Treatment for KCS involves 3 essential components:

(1) Stimulation of tear production.
Tear production is best stimulated by the topical administration to the eyes. Usually 4-6 weeks (sometimes longer) is required for tear production to improve. Usually treatment must be continued for life to maintain tear production, but it is possible in some cases to reduce usage. This is especially true if KCS is detected early before severe drying is present.

(2) Control of ocular inflammation and infection through the topical application of an antibiotic-steroid preparation. Occasionally antibiotics may be given orally.

(3) Tear replacement until return of normal tear secretion.

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Yes. As odd as it sounds, many Dry Eye sufferers experience ‘wet eyes’ due to the tear glands overproducing watery or reflex tears to compensate for a lack of a balanced tear film.

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During reading and TV or computer viewing, the rate of eyelids blinking reduces significantly, especially in dryer climates. This causes the tear film to evaporate leading to dryness of the eyes. This may happen in some people, especially more when they are tired, or have spent long hours watching TV or computers. Computer Users tend to blink much less frequently (about 7 times per minute vs. a normal rate of around 22 times/minute).

This leads to increased evaporation along with the fatigue and eye strain associated with staring at a computer monitor. Ideally, computer users should take short breaks about every 20 minutes to reduce this factor. Also, adjusting the monitor so that it is below eye level will allow the upper lid to be positioned lower and cover more of the eye’s surface, again to reduce evaporation.

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Climatic conditions is a very significant contributor to Dry Eye.

Blepharitis can often cause Dry Eye symptoms due to inflammation of the eye lid margins, which is caused by a bacterial infection (Staphylococci). This condition can compromise the quality of the tear film causing tears to evaporate more quickly. The bacteria produce waste material that can cause a mild toxic reaction leading to chronic red, irritated eyes.

LASIK surgery temporarily disrupts the ocular surface/lacrimal gland unit. This condition usually eventually clears up.

Diseases that may be associated with Dry Eyes include Rheumatoid Arthritis, Diabetes (especially when the blood sugar is up), Asthma, Thyroid disease (lower lid does not move when blinking), Lupus, and possibly Glaucoma.

Age - Tear volume decreases as much as 60% by age 65 from that at age 18. Dry Eye Syndrome affects 75% of people over age 65.

Hormonal changes for women can cause decreased tear production brought on by pregnancy, lactation, menstruation, and post menopause.

Dust, Pollen, and Tobacco - When tear production decreases, dust and pollen stay in the eye longer and are more likely to stimulate an allergic response. In addition, anything that makes an eye more irritated, including Dry Eye, will make an eye more sensitive to environmental irritants such as tobacco smoke.

Other - Too much coffee drinking, smoking, wearing contact lenses, air-conditioning or heat.

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People with Dry Eye have sandy-gritty irritation or burning in their eyes. Initially people may have symptoms only after particularly long days, or when driving, or with contact lens wear, or when exposed to extremely dry environments such as that seen in airplane cabins.

Eventually symptoms become more consistent, and if someone has sandy-gritty irritation or burning that gets worse as the day goes on, and if they have had these symptoms for more than a few days, Dry Eye should be ruled out by an eye doctor.

We will review your history and examine your eyes to make sure you do not have any other problems, and determine the cause for your Dry Eyes.

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Dry Eye syndrome does not truly come and go, but in the early stages of the condition, or with mild Dry Eye, you may only have symptoms after long days, or with environmental conditions that decrease your blink rate (i.e. computer use) or under conditions that increase evaporation from your tear film (i.e. wind, dry air, etc.).

Some patients may notice discomfort only when they wear their contact lenses. Some people may develop symptoms only when they are dehydrated--just like your mouth becomes dry, your eyes can become dry in this way.

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Both are eye doctors that diagnose and treat many of the same eye conditions. The American Optometric Association defines Doctors of Optometry as: primary health care professionals who examine, diagnose, treat and manage diseases and disorders of the visual system, the eye and associated structures as well as diagnose related systemic conditions. They prescribe glasses, contact lenses, low vision rehabilitation, vision therapy and medications as well as perform certain surgical procedures.

The main difference between the two, is that ophthalmologists perform surgery, where an optometrist would not, preferring to specialize in eye examinations, as well as eyeglass and contact lens related services.

Optometrists would be involved in all of the pre- and post-operative care of these patients; collecting accurate data, educating the patient, and insuring proper healing after the procedure. An ophthalmologist is more of a medical related specialist, who would need only to be involved if some kind of surgery were being considered. An optometrist can treat many eye condition if needed. This may include the treatment of eye infections, allergic eye conditions and others, to name just a few.

A third "O" that often is overlooked, is the optician. An optician is not a doctor, and they cannot examine your eye under their own license. However, a highly trained optician plays an indispensable role in the most successful eye doctors' offices. An optician most often handles the optical and glasses side of things. Based on their vast knowledge of lenses, lens technology and frames, they manufacture eyeglasses, as well as assist in the selection of eyewear, based on the requirements of each individual patient.

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