Superficial Punctate Staining after topical flourescene application

When you blink, a film of tears spreads over the eye, making the surface of the eye smooth and clear. Without this tear film, good vision would not be possible.
Sometimes people don’t produce enough tears or the right quality of tears to keep their eyes healthy and comfortable. This condition is known as dry eye.

The tear film consists of three layers:

• An oily layer;
• A watery layer;
• A layer of mucus.

Each layer has its own purpose. The oily layer, produced by the meibomian glands, forms the outermost surface of the tear film. Its main purpose is to smooth the tear surface and reduce evaporation of tears.

The middle watery layer makes up most of what we ordinarily think of as tears. This layer, produced by the lacrimal glands in the eyelids, cleanses the eye and washes away foreign particles or irritants.

The inner layer consists of mucus produced by the conjunctiva. Mucus allows the watery layer to spread evenly over the surface of the eye and helps the eye remain moist. Without mucus, tears would not stick to the eye.

Normally, the eye constantly bathes itself in tears. By producing tears at a slow and steady rate, the eye stays moist and comfortable.

The eye uses two different methods to produce tears. It can make tears at a slow, steady rate to maintain normal eye lubrication. It can also produce a lot of tears in response to eye irritation or emotion. When a foreign body or dryness irritates the eye, or when a person cries, excessive tearing occurs.
It may not sound logical that dry eye would cause excess tearing, but think of it as the eye’s response to discomfort. If the tears responsible for maintaining lubrication do not keep the eye wet enough, the eye becomes irritated. Eye irritation prompts the gland that makes tears (called the lacrimal gland) to release a large volume of tears, overwhelming the tear drainage system. These excess tears then overflow from your eye.
Symptoms of Dry Eye:

• Excessive Tearing
• Foreign Body Sensation
• Burning

Treatment for Dry Eye:

• Artificial Tears and Ointment
• Nasolacrimal Duct Occlusion (ie Punctal Plugs)
• Restasis (a prescription medicine to increase tear secretion)
• Fish or flax seed oil

 
Punctal Plugs

 
Punctal plug properly positioned on the lower lid

If you have any of these symptoms or are in need of treatment for your dry eyes, please contact Phoenix Ophthalmologists to schedule an appointment with
Dr. Mackman or Dr. Van Buren.