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Understanding Chronic Dry Eye: Long-Term Management Strategies

Jan 30, 2025

Chronic dry eye is a persistent and often frustrating condition that affects millions of people worldwide. Unlike occasional dryness caused by environmental factors, chronic dry eye requires long-term management to prevent discomfort and vision complications. Understanding the causes, symptoms, and treatment options can help you take proactive steps toward relief.


What Causes Chronic Dry Eye?

Chronic dry eye occurs when the eyes fail to produce enough quality tears to stay lubricated. One of the leading causes of chronic dry eye is meibomian gland dysfunction (MGD). MGD occurs when the meibomian glands, which produce the oily layer of tears, become blocked or dysfunctional. Without sufficient oil, tears evaporate too quickly, leading to dryness and irritation.

Other Common Causes Include:


•          Aging: Tear production naturally decreases with age, making older adults more susceptible.


•          Autoimmune Diseases: Conditions such as Sjögren’s syndrome, rheumatoid arthritis, and lupus can affect tear production.


•          Medications: Certain medications, including antihistamines, decongestants, antidepressants, and blood pressure drugs, can reduce tear production.


•          Contact Lens Wear: Long-term contact lens use can contribute to dryness and discomfort.


Recognizing the Symptoms of Chronic Dry Eye

The symptoms of chronic dry eye can vary in severity but often include:


•          A persistent feeling of dryness or grittiness


•          Burning or stinging sensations


•          Redness and irritation


•          Blurred vision that improves with blinking


•          Sensitivity to light


•          Watery eyes


Long-term Management Strategies

Managing chronic dry eye requires a comprehensive approach that targets the underlying causes and provides lasting relief. Proper eyelid hygiene can help improve meibomian gland function and reduce inflammation. Using a warm compress and gently massaging the eyelids can help unclog the oil glands. Additionally, optometrist-recommended lid scrubs or wipes can remove debris and bacteria from the eyelid margins.


While over-the-counter artificial tears can provide temporary relief, prescription eye drops may be necessary for long-term management. Anti-inflammatory drops help reduce inflammation and promote healthy tear production.


Dietary supplements can also play a role in managing chronic dry eye. Omega-3 fatty acids, found in fish oil and flaxseed, can help improve the quality of the tear film and reduce inflammation. Consult your optometrist to determine the right dosage for your needs.


Working with Your Optometrist for Effective Treatment

Since chronic dry eye is a long-term condition, working closely with your optometrist is essential for effective management. Regular eye exams allow your doctor to monitor your symptoms, and adjust treatments as needed. For those with significant tear deficiency, punctal plugs may be recommended. These tiny, biocompatible devices are inserted into the tear ducts to slow tear drainage, helping to keep the eyes hydrated for longer periods.


Schedule Your Dry Eye Evaluation Today

Chronic dry eye can impact your daily comfort and vision, but with a tailored management plan, you can reduce symptoms and protect your eye health. By maintaining lid hygiene, using prescribed treatments, and making lifestyle adjustments, you can find lasting relief.


If you’re struggling with dry eye symptoms, Vision Center South can help. Our experienced optometrists offer advanced diagnostic tools and personalized treatment plans to address the root cause of your dryness. Schedule online for our office in Enterprise, Alabama here Schedule Online, or call (334) 347-6599 to schedule an appointment today.

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