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Dry Eyes

Dry eye syndrome (DES) is a chronic condition that develops when your eyes do not produce and maintain enough tears to keep the eye’s surface lubricated resulting in multiple symptoms that range from person to person. This can be due to a reduction in tear production or increased tear evaporation from a lack of lipid in the tears that stem from oil glands in the eyelids. The effects can range from minor dryness and discomfort to pain, blurred vision and frequent infections.

Symptoms of Dry Eye Disease

Symptoms of dry eye syndrome can vary depending on the severity of the condition but can include:

  • Dry, itchy eyes
  • Burning or stinging
  • Irritation
  • Watery eyes
  • Blurred vision
  • Pain
  • Foreign body sensation

The main function of tears is to maintain the health of the cornea of your eye by washing away foreign matter and ensuring that the surface of your eye remains moist, smooth and clear. Tears also rinse away dust particles from your eyes and contain enzymes that protect your eyes from bacteria that can cause infections. Dry eyes is a condition that develops when the amount of tears produced is not sufficient to maintain the moisture balance in your eye. This can result in that scratchy sensation, a continuous feeling of dryness, stinging and a sensation of a foreign body in your eye. Ironically in an effort to fight off the condition, dry eyes can cause you to produce excessive tears, which is why some people experience watery eyes.

Causes of Dry Eye Disease

Dry eyes can occur naturally as a result of aging or hormonal changes, typically in women who are pregnant, taking oral contraceptives or going through menopause. In fact, women over 50 have a 50% greater risk of dry eye disease than men do of the same age. It can also result from taking certain medications that reduce tear production such as antihistamines, blood pressure medications and antidepressants. Environmental factors can also play a role in drying out the eyes and DED is common in areas where the climate is dry, dusty and windy. Home air conditioners or heating systems and excessive time spent staring at a computer or television screen can also dry out eyes and exacerbate symptoms due to the lack of blinking while staring at our screens.

Individuals that suffer from certain medical conditions such as diabetes, blepharitis, lupus, arthritis and thyroid problems are more vulnerable to developing DED. Other causes can be due to eye surgery including LASIK, certain conditions in which the eyelids don’t close properly or extended contact lens use.

Diagnosis of Dry Eye Disease

Typically, dry eye disease can be diagnosed through a comprehensive eye exam and a description of your symptoms. On some occasions the eye doctor might decide to do a test that measures how quickly your tears evaporate from the surface of your eye. By instilling a simple dye called fluorescein (much like food coloring) the doctor is able to watch and count how long it takes the tears to start to break up after they’ve asked you to hold your eyes open after a blink. This is called TBUT or a Tear Break Up Time test. A low TBUT generally indicates a lipid (aka oil) deficiency in the tears resulting from oil glands in the eyelids not functioning properly. In another type of test, called a Schirmer test, a strip of filter paper is placed under the lid of the eye and you will be asked to close your eye for five minutes. Following the test the amount of moisture on the strip will be measured. Schirmer tests are performed less frequently than a TBUT test.

Treatment for Dry Eyes

There are many treatment options for dry eyes which are highly dependant upon the cause and severity of the condition. Many mild forms of DED can be alleviated using artificial tears or lubricant eye drops to make up for the lack of natural tears usually produced by your eyes. If over-the-counter drops don’t alleviate your symptoms, your doctor might prescribe prescription drops that actually stimulate tear production or steroids for short-term relief.

More severe cases of dry eyes might be treated with a punctal insert which is a tiny insert containing a slow-release lubricating substance that is placed inside the lower eyelid. Since DED is often related to eyelid inflammation known as blepharitis your doctor may prescribe a heated hot compress mask, specialty eyelid scrubs and sometimes an antibiotic ointment. Finally, punctal plugs might be recommended for severe cases which would be inserted into the tear ducts to reduce the tear drainage in your eyes to keep them from drying out.

If the cause of your dry eyes is something external or environmental, eliminating that cause may solve the problem and resolve the symptoms. Avoid dry environments, hair dryers, heaters and fans, (particularly directed toward the eyes) and smoky environments and wear eye protection such as wrap around glasses or goggles when in dusty or windy areas. Use a humidifier to add moisture to dry indoor air. If working on computer or watching television, make sure to blink purposefully as our natural tendency is to reduce our blink rate when staring at a screen. Also avoid rubbing your eyes as this can further irritate them. Staying hydrated by drinking at least 8 to 10 glasses of water per day can also help.

In cases where discontinuation or switching to different medications is possible this can eradicate symptoms. Your doctor may also recommend that you limit or refrain from contact lens use for a certain amount of time or switch to a different brand or type of contact lens which will reduce dehydration.

Dry eye disease won’t have a permanent effect on your vision, but there is no reason to endure dry, itchy and uncomfortable eyes, especially since there are so many treatment options to increase moisture and comfort. It’s also important to realize that this is a chronic disease that needs consistent treatment. Your doctor will work with you to create a long term strategy to keep your eyes as comfortable as possible.

COVID-19 Updates

Dear Valued Patients,

We have missed you and are excited to reopen on Wednesday May 27th, 2020! We are following CDC and American Optometric guidelines on reopening. This has been a very difficult and stressful time for all and we appreciate your patience and understanding.

We will have limited hours of operation for now.

Our new schedule for the near future will be: Mondays 11-5, Wednesdays 11-5, and Saturdays 11-2.

Patients will be seen on an appointment-only basis for the time being.

We are implementing the strict protocol in the office to keep you and our staff safe.

▪  Our doctor & staff will wear face masks & will actively disinfect every room between patients.

▪  Anyone entering the office will be required to wear a facemask and use hand sanitizer upon entry (facemasks with valves are NOT allowed unless another mask is worn on top of it as they do not follow CDC guidelines). We CANNOT make any exceptions at this time and do not accept any waivers. This is to protect our staff, patients and our families.

▪  Appointment times are spaced further apart to ensure social distancing.

▪  No walk-ins will be allowed at this time.

▪  All patients will be required to have the OPTOMAP (Retinal Photography) at a reduced rate to minimize patient contact.

▪  All patients will be required to download, fill out, and bring the intake forms found on the website http://www.eyecareofaustin.com under Patient History form section.

▪  All payments and copayments will be taken over the phone prior to appointments.

▪  Doctor will have video or phone interview about reasons for visits and symptoms, as well as COVID-19 screening questions prior to appointment. We will send you a link for a video chat. This will reduce the time spent in the office and allow face to face conversation before your appointment.

▪  All patients will be required to sign a document stating the following: You have not been exposed to someone diagnosed with COVID-19, have traveled recently, or are feeling feverish.

▪  We will be screening all patients for COVID-19 symptoms. Anyone exposed to someone diagnosed with COVID-19 has traveled recently or feeling feverish, will be rescheduled at least 14 days out.

▪  Please come to your appointment alone unless you are a minor and require adult supervision or require medical assistance. We will allow one caregiver inside with each patient if necessary.

▪  All instruments will be thoroughly sanitized between each patient.

▪  Discussions with doctor and staff will be kept to a minimum. Follow up phone calls or telehealth

video conferencing will be used as often as possible.

▪  Intensive staff training to ensure a safe, clean, and healthy environment for all of our patients and staff has been implemented.

▪  We will be contacting patients who are currently on the schedule to confirm dates and times. We will do our best to reschedule canceled appointments and find available times in the upcoming weeks.

As always, feel free to contact our office with any questions or to schedule an appointment. We look forward to seeing you soon!

Sincerely, Eyecare of Austin

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