Hot and Dry Eye

I am having a problem of hot and dry eyes in the mornings since an year now. It started suddenly one day and has not yet gone. Every morning when I wake up, my eyes feel really hot and burning. It feels like sand is gone in them and its really hard to open them. There is instant relaxation when i wash them with water (or even when placing a drop of water near eye and nose junction). This is really uncomfortable and I am a bit worried now. I have even gone to an eye specialist but even he wasn't able to diagnose the problem properly and said it should go away. Does anyone know about it and how can I treat it.

Any help would be greatly welcomed.

1 reply   

it sounds like you have dry eyes or dysfunctional tear syndome. at night we don't blink our eyes to spread fluid across the surface of the eye. when one doesn't make enough fluid from the lacrimal gland it results in the gritty feeling. this sand like feeling is from the lubricant part of the tearfilm produced by the meibomian glands located in the eyelids along the lash line. this can result in a crusty eyelid from blepharitis and a lot of crusties in the morning on the inside corner of the eye where the Punctum is located which is the drain for the eye.

I have severe dry eyes. at bedtime I use a gel type lubricating eyedrop. Refresh Plus is the brand. the gel type stays on the surface of the eye and helps to keep the eye hydrated. this helps prevent the upper eyelid from sticking to my corneas. I also use a good quality lubricating eyedrop that isn't gel type during the day. the gel type blurs your vision.
I also have plugs implanted into the drains of my eyes to help keep what little fluid is given off by the eyeball it's self.

to help with the crusties, put in a drop of lubricating eyedrop, then wash while gently massaging along the lashline with a solution of very warm water and baby shampoo. do this about 4 time a day. this will get the thickened secretion from the meibomian glands disipated into a thinner solution. this will lubricate the surface of the eye. it is critical to treat this as it can lead to infection of the conjunctiva causing a very red eye. if not treated this membrane gets thinned out and it can lead to ulceration of the white part of the eye called the sclera. the cornea can become ulcerated and infected too.

do you have any form of arthritis or autoimmune disease? severe dry eyes can be linked to these things. an Opthalmologist should be able to help you with this.

wishing you the very best,
mike

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