Dry Eyes – Causes and Treatment

Dry Eyes – Causes and Treatment
October 21 10:37 2026 Print This Article

Summary 

Dry eyes occur when the eyes don’t produce enough tears or when the tears evaporate too quickly. This leads to irritation, redness, itchiness, blurred vision, and discomfort, especially when wearing contact lenses.

Healthy tears have three layers: mucus (to help tears adhere to the eye), watery (to wash away debris and fight infection), and oily (to prevent evaporation).

Common causes of dry eyes include aging, medical conditions, vitamin A deficiency, prolonged screen time, eye surgeries, certain medications, and environmental factors such as smoke or wind.

If left untreated, dry eyes can cause inflammation, corneal ulcers, and infections. Diagnosis involves tests such as the Schirmer’s test and tear breakup time (TBUT). Treatment depends on the cause and may include lubricating eye drops, ointments, punctal plugs, or surgery.

Self-care measures like using humidifiers, taking omega-3 supplements, warm compresses, blinking often, and avoiding smoke or excessive air conditioning can help maintain eye moisture and comfort.

What Are “Dry Eyes”? 

Dry eyes are a common condition that affects the lubrication and moisture balance of the eyes. Without adequate tears, the eyes can feel dry and irritated, as though there’s dust or grit stuck in them. People may experience blurry vision, redness, itchiness, and sensitivity to light. Wearing contact lenses can also become painful.

Sometimes, the body produces an excess of reflex tears to compensate for the dryness, but these are mostly water—they can wash out debris but evaporate quickly. Chronic dryness can lead to inflammation and damage to the eye’s surface.

Why We Need Tears 

Tears are not just water. They are a complex mixture of water, oil, and mucus, each forming a specific layer that protects and nourishes the eyes:

  • Mucus layer – the innermost layer that helps tears adhere to the eye’s surface. It is produced by the conjunctiva, the transparent membrane covering the whites of the eyes.
  • Watery layer – the middle layer, produced by the lacrimal glands. It makes up most of the tear film, washing away dust and debris while carrying proteins and antibodies that prevent infection.
  • Oily layer – the outermost layer, produced by the meibomian glands. It prevents the watery layer from evaporating too quickly.

The eyes continuously produce tears to stay lubricated and self-cleaning. Tears wash away dust and bacteria, while crying under emotional stress may help release stress hormones—though more research is needed to confirm this benefit.

Symptoms of Dry Eyes 

People with dry eyes may experience:

  • A burning sensation
  • Itchiness
  • Redness
  • Sensitivity to light
  • Watery eyes (a reflex response to dryness)
  • Blurred vision
  • A gritty or sandy feeling
  • Difficulty inserting or removing contact lenses
  • Discomfort while driving, especially at night

Causes of Dry Eyes 

The tear film may become unstable or insufficient due to several reasons:

  • Aging – Tear production naturally decreases with age, especially after 50.
  • Medical conditions – Disorders such as rheumatoid arthritis, lupus, thyroid disease, and eye allergies can reduce tear production. Corneal nerve damage from prolonged contact lens use may also contribute.
  • Blocked meibomian glands – These glands produce the oily layer of tears. When blocked due to dust, allergies, makeup, or contact lens residue, the tears evaporate too quickly.
  • Environmental factors – Smoke, dry air, and wind can dry out the eyes.
  • Vitamin A deficiency – Vitamin A is essential for producing mucus and maintaining healthy tear volume.
  • Prolonged screen time – People blink less often when looking at screens, leading to dryness. Taking periodic breaks and blinking consciously can help.
  • Eye surgeries – Procedures such as LASIK or cataract surgery may cause temporary dryness.
  • Medications – Certain medicines used for depression, glaucoma, pain, or blood pressure can cause dry eyes. If you suspect this, consult your ophthalmologist.

Complications Caused by Dry Eyes 

If left untreated, dry eyes can lead to:

  • Corneal irritation or ulcers due to friction from blinking
  • Increased risk of eye infections, as tears fail to wash away bacteria effectively
  • Blurred or fluctuating vision due to poor lubrication

Diagnosing Dry Eyes 

Diagnosis begins with an eye examination and a review of your medical and environmental history. Several tests may be recommended:

  • Slit-lamp examination – to check the eye and eyelids under magnification.
  • Schirmer’s test – to measure tear volume.
  • Tear breakup time (TBUT) – to evaluate how quickly tears evaporate.
  • Antibody or allergy tests – if an autoimmune or inflammatory cause is suspected.

Treating Dry Eyes 

Treatment depends on the underlying cause but may include:

  • Lubricating eye drops (artificial tears) – Available over the counter for immediate relief.
  • Eye ointments – Thicker formulations prescribed for nighttime use to prevent dryness during sleep.
  • Punctal plugs – Tiny silicone or gel plugs inserted into the tear ducts to slow tear drainage.
  • Surgical intervention – In some cases, a minor procedure may be performed to permanently close the tear ducts.

