What is dry eye syndrome?
Dry eye syndrome (or dry eye disease) is a condition that makes your eyes feel uncomfortable. The fronts of your eyes (the cornea) need to be constantly lubricated. Dry eye syndrome happens when your eyes don’t produce enough tears, or they're not quite the right quality.
What are the symptoms of Dry Eye Syndrome?
Here are some of the most common symptoms of dry eye syndrome:
Uncomfortable, gritty or itchy feeling in your eyes, as if there's something in your eye
Burning or sore sensation on the surface or corners of your eyes
Blurred vision that might be temporary or which comes and goes (you may notice it improves when you blink)
Contact lens discomfort, especially at the end of the day
Watery eyes (it might sound contradictory, but watery eyes can be a common symptom of dry eye syndrome)
Eye twitching, which is when your eyes blink involuntarily
What causes Dry Eye Syndrome?
Dry eye can have several causes, often with multiple factors involved.
Blocked glands:
When the eyelid glands are blocked (meibomian gland dysfunction), the oily layer of tears is missing, so tears evaporate too quickly and dry out the eyes.
Blepharitis:
This is an inflammation of the eyelid and around the eyelashes, which can also disrupt the glands responsible for producing parts of the tear film.
Contact lens dry eyes:
Contact lenses can cause dry eye by disrupting the normal action of the tear film on the surface of your eye.
Computer eye strain:
Staring at a screen for a prolonged time means that you may not blink as often as needed to keep your eyes lubricated.
Air conditioning:
Working in a building or sleeping in a room with air conditioning may cause dry eyes. Air conditioning works by removing moisture from the air, which can affect your tears.
Hot, windy or dry environments:
In a similar way to air conditioning, hot, windy or dry environments might make your tears evaporate faster, causing dry eyes.
Eye Surgery:
Some people notice they get dry eye syndrome after some kinds of eye surgery, including cataract surgery.
Medical conditions:
Several medical conditions can lead to dry eye syndrome, including diabetes, rheumatoid arthritis or Sjögren's syndrome.
Medication side effects:
Certain medications can cause dry eyes as a side effect. This might happen with things like antihistamines.
Alcohol:
Alcohol can dehydrate the body and therefore reduce the volume of tears your eyes produce.
Hormonal changes:
Changes in oestrogen levels can cause hormonal dry eye, which is common during menopause.
How is Dry Eye Syndrome treated?
It’s fairly straightforward to treat dry eye syndrome and make your eyes feel more comfortable. Here are some of the dry eye syndrome treatments our optometrists might recommend, depending on your situation.
Specsavers dry eye treatments
We offer optometrist‑approved wipes, compresses and eye drops for dry eyes.
Specsavers antibacterial dry eye compress
The Specsavers Antibacterial Dry Eye Compress can be used hot or cold to ease symptoms of dry eye, meibomian gland dysfunction (MGD), and blepharitis. It’s available to buy in store. Use it warm for conditions like blepharitis, dry eye, or eyelid cysts. Or try it cold to soothe hay fever symptoms, inflammation, headaches or migraines. You can also use it alongside Specsavers dry eye drops to help manage dry eyes.
Dry eye drops
Dry eye drops can help relieve dry eye discomfort and provide extra comfort if you wear contact lenses. Speak to your optometrist for a recommendation on what product is best for you.
Eyelid hygiene
Eyelid wipes and solutions can help prevent and ease symptoms of eye conditions like blepharitis. They’re also useful for people with allergies, as they can remove pollen or other allergens from around the eyes.
Book an eye testZEST (Zocular Eyelid System Technology)
ZEST is an in‑store procedure that gently cleans and refreshes the eyelids to help manage dry eye symptoms. It may be recommended by your optometrist if at‑home treatments like eye drops and compresses aren’t providing enough relief.
Key features:
Helps remove build‑up on the eyelids linked to conditions like blepharitis and meibomian gland dysfunction (MGD), which can contribute to dry eye symptoms.
Supports healthier tear function and improved overall eye comfort.
Quick and comfortable in‑store treatment.
Can be used alongside eye drops, warm compresses and other managements as part of a personalised dry eye routine.
Can Dry Eye Syndrome be prevented?
Here are some simple steps you can use to reduce your risk of getting dry eye syndrome:
Drink enough water: Staying hydrated can help your body to keep producing enough high‑quality tears.
Take breaks from screens: we recommend the 20‑20‑20 rule, where you take a break from looking at your screen every 20 minutes, and look at something 20 feet away, for 20 seconds.
Use contact lenses correctly: If you wear contacts, follow lens care instructions in the packaging and contact your optometrist if you notice your eyes becoming dry.
