Dry eyes and menopause: yes, there’s a link.
Now that many of us are in the thick of allergy season, it may be hard to differentiate itchy, burning eyes due to pollens and itchy, burning eyes due to other causes.
But if your gritty, blurry eyes are year-‘rounders now, you may be dealing with Dry Eye Disease, or DED. Twice as common in women over 50 than it is in men of the same age, keratoconjunctivitis sicca is a symptom to not ignore.
If you are a woman suffering from dry eyes, a Gennev menopause-certified gynecologist can give you a trusted opinion, determine if medication is right for you, and they can provide prescription support. Book an appointment with a doctor here.
According to the National Eye Institute, dry eye is when your body doesn’t make enough tears, or when your eyes make the wrong kind of tears or tear film. Tears have three layers: oily, watery, and mucus. The oily on the outside (farthest from your eye) keeps the tear from drying too fast. The middle watery layer keeps eyes clean from dust, lashes, pet hair, and all that other stuff that seems to find its way to our eyeballs. Finally, the mucus layer on the inside keeps eyes moist. If normal production of one or more of these layers is disrupted, that can result in DED.
Like so many bits of the body that are moist, production of that moisture in the eyes depends in large part on the sex hormones estrogen and testosterone. As these hormones decline with menopause, so does the lubrication.
There are other causes of Dry Eye Disease, so if you believe you may be suffering DED, it’s a good idea to (a) check that there’s not a more serious underlying cause, and (b) avoid those factors that are within your control.
Those suffering DED usually have chronic stinging and burning. You may have blurred vision that’s briefly relieved by blinking, or feel like you have something in your eye. Your eyes are painful, red, gritty, and easily irritated by smoke or wind, and wearing contacts is painful or impossible. Oddly, if your eyes are generating excessive tears, that’s also a symptom of dry eye, as your body attempts to compensate for tears that aren’t the right consistency or that evaporate too fast. You may also experience sensitivity to light and impaired night vision.
If this sounds familiar, and it’s long-term and not associated with irritants like seasonal allergies, you should definitely get to an eye doctor for help. Leaving DED untreated can cause damage to the front of the eye, leave your eye more vulnerable to infection, and impair your vision.
Dry Eye diagnosis should be done by a licensed professional. An optometrist may want to add some dyed drops in your eyes to check if tear flow is normal and if there’s any damage to the eye already. The doc will check your eye to make sure the lid doesn’t turn outward or inward (both can cause dry eye) and to evaluate (my favorite medical term of all time) your “ blink dynamics” (if you’re blinking often enough).
There are lots of things you can do about your dry eyes, including both lifestyle and environmental changes. For more serious cases, there are treatments by a health care practitioner that can relieve symptoms and head off long-term damage.
If your dry eye is mild or moderate, over-the-counter eye drops may be enough to control your symptoms. For more severe cases, docs may recommend antibiotics to reduce inflammation, prescription eyedrops, eye inserts that release a lubricant, plugs to block tear ducts and keep tears in your eyes longer, light therapy and eyelid massage, or special contacts called “scleral” lenses that trap moisture next to the eye.
Yes, drier eyes may be part of getting older, but like so many things, you don’t have to just put up with the reduced quality of life. An eye doctor can diagnose the issue and get you set up to control the symptoms and avoid long-term damage.
*As always, these blogs are not intended as a self-diagnosis tool and should never be used to replace care by a licensed health care professional. If you think you have Dry Eye Disease, or any other serious medical condition, schedule a visit with your doctor.