A Very Common Eye Problem

OCULAR SURFACE DISEASE is usually the eye problem behind most of my patient's frustrations. Whether it's contact lens discomfort or watery eyes . . . . ocular surface disease can be extremely frustrating, especially when my patients are trying to figure it out on their own.

What Are OCULAR SURFACE DISEASES?

The Core Components

OCULAR SURFACE DISEASE refers to conditions that affect and damage the surface layers of your eyes. The key players here are the cornea, the conjunctiva, and the surrounding gland network. The cornea, that clear, dome-shaped window at the front of your eye, focuses light for clear vision. The conjunctiva, a transparent membrane lining your inside eyelids and covering the whites of your eyes, produces mucus that becomes part of your tears and forms a protective barrier.

The Glandular Network

Along the edge of your eyelids, behind the lash line - reside, lies a vital structure: the Meibomian glands. These glands secrete oils that mix with your tears, helping to form a stable, protective layer. There are also tiny secretory glands that are located next to eyelash follicles: Glands of Zeis & Glands of Moll. And let's not forget - the lacrimal gland located in the upper temporal corner of both eyes, makes and secrete tears. Lots of glands that work together to create a harmonious, healthy environment. 

Types, Symptoms, and Causes of OCULAR SURFACE DISEASE

Common Conditions

While dry eye is the most frequently seen condition, OCULAR SURFACE DISEASE also includes other disorders such as blepharitis, neurotrophic keratitis, ocular rosacea, and yes, conditions related to MEIBOMIAN GLAND DYSFUNCTION. Each condition can disrupt the delicate balance of your tear film and lead to discomfort.

Recognizing the Warning Signs

Be alert to symptoms like a persistent stinging or burning sensation, red and watery eyes, blurred vision, and stringy mucus around your eyes. These signs could indicate that your OCULAR SURFACE DISEASE is compromising your natural defenses.

Underlying Causes

Chronic dryness isn’t always due to dry air or dehydration. Factors like aging, hormonal changes, autoimmune conditions, certain medications, and even vitamin deficiencies can contribute. In some cases, environmental triggers or infections might be the culprit.

Inflammatory Condition

With most chronic eye problems, inflammation lurks about. I probably should have mentioned this sooner in this blog post. Inflammation brings redness, pain, irritation and when inflammation goes chronic / long term, that's when OCULAR SURFACE DISEASE is the most frustrating because it just never seems to go away. 

Actionable Steps to Manage OCULAR SURFACE DISEASE

Improve Your Environment

Start by controlling your surroundings. Use a humidifier in dry settings, wear protective eyewear against wind, and avoid prolonged exposure to air conditioning. These simple changes can help maintain a healthy tear film.

Adopt a Proactive Eye Care Routine

Schedule a comprehensive eye exam if you experience persistent dryness and irritation. Your doctor may perform tests like the Schirmer test, dye tests, and even advanced imaging to evaluate the integrity of your tear film. Trust me, a proper diagnosis is key to managing OCULAR SURFACE DISEASE effectively!

Daily Tips for a Healthier Ocular Surface

This will depend on your diagnosis. In general, daily: 1) warm compress to stimulate release of oil from your eyelids; 2) gently cleanse your eyes to remove debris; 3) and apply preservative-free artificial tears if needed. These steps work together to protect your tear film and enhance overall eye comfort. 

When to Seek Professional Help

If your symptoms persist despite your best efforts, don’t wait! Contact your optometrist immediately. Get that diagnosis! I'm also a fan of early intervention because mild conditions of the eye are much easier to manage that moderate / severe cases. OCULAR SURFACE DISEASE also just tends to get worse over time. Don't stall. 

About our Optometrist

I’m Dr. Tanya Gill, OD, Founder of We Love Eyes. With 20+ years of clinical experience, I’ve seen firsthand how happy eyes make a happier life. Find your eye problem at We Love Eyes and start your eye care routine today.

• OCULAR SURFACE DISEASE
• MEIBOMIAN GLAND DYSFUNCTION
• dry eyes
• ocular surface
• eye care routine
• chronic dry eyes
• We Love Eyes
• eye health