Can Dry Eyes Cause Eye Pain?

Among the other symptoms dry eyes can cause, patients may experience eye pain.

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Dry eye is a common eye condition, and it can cause a wide range of symptoms. Can eye pain also be a sign of dry eye?

Why We Experience Dry Eye

Dry eye can be caused by a number of things, including environmental conditions, issues which lead to decreased tear production or poor quality tears. What all causes of dry eye have in common, however, is that they lead to irritation in the eyes. If steps aren’t taken to correct the problem or at least to alleviate symptoms by lubricating the eyes, this discomfort can get worse, and eventually progress to pain.

The Eyes are Sensitive

The cornea of the eyes has a greater density of nerve and receptors than almost ever part of the body, with the density of nerve endings in the center of the cornea being about 7,000 per square millimeter.

This very high amount of nerve endings and receptors in the cornea is the reason the eye is so sensitive to surface damage (including damage from dry eye), and why even minor abrasions to the cornea can be extremely painful.

Dry Eye and Eye Pain

Most of the time, when people think of dry eye, they think of a more mild irritation. Annoying and uncomfortable, but not exactly painful. However, more severe cases of dry eye, especially if it is not promptly treated, can absolutely lead to pain through increased inflammation and even damage to the surface of the eye.

Additionally, dry eye can also cause light sensitivity and headaches. Each of these conditions can lead to additional discomfort as well as pain behind the eyes.

Ocular pain response to treatment in dry eye patients

A cross-sectional study showed that increasing pain was significantly associated with:

Younger age
History of refractive surgery
Higher Ocular Surface Disease Index© score
Less likelihood of corneal staining
Patients with higher pain intensity were more likely to report a history of fibromyalgia, depression, anxiety, and migraine.

Perhaps more noteworthy is that the same study showed that patients with greater pain severity were less responsive to standard treatment options for dry eye. These included treatment with artificial tears, lubricating ointment, steroid eye drops, cyclosporine 0.05% , 20% autologous serum tears, hot compresses, lid hygiene and punctal occlusion .

How to Treat Eye Pain From Dry Eye

If you are experiencing eye pain as a result of dry eye, the obvious thing to do is work on treating the dry eye causing the pain. There are a wide range of treatment options, ranging from artificial tears to vitamin supplements to more complex in-office care. While the research is still in its infancy, it indicates that someone who suffers from severe pain from dry eye should consider more advanced in-office treatments for dry eye.

For this reason, if you are experiencing dry eye, and especially if you are experiencing eye pain as a symptom, it is important to see an eye doctor. They will be able to determine the cause of your dry eye, and from there suggest optimal treatment options for you.

Common Questions

How is dryness in the eyes treated?

Depending on the severity and type of dry eyes (aqueous or evaporative) there are various ways we can treat dry eyes. Initially we would start off the patient to use warm compresses 2x a day for 10 minutes with lid massage and lid scrubs. Along with the use of over the counter artificial tears 2-4x a day in both eyes. Depending on severity we can also add a gel drop or ointment at night. If relief is still not occurring with the initial course of treatment, we can then add prescription eye drops for dry eyes such as Restasis or Xiidra. Other dry eye treatment options are using punctal plugs or other devices like Lipiflow/iLux/IPL etc

How do I clean my eyelids for dry eyes?

There are several different ways you can clean your eyelids for dry eyes, one method is to use OcuSoft lid scrubs (or you can use any other brand lid scrubs). These scrubs are packaged in a pre-moistened pad. First you should wash and clean your hands, then fold the Ocusoft pre-moistened pad over your index finger, close your eyes, and then gently scrub your eyelid with your index finger using side to side strokes. Then rinse your eyes with water and repeat the same for the other eyelid. Another method of cleaning your eyelids is using Avenova Antimicrobial lid and lash Solution. First wash your hands prior to application and be sure to remove any make-up or lotions around your eyes. Apply the spray to a cotton pad (or you can also apply the spray directly onto your eyelids with your eyes closed). Then close your eyes and using a horizontal motion wipe the base of all the upper lid lashes at least 3 times, applying to the base of your eyelashes along the lid margin. Then look up and wipe the base of the lower lashes with a horizontal motion at least 3 times, applying to the base of your eyelashes along the lid margin. Then with a new cotton pad repeat on the other eye.

