Is WFH or wearing a mask giving you dry eye flares? All you need to know

If you are suffering from gritty or scratchy eyes, irritation and redness, you may be going through dry eye flares. Here’s all that you need to know
dry eye syndrome
Dry eye flares can be tackled with the help of certain precautions. Image courtesy: Shutterstock
Dr Hema Mansukhlal Mer Published: 26 Oct 2021, 08:12 am IST
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A dry eye flare is an acute inflammatory response, usually brought on by triggers such as work-from-home environments (where patients are spending increased time in front of screens), contact lenses, or MADE (mask-associated dry eye).

MADE occurs when exhaled air is funneled upward and across the surface of the eyes; typically when the wearer’s mask is not properly fitted. A recent review concluded that eye dryness and irritation from mask wear may become a problem for a large percentage of the population. 

eye sight care
Give your eyes a break from screen time. Image courtesy: Shutterstock
What are some of the causes of dry eye flares?
  • Long trips on planes, seasonal allergies, adverse environmental factors such as fan use and exposure to forced air, associated with heat and air conditioning
  • Chronic inflammatory conditions such as chronic asthma, Sjogren syndrome, rheumatoid arthritis, indoor heating or cooling, smoke, or medications
  • Eating a diet that is low in vitamin A, which is found in liver, carrots, and broccoli, or low in omega-3 fatty acids, which are found in fish, walnuts, and vegetable oils
All about dry eye disease

Often considered a chronic condition, DED (dry eye disease) can also be episodic in nature; not all patients experience consistent symptoms. Rather, they experience dry eye flares with varying levels of discomfort, as a result of a variety of potential triggers. Though 80-90% of patients who receive a diagnosis of DED will also have periods of inflammatory exacerbation or flares, surveys also reveal that nearly half of the patients report suffering from flares alone.  

Patients with a dry eye may have altered vision, discomfort, a burning sensation, and discharge. Another category includes patients who are completely asymptomatic most of the year; however, they suffer from periodic dry eye flares. The number of episodes can vary; perhaps, four to six times a year with short bouts.

Moreover, data reveals that patients with DED have an average of about 4-6 dry eye flares per year, lasting between 7-14 days. When flares happen, patients struggle through the episode, typically self-treating with OTC therapies that fall short, because they do not address the underlying inflammatory cycle.

People with dry eyes may experience irritated, gritty, scratchy, or burning eyes, a feeling of something in their eyes, excess watering, and blurred vision. 

Also Read: Keep your eyes in the best shape with these simple and effective eye care tips

dry eye flare
People with dry eye flare may experience blurred vision. Image courtesy: Shutterstock
What are some of the symptoms?

Apart from the commonly observed symptoms mentioned above, some people with chronic dry eye will notice that their symptoms become worse at night. There could be a variety of reasons for this, including fatigue from using your eyes all day, changes in your metabolism at night, and certain medical conditions.

Dry eye can be a temporary or chronic condition. In a chronic case, your symptoms may get better or worse but never go away completely. Chronic dry eye occurs when your eyes can’t produce enough tears.

dry eye flare
Drinking lots of water can help! Image courtesy: Shutterstock
Prevention and treatment:
  • Avoid places with a lot of air movement
  • Turn on a humidifier during the winter season
  • Stay away from cigarette smoke
  • Use warm compresses and wash your eyelids
  • Try an omega-3 fatty acid supplement
  • Drinking more water can help your body produce a healthy volume of tears, which is important to prevent dry eyes. It’s also important to have healthy lacrimal glands to produce tears and oil glands so that the tears don’t evaporate too quickly. Beverages containing caffeine or alcohol can be dehydrating

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About the Author

Dr Hema Mansukhlal Mer, Consultant Ophthalmologist, Masina Hospital, Mumbai ...Read More

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