Dry Eyes

A treatable condition

Dry eye and meibomian gland dysfunction are chronic conditions, but they are manageable. With the right combination of treatment and self-care, most patients experience a substantial improvement in their symptoms. The key is understanding the cause and committing to a consistent routine.

Dry eye disease v meibomian gland dysfunction

Dry eye is not a single condition — it has two main subtypes, which often co-exist.

Dry eye disease

The lacrimal gland does not produce enough aqueous (watery) tears to keep the eye surface adequately moist. This is less common than evaporative dry eye.

Common causes:

  • Age-related reduction in tear production
  • Autoimmune conditions (e.g. Sjögren’s syndrome)
  • Hormonal changes (menopause)
  • Certain medications (antihistamines, antidepressants)
  • Previous eye surgery or radiation

Meibomian gland dysfunction

The meibomian glands in the eyelids become blocked or produce poor-quality oil, so the tear film evaporates too quickly. This is the most common cause of dry eye — responsible for around 85% of cases.

Common causes:

  • Age and hormonal changes
  • Prolonged screen use (reduced blink rate)
  • Contact lens wear
  • Skin conditions (rosacea, seborrhoeic dermatitis)
  • Certain medications
  • Environmental factors (dry air, air conditioning)

Dry eye disease v meibomian gland dysfunction

Dry eye is not a single condition — it has two main subtypes, which often co-exist.

Dry Eye Disease

The lacrimal gland does not produce enough aqueous (watery) tears to keep the eye surface adequately moist. This is less common than evaporative dry eye.

Common causes:

  • Age-related reduction in tear production
  • Autoimmune conditions (e.g. Sjögren’s syndrome)
  • Hormonal changes (menopause)
  • Certain medications (antihistamines, antidepressants)
  • Previous eye surgery or radiation

The meibomian glands in the eyelids become blocked or produce poor-quality oil, so the tear film evaporates too quickly. This is the most common cause of dry eye — responsible for around 85% of cases.

Common causes:

  • Age and hormonal changes
  • Prolonged screen use (reduced blink rate)
  • Contact lens wear
  • Skin conditions (rosacea, seborrhoeic dermatitis)
  • Certain medications
  • Environmental factors (dry air, air conditioning)

Symptoms of Dry Eye

Grittiness or sandpaper sensation

Burning or stinging

Watery eyes

Blurred or fluctuating vision

Redness

Sensitivity to light

Tired or heavy eyes

Difficulty with contact lenses

DAY 3-5

Early results visible

DAY 10-14

Full effect

3-4 MONTHS

Duration of results
(varies individually)

FOLLOW-UP

Review offered at 2-3
weeks for new clients

Dr. Janice Brady

Consultant Oculoplastic Surgeon

MB BCh BAO BMedSc MSc MRCOphth FRCSI(Ophth)

Pricing

Treatment options

Treatment for dry eye and MGD is not one-size-fits-all. For most patients, treatment involves a tailored programme of self-care combined with clinical intervention. 

Self-care and lifestyle

Alongside any treatment your consultant prescribes, there is a great deal you can do at home to reduce the impact of dry eye on your daily life.

Area

Practical advice

Screen use

Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds. Make a conscious effort to blink fully and frequently.

Environment

Use a humidifier in dry or air-conditioned rooms. 

Warm compresses

Make warm compresses and lid massage a daily habit — even on days when symptoms feel manageable. 

Diet

Consider increasing oily fish intake or taking omega-3 supplements. Good hydration supports tear film quality.

Contact lenses

Switch to daily disposable lenses if possible. Reduce wear time, particularly in the evenings. Ask about dry eye-compatible lens materials.

Cosmetics

Remove eye makeup thoroughly each night. Avoid applying liner to the inner rim of the eyelid (waterline), which can block meibomian gland openings.

Medications

If you take antihistamines, antidepressants, or diuretics, discuss with your GP whether these may be contributing to your symptoms.

What to expect from treatment

Dry eye and MGD are chronic conditions — for most people there is no single cure, but symptoms can be very well controlled with the right approach. It is important to understand that treatment is a process rather than an event, and that different patients respond to different treatments.

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Aftercare & review

You’ll receive tailored aftercare guidance and be invited for a review appointment 2-3 weeks after your first session to ensure results are natural and you’re happy. We also encourage feedback and Google reviews from our patients.

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Most people notice improvements after 3-5 days, with full results visible by two weeks.