Skip to main menu Skip to main content Skip to footer

Dry Eye Care

Dry, irritated, burning, or watery eyes can make everyday life uncomfortable. At Florida Vision Centers, we provide physician-owned and physician-led dry eye care for patients in Estero, Bonita Springs, Naples, and Fort Myers.

If your eyes often feel gritty, fluctuate in clarity, or become uncomfortable when reading, driving, using screens, or spending time outdoors, dry eye may be part of the problem.

Dry eye is common, especially as we get older, but it is not all the same. Some people do not make enough tears. Others make tears that evaporate too quickly. Many patients have underlying eyelid inflammation or meibomian gland dysfunction that needs to be identified and treated, not just temporarily covered up with drops. Florida Vision Centers offers a patient-first, medically grounded approach focused on finding the cause of symptoms and building a treatment plan that makes sense for your eyes and your daily life.

What Is Dry Eye?

Your eyes need a healthy tear film to stay comfortable and to keep vision smooth and clear. Tears are made of multiple components, including an oil layer, a watery layer, and a mucus layer. When one or more parts of this system are not working properly, the surface of the eye can become dry, irritated, and inflamed.

Dry eye can happen when:

  • Your eyes do not make enough tears
  • Your tears are poor quality
  • Your tears evaporate too quickly
  • Eyelid gland problems interfere with the tear film

This is one reason dry eye can feel different from person to person. Some patients complain of burning. Others notice fluctuating vision, excess tearing, or discomfort that is worse late in the day.

Common Dry Eye Symptoms

Dry eye symptoms can range from mild irritation to daily frustration that affects reading, computer work, driving, and general comfort.

Common symptoms include:

  • Burning or stinging eyes
  • Gritty or scratchy sensation
  • Redness or irritation
  • Blurred or fluctuating vision
  • Excess tearing or watery eyes
  • Mucus around the eyes
  • Contact lens discomfort
  • Symptoms that worsen in wind, air conditioning, or during prolonged screen use

Many patients are surprised that watery eyes can actually be a sign of dry eye. When the eye surface becomes irritated, the eyes may reflexively produce more tears, but those tears often do not solve the underlying problem.

What Causes Dry Eye?

Dry eye can develop for several reasons, and often more than one factor is involved.

Possible causes include:

  • Age-related reduction in tear production
  • Hormonal changes
  • Meibomian gland dysfunction (MGD)
  • Blepharitis and eyelid inflammation
  • Autoimmune conditions such as Sjögren’s syndrome, rheumatoid arthritis, lupus, and thyroid disease
  • Reduced blinking during reading or computer use
  • Wind, smoke, dry air, and environmental exposure
  • Long-term contact lens wear
  • Prior refractive surgery such as LASIK
  • Certain medications, including antihistamines, some blood pressure medications, antidepressants, sleep medications, and diuretics

A careful evaluation matters because successful treatment depends on identifying what is actually driving the dryness.

Dry Eye and Meibomian Gland Dysfunction

A very common cause of dry eye is meibomian gland dysfunction, often called MGD. These glands in the eyelids produce the oil layer of the tear film. When they become blocked or stop functioning well, tears evaporate faster and the eye surface becomes irritated. MGD is one of the most important reasons many people continue to struggle with symptoms even when they are already using artificial tears. In these situations, treatment may need to include eyelid hygiene, warm compresses, and medical treatment targeted at inflammation and gland function rather than relying on lubricating drops alone.

How Dry Eye Is Diagnosed

At Florida Vision Centers, dry eye evaluation begins with a comprehensive eye examination and a close look at the eyelids, tear film, blink quality, and surface of the eye. Depending on your findings, testing may also help assess tear quality, tear quantity, or how quickly tears evaporate.

This is important because the right treatment depends on whether your dryness is primarily related to tear deficiency, tear evaporation, eyelid disease, inflammation, or a combination of these factors.

Dry Eye Treatment Options

Treatment is tailored to the cause and severity of symptoms. Your plan may include one or more of the following:

Lubricating eye drops can help supplement your natural tears and improve comfort. Many patients do well with over-the-counter tears, while others may need preservative-free options, especially if using drops frequently.

Some patients benefit from prescription treatment designed to help the eyes produce more of their own tears or reduce inflammation affecting the tear film.

When eyelid inflammation or meibomian gland dysfunction is contributing to symptoms, warm compresses, lid care, and treatment of the eyelid margin can be a key part of improving comfort and stabilizing the tear film.

For some patients, especially those whose tears drain away too quickly, punctal plugs may help keep natural tears on the eye longer. These tiny devices are placed in the tear drainage openings and may be temporary or longer-lasting depending on your needs.

Treatment of Underlying Contributors

If dry eye is related to blepharitis, eyelid abnormalities, medication effects, or another contributing issue, addressing that root cause may be an important part of the plan.

Are Punctal Plugs Right for You?

Punctal plugs are often considered when artificial tears alone are not enough. They work by reducing tear drainage so that your natural tears stay on the eye longer. Some plugs dissolve over time, while others are designed to stay in place for longer periods and can be removed if needed.

Like any treatment, punctal plugs may not be right for everyone. Possible downsides can include irritation, excessive tearing, plug displacement, inflammation, or, rarely, infection. The best candidates are usually determined after a physician evaluation of the tear film, eyelids, and overall cause of dryness.

Dry Eye Self-Care Tips

Many people with dry eye benefit from small daily changes that reduce irritation and help protect the tear film:

  • Use artificial tears as recommended
  • Consider preservative-free tears if using drops often
  • Take blink breaks during screen use
  • Limit exposure to smoke and direct airflow
  • Use a humidifier in dry indoor environments
  • Wear wrap-around glasses outdoors in windy conditions
  • Use thicker lubricating drops or ointment at bedtime if morning dryness is a problem

These measures can help, but persistent or worsening symptoms should still be evaluated medically.

When to See an Eye Doctor for Dry Eye

You should schedule an evaluation if:

  • Symptoms are persistent or worsening
  • Over-the-counter tears are not helping enough
  • Dryness affects reading, driving, computer work, or daily comfort
  • You have significant redness, pain, or changes in vision
  • You suspect eyelid disease, medication side effects, or another medical condition may be involved

Chronic dry eye is not always “just dryness.” It can reflect a more specific problem that deserves proper diagnosis and targeted treatment.

Frequently Asked Questions

Yes. Dry eye can make the surface of the eye irregular, which can lead to fluctuating or blurry vision, especially when reading or using screens.

Dry eye can trigger reflex tearing. Your eyes may produce excess tears in response to irritation, but those tears often do not provide stable, lasting relief.

Yes. Tear production often changes with age, and dry eye becomes more common over time.

Yes. Some antihistamines, blood pressure medicines, antidepressants, sleep medications, and other drugs can contribute to dry eye symptoms.

Some punctal plugs are temporary and dissolve over time. Others are longer-lasting made of silicone and can be removed if needed.