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Home » Your Eye Health » Vision Over 40 » Dry Eye After Menopause

Dry Eye After Menopause

Dry Eye Disease is a common eye condition – studies show that nearly 20% of North Americans middle aged and older suffer from dry eye disease. The probability of you developing dry eye if you are a woman, and older than 50, increases. Hormonal changes that older women undergo make it much more likely that they will suffer from dry eye as they age, including symptoms such as blurry vision and irritation of the eyes, according to the American Academy of Ophthalmology.

What are the biological changes that happen during menopause which affect your eyes? The tear film in the eyes relies on certain chemical signals to remain stable, and these signals get disrupted during and after menopause. Some doctors believe that androgen, a hormone implicated in menopause, may be the culprit causing dry eye problems for menopausal women. Eyes may become inflamed, which leads to decreased tear production, and possibly dry eye disease. Add in a dry environment and many medications and the risk factors for menopausal women increases exponentially.

Treatments for Dry Eye in Menopausal Women

Estrogen hormone replacement therapy (HRT) is sometimes used to treat menopausal symptoms, as the female hormone estrogen is one of the hormones that decreases during and after menopause. However, studies have shown that this treatment does not relieve symptoms of dry eye.

Refractive Eye Surgery

Refractive eye surgery, such as LASIK and PRK, may not be advised if you are 40 or older, and have dry eye disease. These procedures can affect nerve function in your cornea (the clear surface of your eye), which could worsen your dry eye problem. If you want to have a consultation regarding LASIK or PRK, it’s important that your eye doctor know about your dry eye condition. In that case, your eye doctor will know to do the appropriate tests to make sure that there is enough moisture in your eyes for laser vision correction.

There are other health conditions that are associated with dry eye and aging. These conditions include thyroid autoimmune disease, and rheumatoid arthritis. If you suffer from dry eye, make sure your doctor screens you for these diseases.

Allergies may cause eye inflammation, and may be the cause of your dry eye. Prescription and over-the-counter eye drops might relieve your dry eye and allergy problem. Your eye doctor will advise you as to which eye drops would be best for you.

Sometimes commonly prescribed medications can worsen, or even cause, dry eyes. Some of these medications are antidepressants and diuretics, which are often prescribed if you have a heart condition. Make sure to talk about this with your doctor if you suspect that one of the medications you are taking may be causing your dry eye problems. Perhaps changing your medication will be as effective, and won’t cause dry eye disease.

COVID-19 Update

Your health and well-being is our top priority at Focusing on Eye Care. In following recommendations provided by the CDC, we have implemented protocols at our office in order to continue to protect the health of our patients and our team.

Every patient and their guest will be asked to fill out a COVID-19 questionnaire. Should you or a guest have flu-like symptoms, fever, exposure to a known person with COVID-19 or have tested positive for COVID-19, you will be asked to reschedule your appointment for a later date until you are well or clear of any potential illness for a minimum of 14 days.

We ask that patients please come to their appointment unaccompanied. If you are requiring a guest to accompany you, we are limiting the number of guests in our facilities to 1 per patient, and we ask that you only bring a guest with you if it is absolutely necessary to avoid crowding in the office.

In addition, we are requiring all employees, patients, and their guests to wear face coverings while in our facilities at all times.

Thank you for all your cooperation as we continue to help you with your eye care needs and for helping us reduce the spread of COVID-19.

Stay Well,

Focusing on Eye Care