There Are No “I’s” (Eyes) in Menopause … Or Are There?

Most of us are familiar with the common symptoms of menopause like hot flashes, night sweats, insomnia, and even depression, but did you know that eye irritation and dry eye can also be added to that list?

Our eyes have a tear film (made of a mixture of water, oil and mucous) that covers and lubricates them. Dry eyes occur when we don’t produce enough tears or when our tears are ineffective, causing irritation. It may surprise you to learn that your body’s reproductive hormones influence the production of all components of the tear film. As the levels of your hormones fluctuate and wane, so might the integrity of that protective layer of moisture.

Symptoms of Dry Eye

Do you have any of these symptoms?

• Burning
• Itching
• Redness
• A gritty feeling
• Excessive tearing
• The sensation of something in your eye
• Blurred vision

How to Relieve Irritation

There are a number of ways to relieve this uncomfortable and annoying condition.

• Over-the-counter medications (artificial tears) can provide additional lubrication to your eyes.
• If your symptoms are severe, your doctor may prescribe a medication suitable for your condition.
• Small tear duct plugs implanted by an ophthalmologist (physician specializing in the eye) can conserve tear volume.
• Anti-inflammatory medications like topical cyclosporine A (Restasis) and lifitegrast (Xiidra) may help reduce inflammation.
• Upping the level of omega-3 fatty acids in your diet can also be effective as they appear to improve the function of the glands in the eyelid that produce the oily part of tears.
• Applying warm compresses and gently massaging your eyelids improves tear quality.

How to Avoid Dry Eye

You can also take steps to prevent dry eye by being a little kinder to your peepers.

• Cut down on screen time: If you work at a computer all day, be sure to take frequent breaks. Try closing your eyes for a few minutes or blinking repeatedly for a few seconds.
• Protect your eyes: Wrap-around sunglasses help block wind and air that can dry your protective tear coating.
• Avoid triggers: Smoke and pollen can irritate your eyes, making your symptoms more severe.
• Use a humidifier: Adding moisture to the air in your home or office may help.
• Don’t use contact lenses: Contact lenses can make dry eyes worse. Consider switching to glasses or talk to your doctor about specially designed contact lenses.
• Thoroughly remove eye makeup: Eyeliner, shadow, and mascara can migrate into your eyes while you sleep, causing irritation. Be sure to completely remove all traces of eye makeup with a gentle cleanser before bedtime.
• Maintain an eyelid hygiene regimen: Apply a warm compress two to three minutes in the morning and evening, gently massaging your eyelids. Clean the lid margins and lashes with baby shampoo twice each week while in the shower.
• Artificial tears are like lotion for the eyes. Lubricate!

If you’re experiencing dry eye, whether or not it is associated with menopause, talk to your primary care physician or ophthalmologist. While the condition may seem like a minor annoyance to you, untreated chronic dry eye can lead to more serious complications like a corneal ulcer, conjunctivitis, headaches, difficulty keeping your eyes open and even depression. The right treatment and a few preventive measures can improve your comfort and quality of life.

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Eye Love: Caring for your Aging Eyes

Think you might have dry eye? Let us work with you to find the best course of treatment for you. Schedule your eye health appointment today by calling 855-UMASS-MD (855-862-7763).