The condition of Dry Eye or Keratoconjunctivitis Sicca
may be primary or secondary to some other eye disease mainly an eyelid affectation. Blepharitis
and/or meibomitis which is essentially an eyelid infection
and an inflammation of the glands on the eyelid can cause a secondary tear deficiency
. If present, the condition needs to be treated before the dry eye completely disappears or at least improves. In a case of Dry eye where the corneal epithelium is compromised or weakened, on waking up the act of opening the eyelid shears the epithelial cells
away and the patient may experience a burning or irritation in the eyes and reactionary watering. As the day progresses, the eye heals and symptoms subside such that they are non existent later in the day. Lubricating eye drops with a frequent instillation throughout the day is the mainstay of treatment and you would most certainly need a lubricating eye ointment filled in both eyes at night as well. This protects the eyes at night and on waking up and should abate your morning complaints.