If you first experience a disaster like dry eye, the fundamental rule and recommendation would be to speak with a skilled ophthalmologist before putting anything in your eyes. Since choosing a treatment requires more pathophysiological understanding than simply purchasing the first eye drops you see.
Once upon a time, you probably went about most of your day, most days, not giving your eyes much thought. Like any vital organ—your heart, your lungs, your skin—your eyes just did their job without complaint.
Redness. Itchiness. Occasional blurriness. Irritation—like something’s in your eye all the time.
Suddenly, all you can think about is the fact that you have eyes. And they are angry. So you’ve been reaching for products that promise fast relief. Who wouldn’t? Dry eye is absolutely miserable!
But if you’re like most people, you now have a drugstore-sized collection of over-the-counter (OTC) eye drops. You’ve tried every “all-in-one,” “fast-acting,” “total comfort” drop out there—and nothing’s helping.
OTC eye drops simply can’t offer a complete solution.
What are tears, anyway? Tears are a viscoelastic structure. (Viscous fluids don’t flow easily and elastic fluids expand in all directions.) They’re made of three layers, and if the quality or quantity of any of the layers is disrupted, your tear film will be unstable—which is what leads to dry eye symptoms. :
In general, redness relief drops try to counter dry eye symptoms by increasing the amount of either oil or water. Why not both? Because, as you might recall from first-grade science class, oil and water don’t mix.
It’s simply not possible to have an “all-in-one” solution—so the best you can do is try drop after drop after drop until you find something that sorta-kinda works. It’s so frustrating!
But what about “artificial tears”?
Many artificial tears are better at offering lubrication than traditional eye drops. However, with excessive use, they can work too well—washing away your natural tears and/or the oil that prevents tears from evaporating. The result? More dry eye symptoms.
Before you put anything in your eyes, it’s best to consult with a qualified ophthalmologist.
Let’s have a quick (promise!) physiology lesson.
At the first sign of irritation, your eyes complain to your brain—and your brain responds by expanding the tiny blood vessels in your eyes to allow more blood flow and promote natural healing. This process, called vasodilation, makes those blood vessels more visible, which is why dry eyes appear red.
Here’s the problem: The active ingredient in “redness relief” drops is a vasoconstrictor, which means it instructs those blood vessels to clamp down again—preventing the very thing your eyes need to feel and look better. But that’s not all: With extended use, the blood vessels tend to dilate more when the vasoconstrictor wears off. And so you reach for your drops again. And again. And again.
This is called rebound hyperemia, and it sets up your poor eyes for nothing but misery.
The combination of contacts and redness-relief drops is particularly troublesome for a couple of reasons:
At best, redness relief drops only treat the symptoms of dry eye without treating the underlying cause.
And because we’re talking about your vision, it’s critical to understand what’s really behind it all.
Dry eye has multiple causes. Some are specific to your eyes, such as wearing contacts or recent LASIK surgery. Others are related to your overall health, such as hormonal changes associated with menopause or certain thyroid conditions. Environmental conditions (hello, Santa Ana winds!) and work requirements (spend much time on a computer?) can also contribute to dry eye.
In the vast majority of cases, dry eye will not resolve on its own. In fact, the condition gradually worsens over time—especially with excessive use of OTC eye drops. And in many cases, dry eye causes irreversible damage. That’s why early detection and intervention are so critical.
With the use of advanced diagnostic tools to identify the root cause and inform a clear path forward, your eyes can be kept healthy for the long term.
We know you want to look, feel, and see your best. That’s really tough to do when your eyes are red, irritated, and itchy. Life’s too short to put up with dry eye, and getting relief is easier than you think.
Even if you feel like you’ve tried everything, we can help.
Constantly rubbing your eyes, forcing yourself to blink, depending on eye drops to achieve only temporary relief – it all prevents you from getting the most out of your life. Even if it feels like you've already tried everything, we are here to prove you still have options.
In the heart of Los Angeles, our practice stands alone in offering patients a truly comprehensive approach to dry eye disease. By integrating multiple cutting-edge technologies and treatment modalities, we address this complex condition from every angle, providing relief where single treatments often fall short.
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For residents of southern California, feeling a little dry is nothing new, but when it comes to symptoms of dry eye disease, you might be surprised to know that tearing is actually a symptom. But wait, if your eyes are tearing, how can they possibly be dry? We are here to answer that and many more dry-eye questions.
