Brief Answer:
Most dry eyes will resolve in 2-3 months.

Detailed Answer:
Hello
Welcome to Health care Magic

I am Dr. Dadapeer K, an ophthalmologist and I will be answering your question.

I reviewed your history and the previous questions you had asked to Health care Magic.


Dry eyes occur because of alteration in the tear film of the eye. The tear film consists of three layers innermost mucin layer which anchors the tear film, main watery layer which forms the bulk of the tear film and the outermost lipid layer which prevents the evaporation of the tear film.

Each layer is secreted by different glands of the eye with mucin layer being secreted by the goblet cells in the conjunctiva, tear film being secreted by the lacrimal glands and the lipid layer being secreted by the meibomian glands present in the eyelids.

The most common type of dry eye is one caused by deficiency of the watery layer. The treatment for this condition is by use of artificial tears.

Most of the times the dry eye occurs by deficiency of the watery layer by decreased secretion or increased evaporation of the tears. This will improve over sometime on an average of 2-3 months as the secretion from the glands will become normal.

Hence the routine and the first drug to be used in the treatment for dry eyes is use of artificial tears. More than 90% of the times treatment by this drug is sufficient and patients will show improvement without requiring further treatment.

However in severe cases further evaluation by eye examination and tests are required to find out the underlying cause and treatment accordingly.
The usual causes found out are hormonal changes, ageing, previous surgeries to the cornea, previous injury to cornea, prolonged use of contact lenses, eye drops, excessive exposure to dust, computers and rarely autoimmune diseases.
The other drugs used in severe cases are steroids, anti-inflammatory drugs, immunosupressive drugs....

Hence I advice you to continue the treatment with artificial tears eye drops as of now and if it does not improve then you can go for evaluation to find out the underlying cause and treatment accordingly.

Hope this is helpful to you.
Do write back to me for further questions.

Thank you
With regards

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Brief Answer:
These symptoms are seen in moderate to severe dry eye.

Detailed Answer:
Hello
Thank you for the follow up question.

I can understand your concern.

The symptoms you are having are seen in moderate to severe type of dry eye, as the dry eye responds to treatment these symptoms will decrease.
My responses to your questions are as below.

1. In severe dry eyes the pain does increase as in your case.

2. Dry eyes do present with these symptoms of feeling swollen and bruise.


Hope this is helpful to you.
Do write back to me for further questions.

Thank you
With regards

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Brief Answer:
Severe pain requires evaluation to rule out other inflammations of eye.

Detailed Answer:
Hello
Thank you for the follow up.

1. Dry eye until unless very severe will not cause pain.
Hence if pain is the main symptom associated conditions and inflammation of the eyes needs to be ruled out by eye examination.

2. Moderate to severe dry eye will produce severe irritation which can present with features of eye bruise.

Hope this is helpful to you.

Thank you

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Brief Answer:
Assessment of severity of dry eye is required.

Detailed Answer:
Hello
Thank you for the follow up question.

Inflammation in the eye is made out by slit lamp examination. I think you have undergone the same test by ophthalmologists as you have mentioned.

The next tests I advice is evaluation to assess the severity of the dry eye simple office tests like Schirmer's test, Tear film break up time....
All these tests are simple office tests done in out patient department.
These tests will provide information about the severity of dry eye and next mode of treatment.

Hope this is helpful to you.

Thank you

With regards

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