Does weather cause my eyes to feel painful, gritty, and dry?

Yes, especially winter weather. In the winter due to cold weather outdoors and heated air indoors we have less moisture and low humidity, which may result in our eyes feeling dry. Also if it’s windy and cold this can cause excessive tearing as well. Snowfall can also cause your eyes to be sensitive to light/painful because snowfall creates many reflective surfaces that increase the amount of light. If there is a lot of pollution outside or if it’s during the spring time and there is a lot of pollen in the air this can also make your eyes feel itchy and gritty.

Why do dry eyes cause pain?

Eye pain can occur as a result of dry eyes. It can feel like a constant stinging or sharp pain in the eyes. If dry eye is left untreated it can lead to severe dry eyes which may lead to eye inflammation, cuts to the corneal surface, corneal ulcers and vision loss. Your cornea is covered with nerve endings, making it very sensitive when damaged. Furthermore, it explains why even a small corneal abrasion might be painful. There is no need to put up with eye pain. Schedule a comprehensive eye examination if you experience sudden or recurring eye discomfort by calling (212) 752-6930.

Summary

Eye pain can be a symptom of dry eye, and it usually indicates a more severe case of dry eye and may be an indication of damage to the eye. If you are experiencing eye pain of any kind, it is vital to see a doctor. If you are experiencing eye pain, or have any questions, you can contact Amplify EyeCare Manhattan at (212) 752-6930 to schedule an appointment for an eye exam. Patients with dry eyes visit our clinic from all over New York, and we are proud to be a leading provider of dry eye care for patients from New York, Queens, Brooklyn, and Long Island.

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Testimonials

At Amplify with Dr Wernick I was seeking help for seemingly intractable, probably age-related dryness. I've seen other doctors about it, and that has been helpful, but what he explained to me about it and the careful way he answered all my questions gave me so much more of a clear understanding of what is going on (and is not) that I am more able to implement all his and others' recommendations than I was before. And he gave me additional resources for further follow-up. I am most grateful.

Cynthia Norton

Wow! This is a great Eye Care medical facility. I was thoroughly examined by Dr. Pinkhasov for over 2 hours. She made sure to check my eyes for pretty much everything and patiently explained proper care for my eyes. They definitely know how to provide great care and treat their patients right. Now I know why they have such a great reputation and been around for so long.

Steve Fay

Dr. Kavner is a gifted diagnostician and orthoptic therapist. He treated me several decades ago for a condition similar to dyslexia. I was having migraines five times per week. I worked with him for about a year and I experienced tremendous improvement (down to 3-4 per year) that has lasted.

Mary K.

Dr. Kavner recommended two types of eye therapy for my daughter. One of them using bio-feedback. In just three sessions she is seeing considerably better. She shouted this morning: Ooh my God! I could not see these letters with my glasses on, and now I can see them without my glasses. If you are willing and able to invest in improving your vision, this is a good place to go to!

Peter G.

Dr. Kavner recommended two types of eye therapy for my daughter. One of them using bio-feedback. In just three sessions she is seeing considerably better. She shouted this morning: Ooh my God! I could not see these letters with my glasses on, and now I can see them without my glasses. If you are willing and able to invest in improving your vision, this is a good place to go to!

Kinkie F.

I have always found Dr Kavner's work, expertise and wisdom of the highest caliber. As one of the fathers of OT, occupational othomology, his depth and breadth of knowledge about the eyes' health and wellbeing of the patient is exemplary. Cannot say enough good things about him.