificial tears or lubricating eye drops—over-the-counter or prescription-strength.
  • Prescription gels or ointments for nighttime use (thicker, longer-lasting relief).
  • Anti-inflammatory eye drops (cyclosporine or lifitegrast) to calm ocular surface inflammation.
  • Punctal plugs: small devices inserted into tear ducts to reduce drainage and preserve your own tears.
  • Oral medications like omega-3 supplements or doxycycline (for severe meibomian gland dysfunction).

It might take a few weeks to find your sweet spot, so patience is key. Keep notes on what helps and what doesn’t!

Home Remedies and Lifestyle Changes

If you prefer to start with gentle, natural approaches, here are lifestyle tweaks and home remedies proven to help many people with dry eyes:

Diet and Supplements

  • Omega-3 fatty acids found in fish oil, flaxseed, and chia seeds help improve tear quality and reduce inflammation.
  • Stay hydrated—aim for at least 2 liters of water daily; dehydration directly impacts tear production.
  • Include foods rich in vitamin A (sweet potatoes, carrots, spinach) and vitamin D (sunlight exposure or fortified dairy).
  • Consider taking hyaluronic acid supplements for extra ocular surface moisture.

I personally added a daily fish oil capsule to my routine, and after a month, I noticed less redness and irritation.

At-Home Practices

  • Follow the 20-20-20 rule: every 20 minutes, look 20 feet away for at least 20 seconds to reduce screen-related dryness.
  • Use a humidifier in your bedroom or office, especially during winter or in air-conditioned spaces.
  • Warm compresses for 5–10 minutes daily to unclog meibomian glands; massage gently afterward.
  • Wear wraparound sunglasses or moisture chamber glasses outdoors to shield from wind and dry air.
  • Try eyelid scrubs with diluted baby shampoo or specialized eyelid cleansers to remove debris and bacteria.

These simple steps are often overlooked, but they can yield surprisingly big results.

Conclusion

Dealing with dry eyes can be frustrating, but armed with the right knowledge, you can get relief and protect your vision long-term. Remember:

  • Identify and minimize environmental triggers.
  • Keep up with professional check-ups to catch issues early.
  • Incorporate at-home habits—hydration, diet, and proper screen breaks—to support eye health.
  • Explore both medical treatments and natural remedies to find what truly works for you.

Whether it’s switching to preservative-free eye drops or adding omega-3 to your diet, every small change counts. So don’t wait—start addressing those scratchy, burning sensations today. Your eyes will thank you later!

FAQs

  • Q: What’s the fastest way to relieve dry eyes?
    A: Instantly, preservative-free artificial tears are your best bet. Use them liberally, especially before driving or screen time.
  • Q: Can dehydration really cause dry eyes?
    A: Absolutely. When you’re low on fluids, your body prioritizes vital organs first, and tear production takes a backseat.
  • Q: Are there natural alternatives to eye drops?
    A: Warm compresses, omega-3 supplements, and humidifiers are great natural options that many find effective.
  • Q: How often should I blink during screen use?
    A: Aim for a full blink every 20 seconds or practice the 20-20-20 rule to maintain good eye lubrication.
  • Q: When should I see an eye specialist?
    A: If you experience persistent pain, significant vision changes, or redness that doesn’t improve within a week, make an appointment ASAP.
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