Dehumidify your space: Some people find that humidifiers can help with managing dry eye syndrome.
Avoid air‑conditioned spaces: Try to reduce the amount of time you spend in air‑conditioned environments.
Dry Eye Syndrome FAQs:
Some people notice they get a clicking sound when they blink, and this may get worse if they have dry eyes. It typically happens when trapped tears get released when you blink, and it's not usually something to worry about. But it's still worth getting an optometrist to have a look, as it could be a sign of other issues.
Most people don't need sleep goggles to treat dry eyes ‑ simpler treatments such as eye drops for dry eyes, compresses or eye wipes can usually help the problem. But if your dry eyes are particularly bothering you, then sleep goggles might be beneficial. They are designed to reduce the amount of tears your eyes lose during sleep. Check with an optometrist before buying a pair and only purchase them from trusted retailers.
Dry eye can be temporary or chronic (long‑lasting), but if you’ve had it once, you’ll likely get it again at some point. Often, it can come and go in certain situations and throughout your life.
Yes, drinking water can help treat dry eyes. When you’re dehydrated, your body tries to keep as much fluid in the body, so your eyes and mouth can feel dry. So it’s important you try to keep hydrated so that your body can properly produce the tears your eyes need to stay healthy.
Consuming alcohol can dehydrate your body and may therefore reduce the volume of tears your eyes produce. When there is not enough fluid to lubricate the eye, you might experience symptoms of dry eye as a result. Alongside lubricating your eyes, tears help protect your eyes against infection and foreign objects, such as dust particles.
The difficulty in opening your eye might be a separate problem from your dry eyes. For dry eyes, we would recommend using eye drops during the day, and a thicker, gel‑like drop before you go to bed to help keep the cornea as moist as possible while you sleep. The problem with your eyelid is possibly due to a weakness in the muscle that elevates the lid. The cause may be difficult to determine, but it may be due to a growth in the eyelid, such as a stye, a medical problem, a nerve injury or part of the normal ageing process. Although it's a nuisance, it's not usually a serious problem and should be evaluated by your optometrist.
At Specsavers, our optometrists recommend various treatments for dry eye syndrome depending on the underlying cause and how serious your symptoms are. Often, we'll start with simpler treatments such as using a warm or cold compress for dry eyes, an eye drop or eye gel for dry eyes, or antibacterial cleansing wipes. If the problem doesn't go away, we may recommend more advanced treatments, such as plugging your tear duct.
Yes, unfortunately dry eye syndrome does tend to get worse with age. This can be for a few different reasons. Hormonal changes during menopause can affect women's tear production. More generally, our tear ducts produce fewer tears as we get older, and they may be of a lower quality.
Tears play a key role in keeping your eyes healthy. They moisturise the surface, help protect against infection, clear away debris and keep your vision clear. A normal tear film has three layers: the mucin layer, which helps tears stick to the eye; the aqueous (water) layer, which nourishes and protects; and the lipid (oily) layer, which stops the tears from evaporating. If any of these layers aren’t working properly, it can upset the balance of your tear film. For example, if the oily layer is reduced, your tears may dry out too fast. If there’s less of the watery layer, you won’t produce enough tears to keep your eyes comfortable.
Dry eyes and headaches often show up at the same time, but it’s still not clear whether one causes the other, or if they’re both symptoms of something else. Studies suggest that people who get headaches or migraines are more likely to have dry eyes too. But there’s still more research needed to fully understand the link. One likely connection is screen time. Both dry eyes and headaches are common signs of digital eye strain. With so many of us using screens every day, it’s no surprise these symptoms often come as a pair.
Related conditions
Not sure if this is what you’re experiencing? Explore some related conditions:
Eye Pain
There are different types of eye pain including sharp, stabbing, throbbing or dull pain ‑ knowing what type can help determine the cause and how to treat it.
Find out moreItchy Eye
Itchy eyes are very common and can be quite uncomfortable. It can often be a symptom of certain eye conditions and allergies.
Find out moreBloodshot Eyes
A red, bloodshot eye normally occurs when the blood vessels on the surface of the eye (the conjunctiva) expand.
Find out more
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Kimberley Young (2022) Eye Health UK launches #VisionAndMenopause campaign Available at: https://www.aop.org.uk/ot/industry/charity/2022/10/18/eye‑health‑uk‑launch‑visionandmenopause‑campaign
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(Accessed: 5 November 2019)NICE (2023) Dry eye disease. Available online: Available at: https://cks.nice.org.uk/topics/dry‑eye‑disease/
