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Dry Eye Syndrome, Dry Eye
Treatment
The continuous production and
drainage of tears is important to
the eye's health. Tears keep the eye
moist, help wounds heal, and protect
against eye infection. In people
with dry eye, the eye produces fewer
or less quality tears and is unable
to keep its surface lubricated and
comfortable.
The tear film consists of three
layers--an outer, oily (lipid) layer
that keeps tears from evaporating
too quickly and helps tears remain
on the eye; a middle (aqueous) layer
that nourishes the cornea and
conjunctiva; and a bottom (mucin)
layer that helps to spread the
aqueous layer across the eye to
ensure that the eye remains wet. As
we age, the eyes usually produce
fewer tears. Also, in some cases,
the lipid and mucin layers produced
by the eye are of such poor quality
that tears cannot remain in the eye
long enough to keep the eye
sufficiently lubricated.
The main symptom of dry eye is
usually a scratchy or sandy feeling
as if something is in the eye. Other
symptoms may include stinging or
burning of the eye; episodes of
excess tearing that follow periods
of very dry sensation; a stringy
discharge from the eye; and pain and
redness of the eye. Sometimes people
with dry eye experience heaviness of
the eyelids or blurred, changing, or
decreased vision, although loss of
vision is uncommon.
Dry eye is more common in women,
especially after menopause.
Surprisingly, some people with dry
eye may have tears that run down
their cheeks. This is because the
eye may be producing less of the
lipid and mucin layers of the tear
film, which help keep tears in the
eye. When this happens, tears do not
stay in the eye long enough to
thoroughly moisten it.
Dry eye can occur in climates with
dry air, as well as with the use of
some drugs, including
antihistamines, nasal decongestants,
tranquilizers, and anti-depressant
drugs. People with dry eye should
let their health care providers know
all the medications they are taking,
since some of them may intensify dry
eye symptoms.
People with connective tissue
diseases, such as rheumatoid
arthritis, can also develop dry eye.
It is important to note that dry eye
is sometimes a symptom of Sjögren's
syndrome, a disease that attacks the
body's lubricating glands, such as
the tear and salivary glands. A
complete physical examination may
diagnose any underlying diseases.
Artificial tears, which lubricate
the eye, are the principal treatment
for dry eye. They are available
over-the-counter as eye drops.
Sterile ointments are sometimes used
at night to help prevent the eye
from drying. Using humidifiers,
wearing wrap-around glasses when
outside, and avoiding outside windy
and dry conditions may bring relief.
For people with severe cases of dry
eye, temporary or permanent closure
of the tear drain (small openings at
the inner corner of the eyelids
where tears drain from the eye) may
be helpful.
Content Courtesy : www.nei.nih.gov
Note : Information herein is
provided for informational purposes
only and is not a substitute for
professional medical advice. You
should not use this information for
diagnosing or treating a medical or
health condition. If you have or
suspect you have a medical problem,
promptly contact your professional
healthcare provider. Please consult
your healthcare provider before
beginning any course of
supplementation or treatment.
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