Dry Eye
Dry Eye Syndrome — Causes & Treatment
Dry eye syndrome affects 16 million Americans — causing discomfort, blurred vision, and reduced quality of life. Two main types require different treatments.
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Signs & Symptoms
- Burning, stinging, or scratchy sensation
- Redness and irritation
- Blurred vision that improves with blinking
- Light sensitivity (photophobia)
- Watery eyes (reflex tearing)
- Difficulty with extended screen use or reading
What Causes This?
- Meibomian gland dysfunction — most common (evaporative dry eye)
- Aqueous tear deficiency — Sjogren's syndrome, aging
- Incomplete eyelid closure
- Medications — antihistamines, antidepressants, diuretics
- Contact lens wear
- Low-humidity environments
Treatment Options
Artificial Tears
First-line for mild dry eye — preservative-free drops for frequent use.
LipiFlow Thermal Pulsation
Unclogs meibomian glands — addresses evaporative dry eye at the source.
Prescription Drops
Restasis, Xiidra, Cequa reduce inflammation and increase tear production.
Punctal Plugs
Silicone plugs blocking tear drainage — keeping tears on the ocular surface longer.
Frequently Asked Questions
Why do my eyes water if I have dry eye?
Reflex tearing — the eye responds to irritation by producing excessive watery tears that don't contain the oils and proteins needed for a stable tear film.
Related Topics
Concerned About Your Eye Health?
Schedule a comprehensive eye exam with Dr. Kentaro Yamada, M.D. at Hillcrest Eye Care.