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Health Encyclopedia

Dry eye syndrome

Eye anatomy
Eye anatomy

Definition

  

Dry eye syndrome is when the tear glands produce fewer tears.

See also:


Alternative Names

  
Keratitis sicca; Xerophthalmia; Keratoconjunctivitis sicca

Causes, incidence, and risk factors

  

Dry eye syndrome often occurs in people who are otherwise healthy. It is more common with older age, because you produce fewer tears with age. In rare cases, it can be associated with rheumatoid arthritis, lupus erythematosus, and other similar diseases. It may also be caused by thermal or chemical burns.

In areas of the world where malnutrition is common, vitamin A deficiency is a common cause. This is rare in the United States.


Symptoms

  


Signs and tests

  

An ophthalmologist can look at the film of tears on your eye using a slit lamp (biomicroscope). A dye such as fluorescein may be placed in the eye to make the tear film more visible. Your health care provider may do a Schirmer's test, measuring the rate of tear production using a calibrated paper wick placed on the edge of the eyelid.

Your eye's cornea may be thick. You may have reduced visual acuity.


Treatment

  

Wetting drops called artificial tears may be used for treatment. Lubricating ointments may help more severe cases. Tiny plugs may be placed in the tear drainage ducts to help the tears remain on the surface of the eye.


Support Groups

  


Expectations (prognosis)

  

Most patients with dry eye have only discomfort, and no vision loss. With severe cases, the cornea (clear window on the front of the eye) may become damaged or infected.


Complications

  

Ulcers or infections of the cornea are serious complications.


Calling your health care provider

  

See your health care provider immediately if you have dry eyes and have a sudden increase in discomfort or redness, or a sudden decrease in vision.


Prevention

  

There is no way to prevent keratoconjunctivitis sicca. Complications can be prevented by use of wetting and lubricating drops and ointments.


 
Review Date: 10/20/2006
Reviewd By: Manju Subramanian, MD, Assistant Professor in Ophthalmology, Vitreoretinal Disease and Surgery, Boston University Eye Associates, Boston, MA. Review provided by VeriMed Healthcare Network.
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