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Are Watery Eyes a Symptom of Dry Eye?

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Close-up of an excessively water eye.

When we think of dry eye syndrome, the image that often comes to mind is one of red, irritated, and scratchy eyes. However, what many might find surprising is that watery eyes can also be a symptom of dry eyes. This paradox can be puzzling, leading many to misinterpret their symptoms. 

There are many symptoms of dry eye syndrome, which is why we recommend booking an eye exam to learn about unexpected watery eyes and discuss the effective treatment options available. 

Understanding Dry Eye Syndrome

Dry eye syndrome is a prevalent condition affecting millions of people worldwide. It occurs when the eyes do not produce enough tears or when the tears evaporate too quickly, leading to inadequate lubrication. This lack of moisture can cause discomfort and, if left untreated, can damage the eye’s surface.

The tear film is a complex mixture of water, oils, and mucus that keeps the surface of your eyes smooth and clear. It helps protect against infection, washes away foreign particles, and provides a clear medium through which light enters the eye. When this delicate balance is disrupted, dry eye syndrome can occur.

Common Symptoms of Dry Eye

The symptoms of dry eye can vary but commonly include:

  • A burning or scratchy sensation in the eyes
  • Redness
  • Sensitivity to light
  • Blurred vision
  • A feeling of having something in your eyes

While these symptoms are expected with dry eyes, watery eyes can also surprisingly be a symptom.

The Paradox of Watery Eyes

At first glance, watery eyes seem counterintuitive to dry eye syndrome. However, this is a common occurrence. When the eyes become dry and irritated, they can overcompensate by producing an excess of tears

This response is the body’s way of trying to tackle the dryness, albeit temporarily. The tears produced in reflex tearing are often of lower quality and do not contain the necessary oil and mucous layers that help them stay on the eye’s surface and provide proper lubrication.

The Physiology Behind Watery Eyes in Dry Eye Syndrome

The lacrimal gland, responsible for tear production, can sometimes go into overdrive when the eyes are excessively dry or irritated. This reflex tearing is not the same as the basal tears produced for consistent eye lubrication. Reflex tears are mostly water, lacking the essential components that make tears effective in providing long-term relief and protection.

This leads to a cycle where the eyes continue to feel dry, prompting more reflex tearing, which doesn’t help maintain the moisture balance. Understanding this physiological response is crucial in addressing the root of the problem rather than just the symptoms.

A person applying artificial tears to their dry eyes.

Treatment & Management Strategies

Lake Country Optometry provides comprehensive dry eye therapy tailored to each individual’s needs. Addressing the underlying cause of dry eyes is essential in breaking the cycle of irritation and excessive tearing. Here are some strategies and treatments available:

  • Artificial Tears: Over-the-counter lubricating eye drops are a staple in managing dry eye symptoms. These drops supplement natural tear production, providing much-needed moisture to the eye surface and alleviating dryness and irritation. They are generally safe for frequent use. However, some variants contain preservatives that may cause irritation with long-term use. 
  • Prescription Medications: For more severe cases, prescription medications may be necessary. These can include anti-inflammatory drugs like Restasis and Cequa cyclosporine, or lifitegrast (Xiidra), which help reduce inflammation and increase tear production. Potential side effects can include a temporary burning sensation or blurry vision upon application, but these are typically mild. 
  • Lifestyle Modifications: Simple daily changes can significantly impact managing dry eye. Taking frequent breaks from digital screens reduces strain on the eyes. Incorporating a humidifier into your environment can add moisture to the air, preventing your eyes from drying out. Wearing sunglasses can shield your eyes from wind and sun, both of which can exacerbate dryness. These modifications can enhance comfort and reduce symptom severity.
  • Punctal Plugs: Advanced interventions might be necessary for those with persistent dry eyes. Punctal plugs are tiny devices inserted into the tear ducts to prevent tear drainage and maintain eye moisture. 
  • Light Therapy: Also known as intense pulsed light (IPL) therapy, these methods can address meibomian gland dysfunction, a common cause of dry eye, by improving gland function and tear film quality. While generally safe, these treatments should be discussed with an eye care professional to make sure they are appropriate for the condition.
  • Comprehensive Eye Exams: Regular eye exams are important in diagnosing and managing dry eye effectively. 

At Lake Country Optometry, we use advanced technology such as optomap digital imaging and optical coherence tomography (OCT) which allows for a thorough assessment of eye health. These tools help us provide precise monitoring, making sure that treatments are adjusted as needed to meet changing requirements.

Your Path to Comfortable Vision

While watery eyes might seem an unlikely symptom of dry eye syndrome, understanding the body’s response to dryness can help diagnose and treat the condition effectively. Individuals can seek appropriate care by recognizing watery eyes as part of the broader symptomatology of dry eye syndrome. 

Lake Country Optometry stands ready with a host of tailored solutions designed to provide relief and improve the quality of life for those suffering from dry eye syndrome. Don’t wait to seek help if you’re experiencing symptoms—effective treatments are available, and relief is possible.

Take the first step towards healthier eyes today! Schedule your appointment with us at Lake Country Optometry and experience the benefits of our personalized care. Our team is dedicated to making sure your eyes receive the best possible treatment. 

Written by Dr. Lisa Zhang

Dr. Lisa Zhang is originally from Ottawa, ON where she attended the University of Ottawa for her undergraduate degree in Honours Ophthalmic Medical Technology. During her time in Ottawa, she trained alongside ophthalmologists at the University of Ottawa Eye Institute, performing diagnostic testing and assisting the specialists. Additionally, she gained clinical experience providing pre-operative assessments at LASIK MD and pediatric assessments at the Children’s Hospital of Eastern Ontario (CHEO). Her most memorable experience was spending three summers providing eye care to rural populations with the VLRC Eye Van, which is a fully equipped mobile medical van that travels to under-serviced communities throughout Northern Ontario.

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