Fast Five Quiz: Are You Familiar With Dry Eye Disease?

Robert H. Graham, MD


September 29, 2017

Paradoxically, some patients with dry eye disease complain of too much tearing. When evidence of dry eye disease is noted, this symptom is often explained by excessive reflex tearing due to severe ocular surface disease from the dryness. Epiphora may also accompany conjunctivochalasis, which demands consideration of surgical intervention.

In dry eye disease, symptoms tend to be worse toward the end of the day, with prolonged use of the eyes, or with exposure to extreme environmental conditions. The following are the most common symptoms of dry eye disease:

  • Foreign-body sensation

  • Grittiness

  • Hyperemia

  • Mucoid discharge

  • Ocular irritation

  • Ocular dryness

  • Excessive tearing (secondary to reflex secretion)

  • Photophobia

  • Itching

  • Fluctuating or blurry vision

These symptoms are often exacerbated in smoky or dry environments, by indoor heating, by fans, or by excessive reading or computer use.

For more on the presentation of dry eye disease, read here.


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