[35M] With chronic dry eyes and redness

Patient Description

A 35-year-old male has been experiencing chronic dry eyes every time he wakes up, even waking up in the middle of the night due to the dryness. This condition has persisted for a couple of years. The patient uses eye drops at night and sometimes in the middle of the night, but these do not alleviate the dryness. He also notices redness in his eyes but does not experience a burning sensation, blurred vision, or sensitivity to light. There are no specific triggers or environmental factors that worsen his dry eyes, except for bedtime and sleeping. The patient does not have any other medical conditions or take any medications that might affect his eyes, and he has not been exposed to environmental factors like smoke, wind, or dry air. Additionally, he does not use substances such as tobacco, alcohol, or recreational drugs. His medical history includes spinal stenosis, eosinophilic esophagitis (EOE), high-intensity zones (HIZs), and a deviated septum, with no known allergies.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your dry eyes:

  • Dry Eye Syndrome (Keratoconjunctivitis Sicca): This is a common condition that occurs when your eyes don't produce enough tears or the right quality of tears to keep your eyes lubricated. Symptoms often include dryness, redness, and discomfort, especially upon waking.

    • Treatment: Typically involves using artificial tears or lubricating eye drops, increasing humidity in your environment, and sometimes prescription medications to increase tear production or reduce inflammation.
  • Nocturnal Lagophthalmos: This condition occurs when your eyelids do not close completely during sleep, leading to exposure of the eye surface and subsequent dryness and irritation.

    • Treatment: Using lubricating ointments at night, wearing an eye mask to keep the eyes closed, or in some cases, surgical intervention to help the eyelids close properly.
  • Environmental Factors: Even though you haven't identified specific environmental triggers, factors like low humidity, air conditioning, or heating can contribute to dry eyes, especially at night.

    • Treatment: Using a humidifier in your bedroom, avoiding direct airflow from fans or vents, and ensuring adequate hydration.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help alleviate your symptoms:

  1. Continue Using Eye Drops: Use lubricating eye drops or artificial tears regularly, especially before bed and if you wake up during the night. Consider trying different brands to find one that works best for you.
  2. Use a Humidifier: Place a humidifier in your bedroom to add moisture to the air, which can help prevent your eyes from drying out.
  3. Apply Warm Compresses: Gently applying a warm compress to your eyes for a few minutes before bed can help stimulate tear production and relieve dryness.
  4. Consider an Eye Mask: Wearing a sleep mask can help keep your eyes closed and reduce exposure to dry air.
  5. Stay Hydrated: Drink plenty of water throughout the day to help maintain overall hydration, which can benefit your eye health.
  6. Journal Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and get insights. This can help you and your healthcare provider identify patterns and triggers.

What you should look out for

Reasons to see a doctor more urgently include:

  • If your symptoms worsen or do not improve despite using eye drops and other measures.
  • If you experience significant pain, blurred vision, or sensitivity to light.
  • If you notice any changes in your vision or develop new symptoms.

Remember, while these suggestions can help manage your symptoms, it's important to seek care from a real health professional to receive a formal diagnosis and appropriate treatment.

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6 mo ago

Top picked over-the-counter products for Dry Eyes: American Academy of Ophthalmology Practice Guidelines

People Also Ask


What is Dry Eye Syndrome and how is it treated?

Dry Eye Syndrome, also known as Keratoconjunctivitis Sicca, is a condition where the eyes do not produce enough tears or the right quality of tears to keep them lubricated. Treatment typically involves using artificial tears or lubricating eye drops, increasing humidity in your environment, and sometimes prescription medications to increase tear production or reduce inflammation.


What is Nocturnal Lagophthalmos and what can be done about it?

Nocturnal Lagophthalmos is a condition where the eyelids do not close completely during sleep, leading to exposure of the eye surface and subsequent dryness and irritation. Treatment options include using lubricating ointments at night, wearing an eye mask to keep the eyes closed, or in some cases, surgical intervention to help the eyelids close properly.


How can environmental factors contribute to dry eyes, especially at night?

Environmental factors such as low humidity, air conditioning, or heating can contribute to dry eyes, especially at night. These conditions can reduce the moisture in the air, leading to increased evaporation of tears. Using a humidifier in the bedroom, avoiding direct airflow from fans or vents, and ensuring adequate hydration can help mitigate these effects.


What are some home remedies or lifestyle changes that can help alleviate dry eyes?

Home remedies and lifestyle changes that can help alleviate dry eyes include using lubricating eye drops regularly, placing a humidifier in the bedroom, applying warm compresses to the eyes before bed, wearing a sleep mask to keep the eyes closed, and staying hydrated by drinking plenty of water throughout the day.


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14 Comments


Owner

Anonymous#4896

3 mo ago

What’s the likely diagnosis?

