Options for Severe Dry Eye: Learn About Prescriptions, Modern Technology & More

Dry eye syndrome is a common but often debilitating condition that affects millions of people. For some, over-the-counter eye drops and simple lifestyle changes provide relief, but for those with severe dry eye, more advanced treatments are necessary. Fortunately, there are prescription medications, innovative contact lenses, and modern technology that can help manage symptoms and improve eye comfort.

What Is Dry Eye?

Dry eye syndrome occurs when the eyes do not produce enough tears or when the quality of tears is poor, leading to irritation, discomfort, and blurry vision. The tear film consists of three essential layers—oil, water, and mucus—that work together to keep the eye surface hydrated and protected. When any of these layers are compromised, symptoms such as burning, redness, grittiness, and sensitivity to light can develop.

One of the most common underlying causes of dry eye is Meibomian Gland Dysfunction (MGD), a condition in which the oil-producing glands along the eyelid margins become clogged or inflamed. These glands secrete the oily layer of the tear film, which prevents tears from evaporating too quickly. When MGD occurs, tears evaporate too fast, leading to dryness, irritation, and inflammation. MGD is a progressive condition, meaning that without proper treatment, symptoms can worsen over time and lead to chronic discomfort.

Prescription Eye Drops for Severe Dry Eye

When artificial tears are not enough, prescription eye drops can help restore moisture and improve eye health. These medications work by addressing the underlying causes of dry eye, such as inflammation, tear production deficiencies, or imbalances in the tear film. Some formulations are designed to enhance the body’s natural tear production over time, while others help reduce irritation and protect the eye’s surface from further damage.

Regular follow-up visits with your eye doctor are important to monitor progress and make any necessary adjustments to your treatment plan. For some patients, prescription drops alone may be enough, while others may benefit from combining them with in-office procedures, or specialty contact lenses.

Scleral Lenses for Dry Eye Relief

Scleral lenses are a specialized type of contact lens designed for people with severe dry eye. Unlike traditional contact lenses, they:
 

• Vault over the cornea, creating a liquid reservoir that keeps the eye hydrated.

• Provide a protective barrier, reducing exposure to environmental irritants.

• Improve comfort for individuals with dry eye due to conditions like Sjögren’s syndrome or keratoconjunctivitis sicca.

Scleral lenses require a custom fitting by an eye care professional, but for many patients, they offer long-lasting relief when other treatments fall short.

Low-Level Light Therapy (LLLT) for Dry Eye

LLLT is an advanced treatment that uses gentle light energy to target the root causes of dry eye. This non-invasive therapy:
 

• Stimulates the meibomian glands to improve oil production in tears, reducing tear evaporation.

• Reduces inflammation associated with meibomian gland dysfunction (MGD), a leading cause of dry eye.

• Enhances circulation and cellular activity to promote long-term relief.

LLLT is a painless and relaxing procedure that can be combined with other treatments for enhanced results.

Experience Dry Eye Relief at Evolutionary Eye Care

Severe dry eye requires a personalized treatment plan, and the right solution depends on the underlying cause of your symptoms. Prescription eye drops, scleral lenses, and LLLT are all effective options that can improve comfort and protect your long-term eye health.

At Evolutionary Eye Care, we specialize in diagnosing and treating severe dry eye with the latest technology and treatment options. If you’re struggling with persistent symptoms, schedule an appointment to explore the best solution for your needs. Visit our Downtown office, located in Houston, Texas, or call (346) 485-8100 to book an appointment today.