Dry Eye

dryeye.ie by Eye Doctor Clinics

Dry Eye

Dry eye disease is a chronic condition affecting the stability and function of the tear film. It occurs when tears either do not provide adequate lubrication or evaporate too rapidly, leading to inflammation of the ocular surface.

This results in persistent discomfort, visual fluctuation, and reduced quality of vision — particularly during prolonged screen use.

 


Symptoms of Dry Eye

Symptoms vary in severity and are often intermittent:

  • Burning, stinging, or dryness
  • Grittiness or foreign body sensation
  • Redness and irritation
  • Excessive watering (reflex tearing)
  • Blurred or fluctuating vision
  • Sensitivity to light, wind, or air conditioning

Many patients experience worsening symptoms later in the day or during screen use.


What Actually Causes Dry Eye

Dry eye is not a single condition. It is typically driven by one or more of the following:

Evaporative Dry Eye (most common)

  • Dysfunction of the meibomian glands (oil glands in the eyelids)
  • Poor lipid layer → rapid tear evaporation

Aqueous Deficiency

  • Reduced tear production
  • Often associated with systemic conditions

Mixed Disease

  • Combination of both mechanisms

Additional contributing factors include:

  • Prolonged screen use (reduced blink rate)
  • Contact lens wear
  • Hormonal changes
  • Medications (antihistamines, antidepressants, etc.)
  • Environmental exposure (dry air, heating, wind)

Why Most Treatments Fail

Most patients are treated with artificial tears alone.

This is ineffective long-term because:

  • It does not address the underlying cause
  • It does not assess gland function or tear dynamics
  • It provides temporary symptom relief only

Accurate diagnosis is essential before effective treatment can begin.


Specialist Dry Eye Assessment

At Eye Doctor Clinics, dry eye is assessed using a structured, objective diagnostic approach to determine the exact cause and severity of disease.

This includes analysis of:

  • Tear film stability and break-up dynamics
  • Lipid layer quality and evaporation profile
  • Tear meniscus (tear volume)
  • Meibomian gland structure and function
  • Ocular surface integrity and inflammation
  • Demodex infestation (where relevant)

You will receive:

  • Detailed scan results and clinical images
  • Clear diagnosis and subtype classification
  • A personalised treatment plan based on your findings

Treatment Options

Treatment is tailored based on diagnosis and may include:

  • Medical-grade lubricants
  • Prescription anti-inflammatory therapy
  • Targeted lid hygiene protocols
  • Meibomian gland treatment
  • Advanced therapies such as IPL (where indicated)

The goal is not just symptom relief, but restoration of tear film function.


When to Seek Assessment

You should consider a dry eye assessment if you experience:

  • Persistent irritation despite using drops
  • Symptoms affecting work or screen use
  • Fluctuating or unstable vision
  • Contact lens intolerance
  • Recurrent redness or inflammation

Book a Dry Eye Assessment

If you are experiencing ongoing symptoms, a detailed diagnostic assessment is required to identify the underlying cause and guide treatment.

Our Comprehensive Dry Eye Assessment includes full diagnostic work-up, imaging, and a personalised treatment plan.

Dry Eye Assessment €140

30 minute consultation. No deposit required.

Comprehensive Dry Eye Assessment with Imaging + Meibography €230

1 hour consultation + Imaging + Meibography. Deposit required.