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Evaporative Dry Eye Disease - An Overview

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A thin tear film lipid layer contributes to evaporative dry eye by increasing tear evaporation. Read below to know more.

Written by

Dr. Palak Jain

Medically reviewed by

Dr. Aditi Dubey

Published At November 22, 2023
Reviewed AtNovember 22, 2023

Introduction

A thin tear film lipid layer contributes to evaporative dry eye by increasing tear evaporation. Over 85 percent of cases of dry eye illness have meibomian gland dysfunction as their underlying cause. Dysfunction of the meibomian gland results in blepharitis, or inflammation of the lid edge. Seborrheic dermatitis, staphylococcal infection, Demodex mite infestation, ocular rosacea, and atopy are other diagnoses of blepharitis. Since dry eye illness is both a cause and a result of blepharitis, which is believed to modify resistance to infection, it is blepharitis.

What Is Dry Eye Syndrome?

Dry eye syndrome most frequently manifests as evaporative dry eye (EDE). A lack of good tears leads to the unpleasant disease known as dry eye syndrome. The oil glands that border the edges of the eyelids are typically to blame for the problem. Meibomian glands, which are incredibly small, secrete oil to protect the eye's surface and stop tears from drying up.

What Are the Symptoms of Evaporative Dry Eye?

The intensity of EDE symptoms varies. The eyes will generally feel unpleasant.

The discomfort may consist of the following:

  • Grit, as though one had sand in the eyes.

  • The feeling of stinging.

  • The vision is hazy.

  • Not being able to stand wearing contact lenses.

  • Light sensitivity.

  • Especially after using a computer or reading, might cause eye fatigue.

  • One could also notice that the eyelids are puffy or the eyes are more red than usual.

What Causes EvaporativeDry Eye?

1. Mucus, oil, and water are all components of tears. They cover the eye, ensuring a smooth surface and shielding it from infection. Clear vision is also aided by the right amount of tears. Tears would not have the appropriate quantity of oil to prevent them from evaporating if meibomian glands become clogged or irritated. That could lead to an evaporative dry eye.

2. Numerous factors might cause the glands to become clogged. People may accumulate material on the edge of their eyelids, obstructing the meibomian glands, if they cannot blink frequently enough. Reading, driving, or intensive computer work can all cause you to blink less frequently.

These other elements may also affect the meibomian glands:

  • Dermatitis of the scalp and face, rosacea, and psoriasis, among other skin diseases.

  • Using contact lenses for a prolonged time while taking drugs such as antihistamines, antidepressants, retinoids, hormone replacement treatment, diuretics, or decongestants.

  • Diseases like Sjogren's syndrome, rheumatoid arthritis, diabetes, and thyroid disorders.

  • Allergy symptoms that impact the eyes.

  • Vitamin A deficiency.

  • Eye surgery for eye damage.

Are There Other Factors That Can Influence the Development of Evaporative Dry Eye?

All women experience similar hormonal changes, but outside variables, such as anything that would prevent blinking, might exacerbate this. The oils released from the meibomian glands into the tear film must be distributed by blinking. Evaporative dry eye is made worse by anything that slows down blinking, such as staring at a computer screen all day. The use of contact lenses can often worsen dry eyes.

Can Having Dry Eyes Damage the Eyes?

If left untreated, a dry eye can result in long-term corneal tissue abnormalities and chronic eye inflammation. It is challenging for the meibomian glands to regain function when atrophy occurs if they cannot function sufficiently.

What Are the Treatment Modalities That Are Used to Treat Evaporative Eye Disease?

Eyelids should first be cleaned. Once germs, oil, and dead skin are removed, a patient may feel improved. It is crucial to be cautious when doing these processes because the eyelids are sensitive:

Warm Compress - Soak a face cloth or cotton pads in warm water. Keeping the towel on the eyelids, close the eyes. For around five minutes, repeat and continue. Till the eyes feel better, repeat this process twice daily. Then, once daily. The oil glands will produce more oil, increase their flow, and dissolve any crust that develops if heat is applied to this region.

Massage The Eyelids - Tears can be released, and the oil glands can remain open and active. While the warm compress is applied, one can do the action. Just above the eyelashes, gently push the fingertips to the edge of the eyelid. While looking up, roll the finger up on the lower lid. Then, while looking down, roll it downward on the upper lid.

Clean The Lash Line - Gently scrape both eyelids' lashes with a Q-tip, fingertips, or a warm washcloth. This facilitates the removal of oil, germs, and other obstructions from oil gland openings. Use a mild soap or baby shampoo that has been diluted. Pick a product that will not make your eyes itchy.

Take Omega-3 Fatty Acids into Your Diet - The consistency of the oil is enhanced by these fats. Fish oil and flaxseed oil are both excellent sources. If patients use blood thinners or medications to decrease their blood sugar, avoid taking them.

If none of these remedies work, the doctor could advise using antibiotics, eyelid ointments, or artificial tears. They can also advise avoiding locations with air conditioning, heating, and low humidity. They may exacerbate dry eyes.

Conclusion

It primarily affects women, especially as they get closer to menopause and, subsequently, after menopause. The meibomian glands are significantly influenced by testosterone. When women are in their 20s, their testosterone levels are at their peak. All women experience similar hormonal changes, but outside variables, such as anything that would prevent blinking, might exacerbate this. A full eye exam should be performed every one to two years, but if someone exhibits symptoms like dryness, irritation, excessive tears, or burning when they open their eyes, they should have a dry eye assessment. To know more, consult the doctor online.

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Dr. Aditi Dubey
Dr. Aditi Dubey

Ophthalmology (Eye Care)

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