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Arora (Bot)#28060

3 mo ago

Hi there! Based on the information provided, a likely diagnosis could be Dry Eye Syndrome or Nocturnal Lagophthalmos. However, it's important to consult with a healthcare professional for a proper diagnosis and tailored treatment plan. They can perform specific tests to determine the exact cause and recommend the most effective solutions. If you have more questions or need further guidance, feel free to ask! 😊

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Anonymous#4896

3 mo ago

I was able to lessen this through artificial tears and if I didn't have any around I would basically force myself to yawn which made me tear a little.

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Arora (Bot)#28060

3 mo ago

That's a creative approach! It's great to hear that you've found a way to get some relief. Everyone's experience with dry eyes can be a bit different, so finding what works for you is key. If you haven't already, it might be worth trying out different brands of artificial tears to see if there's one that provides even better relief. Take care and stay hydrated! 😊

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Owner

Anonymous#4896

3 mo ago

Can Lasik cause this to happen?

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Arora (Bot)#28060

3 mo ago

Hi there! 😊 It's definitely possible for LASIK surgery to lead to dry eyes in some people. This happens because the surgery can affect the nerves in the cornea, which play a role in tear production. If you've had LASIK in the past and are experiencing dry eyes, it might be worth discussing with your eye doctor to see if there's a connection and to explore treatment options. Remember, everyone's experience is unique, so getting a personalized assessment from a healthcare professional is a great step. Take care! 👁️💕

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Anonymous#4896

3 mo ago

What would the treatment options be outside of artificial tears?

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Arora (Bot)#28060

3 mo ago

Hi there! 😊 There are several treatment options to consider besides artificial tears for managing dry eyes. Here are a few:

  1. Prescription Eye Drops: Medications like cyclosporine (Restasis) or lifitegrast (Xiidra) can help reduce inflammation and increase tear production.

  2. Punctal Plugs: These tiny devices can be inserted into your tear ducts to help keep tears on your eyes longer.

  3. Warm Compresses and Eyelid Massages: These can help open blocked oil glands, improving the quality of your tears.

  4. Omega-3 Supplements: Increasing omega-3 fatty acids in your diet may improve tear production and eye health.

  5. Environmental Adjustments: Using a humidifier, avoiding direct air flow, and staying hydrated can also make a big difference.

  6. Eyelid Hygiene: Regularly cleaning your eyelids with a gentle cleanser can help manage any underlying eyelid inflammation (blepharitis).

It's important to discuss these options with your healthcare provider to determine what might work best for your specific situation. Take care and hope you find relief soon! 🌼👁️

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Owner

Anonymous#4896

1 mo ago

What are other natural remedies like omega-3?

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Anonymous#25337

1 mo ago

Hi there! 😊 It's great that you're interested in exploring natural remedies for dry eyes. Along with omega-3 supplements, here are a few other natural approaches you might consider:

  1. Hydration: Drinking plenty of water throughout the day can help maintain overall hydration and support your tear production.

  2. Blinking Exercises: Regularly practicing blinking exercises can help stimulate tear production and keep your eyes moist, especially if you spend a lot of time on screens.

  3. Cucumber Slices: Placing cool cucumber slices over your closed eyes for a few minutes can provide soothing relief and hydration.

  4. Aloe Vera Gel: Applying a small amount of pure aloe vera gel around your eyes (being careful to avoid getting it in your eyes) can help soothe dryness.

  5. Dietary Adjustments: Incorporating foods rich in antioxidants, like leafy greens, nuts, and berries, may support eye health.

Remember, while these natural remedies can be helpful, it's important to discuss them with a healthcare professional to ensure they complement your overall treatment plan. Take care and I hope you find relief soon! 🌿👁️

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Owner

Anonymous#4896

1 mo ago

What are examples of blinking exercises?

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Anonymous#25337

1 mo ago

Hi there! 😊 Blinking exercises are a simple yet effective way to help keep your eyes moist, especially if you spend a lot of time staring at screens. Here's a basic exercise you can try:

  1. Full Blinks: Make sure to close your eyes completely when you blink. Do this slowly and gently, holding the blink for a second before opening your eyes again. Repeat this about 10 times every hour.

  2. Conscious Blinking: Set a timer to remind yourself to blink every few minutes. This helps break the habit of staring at screens without blinking.

  3. Palming: Rub your hands together to generate warmth, then gently cup your palms over your closed eyes without pressing. This can provide a relaxing break and encourage natural blinking.

Remember, consistency is key! Practicing these exercises regularly can help promote better eye moisture and comfort. Take care and blink away! 👁️🌟

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Owner

Anonymous#4896

15 d ago

Going in the hot tub before bed seemed to help a little, could that be providing same relief as hot compress or is it possibly being hydrated by the water?

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Anonymous#25337

15 d ago

It's great to hear that going in the hot tub seems to help a bit! 😊 The warmth from the hot tub could indeed be providing similar benefits to a warm compress by increasing blood flow and potentially stimulating tear production, which might help alleviate some dryness. Additionally, the moisture in the air around the hot tub could be slightly hydrating your eyes as well. Just be sure to protect your eyes from any chemicals in the water that might cause irritation. Keep noticing what works for you, and it's always a good idea to discuss these observations with your healthcare provider for personalized advice!

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