Our eyes need tears to stay healthy and comfortable. If your eyes do not produce enough tears, it is called dry eye. Dry eye is also when your eyes do not make the right type of tears or tear film.
People tend to make fewer tears as they get older due to hormonal changes. Both men and women can get dry eye. However, it is more common in women—especially those who have gone through menopause.
Here are some other causes of dry eye:
Tell your ophthalmologist about all the prescription and non-prescription medicines you take.
Here are some of the symptoms of dry eye:
Having a lot of tears in your eyes with dry eye might sound odd. But your eyes make more tears when they are irritated by dry eye.
Your ophthalmologist will begin with an eye exam. They will look at your eyelids and the surface of the eye. They will also check how you blink.
There are many different tests that help diagnose dry eyes. Your ophthalmologist may do a test that measures the quality or the thickness of your tears. They may also measure how quickly you produce tears.
Your ophthalmologist might tell you to use artificial tears. These are eye drops that are like your own tears. You can use artificial tears as often as you need to. You can buy artificial tears without a prescription. There are many brands. Try a few until you find a brand that works best for you.
If you use artificial tears more than six times a day or are allergic to preservatives, you should use preservative-free tears. This is because the tears with preservatives may start to irritate your eyes.
Your ophthalmologist may suggest blocking your tear ducts. This makes your natural tears stay in your eyes longer. Tiny silicone or gel plugs (called punctal plugs) may be inserted in your tear ducts. These plugs can be removed later as needed. Your ophthalmologist could also recommend surgery that permanently closes your tear ducts.
Your ophthalmologist might have you use a prescription eye drop medication. This helps your eyes make more of their own tears.
If your eyes are irritated, your ophthalmologist can treat those problems. They may recommend: