Dry eyes
Why do I have dry eyes?
Our eyes can feel dry, irritated, and itchy for many reasons. As a dermatologist, I most often see dry eyes in patients taking Accutane (isotretinoin). Other medications, like antihistamines and decongestants, can also contribute. Tear production naturally decreases with age, and hormonal shifts in women can make dry eyes more common. Environmental factors—dry air, heat, wind, and significant screen time—also play a major role.
Because dry eyes itch, we rub them, which can worsen irritation and even damage the eyes.
How do I fix dry eyes (itchy eyes)?
When your eyes are dry or itchy, the key is frequent lubrication and lifestyle adjustments:
Daytime relief: Use lubricating eye drops. Options include single-use vials or bottles such as Refresh or Systane.
Nighttime relief: Apply a thicker lubricating ointment (Systane or GenTeal) before bed.
Boost omega-3 intake: These healthy fats improve eye moisture. Choose supplements (seafood-based or vegan or nicer seafood or vegan options) or get them directly from food. The NIH has an excellent resource on omega-3s.
Use a cool-mist humidifier: Especially in winter or dry climates, a humidifier helps prevent eye dryness.
Cut down on screen time: Staring at phones, computers, and TVs reduces blinking and dries the eyes.
What if my dry eyes aren’t getting better?
Most people improve with the steps above, but if your dry eyes aren’t getting better, it’s time to see a specialist. Look for a board-certified ophthalmologist in your area. If you are in or near Utah, see one of my excellent colleagues at the University of Utah (Moran Eye Center).
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