Your ophthalmologist will determine which treatment is best for your specific condition.

Self-Care for Dry Eyes 

In addition to medical treatment, lifestyle adjustments can help maintain eye moisture:

  • Avoid allergens and irritants – Stay away from cigarette smoke, strong wind, and airborne dust. Wear sunglasses outdoors.
  • Use a humidifier – Especially if you live in a dry climate or spend time in air-conditioned rooms.
  • Take omega-3 supplements – These may help increase tear production and reduce inflammation.
  • Apply warm compresses – Warm gel eye masks can relax the eyes and unclog oil glands.
  • Take regular breaks – Follow the 20-20-20 rule: every 20 minutes, look 20 feet away for 20 seconds.
  • Limit contact lens use – Opt for spectacles if possible.
  • Avoid prolonged air conditioning – Air conditioning can dry out your eyes; use artificial tears if you must stay in AC for long periods.

Conclusion 

Dry eyes are common but manageable with early diagnosis and the right care. Maintaining good eye hygiene, staying hydrated, and following your ophthalmologist’s advice can protect your vision and keep your eyes healthy and comfortable.

Dry eyes can cause persistent discomfort and affect your daily activities, but early diagnosis and appropriate treatment can help protect your eye health. If you experience ongoing dryness, irritation, redness, or blurred vision, consult an eye specialist for personalised care. Kauvery Hospital, with branches in Chennai, Hosur, Salem, Tirunelveli, and Trichy, offers expert medical care to help you maintain healthy eyes and clear vision.

Dry eyes can cause persistent discomfort and affect your daily activities, but early diagnosis and appropriate treatment can help protect your eye health. If you experience ongoing dryness, irritation, redness, or blurred vision, consult an eye specialist for personalised care. Kauvery Hospital, with branches in Chennai, Hosur, Salem, Tirunelveli, and Trichy, offers expert medical care to help you maintain healthy eyes and clear vision.

Frequently Asked Questions

What are the common symptoms of dry eyes?

Common symptoms include burning, itching, redness, light sensitivity, blurred vision and a gritty or sandy sensation. Some people also experience watery eyes or discomfort when wearing contact lenses.

What causes dry eyes?

Dry eyes occur when the eyes do not produce enough tears or tears evaporate too quickly. Common causes include ageing, prolonged screen time, certain medical conditions, medications, blocked meibomian glands, vitamin A deficiency and environmental irritants.

Why do my eyes water when they feel dry?

Dry eyes can trigger reflex tearing as the body attempts to relieve irritation. These tears may contain insufficient components to maintain a stable tear film, so they can evaporate quickly without resolving the underlying dryness.

How are dry eyes diagnosed?

An ophthalmologist may examine the eyes and eyelids using a slit lamp, measure tear production with a Schirmer’s test or assess tear evaporation using tear breakup time (TBUT). Additional tests may be considered when an underlying inflammatory or allergic condition is suspected.

What treatments are available for dry eyes?

Treatment depends on the cause and severity. Options include lubricating eye drops, nighttime eye ointments, punctal plugs to slow tear drainage and, in selected cases, procedures to close the tear ducts.

How can I relieve dry eyes while using a computer?

Take regular screen breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds. Blink consciously, avoid direct airflow from air conditioners and consider lubricating eye drops if recommended by an eye specialist.

Can medications cause dry eyes?

Yes. Certain medicines used for depression, glaucoma, pain and blood pressure may contribute to dry eyes. If you suspect a medication is causing symptoms, consult your ophthalmologist or prescribing doctor rather than stopping it yourself.

When should I consult an ophthalmologist for dry eyes?

Consult an ophthalmologist if dryness, redness, irritation or blurred vision persists or affects daily activities. An eye specialist can identify the cause and recommend suitable treatment to help protect the eye surface and vision.

Kauvery Hospital is globally known for its multidisciplinary services at all its Centers of Excellence, and for its comprehensive, Avant-Grade technology, especially in diagnostics and remedial care in heart diseases, transplantation, vascular and neurosciences medicine. Located in the heart of Trichy (Tennur, Royal Road and Alexandria Road (Cantonment), Chennai (Alwarpet, Radial Road & Vadapalani), Hosur, Salem, Tirunelveli and Bengaluru, the hospital also renders adult and paediatric trauma care.

Chennai Alwarpet – 044 4000 6000 • Chennai Radial Road – 044 6111 6111 • Chennai Vadapalani – 044 4000 6000 • Trichy – Cantonment – 0431 4077777 • Trichy – Heartcity – 0431 4077777 • Trichy – Tennur – 0431 4022555 • Maa Kauvery Trichy – 0431 4077777 • Kauvery Cancer Institute, Trichy – 0431 4077777 • Hosur – 04344 272727 • Salem – 0427 2677777 • Tirunelveli – 0462 4006000 • Bengaluru – 080 6801 68011