Overview
Tears keep the eye smooth and clear. Too few tears, or poor-quality tears, leave the eye dry and irritated.
Oddly, dry eye can cause watery eyes as the eye tries to make up for it.
Symptoms
Common signs:
- Dry, gritty, or burning eyes
- Blurry vision that clears with blinking
Less common
- Red eyes
- Watery eyes
When to get medical care
Causes
Aging, screens, dry air, contacts, some medicines, hormone changes, and conditions like Sjogren's.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
Who is more likely to get it
- Age over 50
- Women
- Contact lenses
- Antihistamines
Possible complications
- Sjogren's syndrome: Dry eyes and mouth
Diagnosis
An eye doctor can check tear quality.
Questions you may be asked
- Screen time, medicines, contacts
The exam
An eye exam with special dyes.
Treatment
Simple changes help most people.
Self-care
- Use artificial tears: preservative-free if you use them often
- Follow the 20-20-20 rule: every 20 minutes, look 20 feet away for 20 seconds
- Use a humidifier
- Warm compresses for oily eyelids
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| Artificial tears | Dryness | |
| Prescription drops | Ongoing dry eye | Take weeks to work. |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Prevention
To prevent it:
- Take screen breaks
- Wear sunglasses in wind
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to an ophthalmologist (eye doctor and surgeon) or an optometrist.
Back to school, work, or sports
- Most people keep up normal school and work. Rest when you need to.
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
Outlook
Dry eye can usually be managed well.
Myths and facts
Myth: Watery eyes can't be dry eye.
Fact: Dry eyes can make extra tears that don't protect the eye well.
Getting ready for your visit
Bring a list of your symptoms and medicines.
What to bring
- List of eye drops and medicines
Questions to ask
- What type of dry eye do I have?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Sources
Last updated 2026-11-12.