When you blink, a film of tears spreads over the eye. This keeps the eye’s surface smooth and clear. The tear film is important for good vision.
The tear film is made of three layers:
Each layer of the tear serves a purpose.
The oily layer is the outside of the tear film. It makes the tear surface smooth and keeps tears from drying up too quickly. This layer is made in the eye’s meibomian glands.
The watery layer is the middle of the tear film. It makes up most of what we see as tears. This layer cleans the eye, washing away particles that do not belong in the eye. This layer comes from the lacrimal glands in the eyelids.
The mucus layer is the inner layer of the tear film. This helps spread the watery layer over the eye’s surface, keeping it moist. Without mucus, tears would not stick to the eye. Mucus is made in the conjunctiva. This is the clear tissue covering the white of your eye and inside your eyelids.
Normally, our eyes constantly make tears to stay moist. If our eyes are irritated, or we cry, our eyes make a lot of tears. But, sometimes the eyes don’t make enough tears or something affects one or more layers of the tear film. In those cases, we end up with dry eyes.
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 the ophthalmologists at Falgoust Eye Medical and Surgical 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.
The ophthalmologist at Falgoust Eye Medical and Surgical 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. They 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 at Falgoust 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 if the tears with preservatives are used a lot, these chemicals may start to irritate your eyes.
Your Falgoust 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. They could also recommend surgery that permanently closes your tear ducts.
Your ophthalmologist at Falgoust Eye Medical & Surgical might have you use a special eyedrop medication. This helps your eyes make more of their own tears.
If your eyes are irritated, your Falgoust ophthalmologist can treat those problems. They may recommend:
Copyright © March 2017 American Academy of Ophthalmology®