Orange Beach, AL

What is dry eye?

Orange Beach, AL

WHAT IS DRY EYE?

Dry eye can be challenging to deal with, but you don’t have to face it alone. Dr. Wilder and the rest of the team are committed to helping you overcome dry eye symptoms, such as blurry vision, watery eyes, and irritation caused by inflammation. 

Our technology plays a big role in our dry eye treatment services. Through OptiLight by Lumenis and detailed dry eye exams, we provide a full scope dry eye care experience. 

Our team is always looking to evolve and find new ways to help our patients through advancements in dry eye care. Contact us to schedule an appointment and get relief from dry eye today.  

What is dry eye? 

Dry eye is a condition that can be caused by inconsistencies in your tear film, which consists of three layers: 

  • The oily outer layer 
  • The watery middle layer 
  • The inner mucus layer 

When the glands that produce these elements of your tears are not functioning properly or become inflamed, dry eye can occur. Inflammation and other dry eye symptoms can also result from meibomian gland dysfunction (MGD). 

Understanding dry eye 

While the term “dry eye syndrome” covers symptoms such as dryness, watering, grittiness, and vision changes, “ocular surface disease” is a broader term that encompasses the most common factors that contribute to these symptoms. 

Ocular surface disease refers to a range of issues that can affect the front surface of the eye, the eyelids, and the underlying oil and tear glands. Inflammation is one of the leading causes of dry eye symptoms and can manifest in several forms, including: 

  • Blepharitis 
  • Ocular rosacea 
  • Demodex 
  • Meibomian gland dysfunction 

What causes dry eye? 

Dry eye is considered a multifactorial disease, meaning it can be caused by a variety of factors that affect the tear film and ocular surface. Understanding these factors is crucial for finding the right treatment and relief. 

Meibomian gland dysfunction

The meibomian glands in your eyelids produce the oily layer of your tears that keeps them from evaporating too fast. If these glands get blocked or don’t work properly, it leads to MGD. MGD is a leading cause of dry eye because it makes your tears evaporate more quickly, leaving your eyes dry and irritated. 

Blepharitis

Blepharitis is when the edges of your eyelids become inflamed, often because the tiny oil glands near your eyelashes get clogged. This can make your eyelids red, swollen, and itchy and can contribute to dry eye by disrupting your tear film. Managing blepharitis is key to reducing dry eye symptoms. 

Demodex mites

Demodex mites are tiny critters that live on our skin, including around our eyelashes. If there are too many of them, they can cause inflammation and irritation around the eyes, which can lead to dry eye. Keeping your eyelids clean and using specific treatments (such as our ZEST treatment) can help keep Demodex mites in check. 

Cosmetics

Certain eye makeup products, like eyeliner or mascara, can play a role in causing dry eye. They can block the oil glands or irritate your eyes if they get inside. Some makeup removers can also strip away the natural oils your eyes need. Choosing gentle, hypoallergenic makeup can help prevent dry eye. 

Certain medical conditions

Health conditions like diabetes, rheumatoid arthritis, Sjögren’s syndrome, and thyroid issues can affect how well your eyes produce tears, leading to dry eye. These conditions can either reduce the number of tears you make or change their quality, causing dryness and irritation. 

Digital eye strain

Spending long hours on digital devices like computers, smartphones, and tablets can lead to digital eye strain, also known as “computer vision syndrome.” When we look at screens, we tend to blink less often, which reduces tear production and makes our eyes feel dry. Taking regular breaks and adjusting your screen settings can help ease these symptoms. 

Environmental factors

Environmental factors like wind, smoke, dry air, and sun exposure can worsen dry eye symptoms. They can cause tears to evaporate more quickly and irritate your eyes, especially if you’re already prone to dryness. Using a humidifier, wearing sunglasses, and avoiding direct exposure to air conditioning or heating can help protect your eyes. 

Medications

Some medications, such as antihistamines, antidepressants, diuretics, and certain blood pressure drugs, can reduce tear production and contribute to dry eye. If you think your medication might be affecting your eyes, talk to your doctor about possible alternatives or solutions. 

Ocular rosacea

Ocular rosacea affects the skin around your eyes, causing redness, swelling, and discomfort. It often leads to inflammation of the eyelids and can affect the meibomian glands, causing dry eye symptoms. Treating ocular rosacea can help improve both your skin and eye comfort. 

Types of dry eye 

Dry eye can generally be classified into two main types, aqueous-deficient and evaporative. These types of dry eye have different characteristics and causes. 

Aqueous-deficient dry eye 

Aqueous-deficient dry eye occurs when the eye fails to produce enough of the watery component of tears, known as aqueous tears. This deficiency arises when the lacrimal glands located in the conjunctiva do not function properly due to various causes such as autoimmune diseases, medications, obstructions, or damage. 

As a result, the volume of tears available is insufficient to protect the ocular surface or provide comfortable and stable vision. 

Evaporative dry eye 

Evaporative dry eye occurs when there is not enough oil in the tears, leading to the quick evaporation of tears from the ocular surface. This condition is more common than other types of dry eye and can cause symptoms such as dryness, irritation, redness, and blurred vision. The most common cause of evaporative dry eye is meibomian gland dysfunction (MGD). 

MGD & dry eye 

Meibomian gland dysfunction (MGD) is a chronic and progressive condition that can affect the function of the meibomian glands in your eyelids. These glands produce an oil layer that helps lubricate the surface of your eyes and prevent tears from evaporating too quickly.  

However, with MGD, the oils produced by your glands can become thicker and clog the glands, leading to inflammation, eyelid irritation, and dry eye symptoms such as eye irritation, watery eyes, and a scratchy feeling. 

OptiLight by Lumenis helps treat MGD by gently stimulating the meibomian glands, helping them to release the natural oils needed to lubricate the eyes. We also offer meibomian gland expression as one of our treatment options. 

Managing inflammation to treat dry eye 

Effectively managing inflammation is key to treating dry eye and ocular surface disease. We focus on identifying the specific inflammatory causes of dry eye in each patient to provide targeted treatment. Our advanced technology, including OptiLight by Lumenis, allows us to directly address inflammation and stimulate proper gland function, helping to restore a healthy tear film and alleviate symptoms. 

Schedule a dry eye exam in Orange Beach 

Don’t let dry eye syndrome affect your daily life any longer. With our expert guidance and care, you can finally say goodbye to those irritating symptoms and enjoy clear, comfortable vision again. Contact us today to schedule a dry eye exam in Orange Beach, Alabama. Let us help you find relief from dryness, irritation, and discomfort and improve your overall eye health.