Chronic dry eye - comprehensive treatment in Delhi

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The most common causes of dry eye in Delhi

Dry eye disease is not a single condition - it is a spectrum of disorders affecting tear film stability. The most common cause in urban India is meibomian gland dysfunction (MGD): the oil-producing glands in the eyelids become blocked, the oily layer of the tear film breaks down too quickly, and tears evaporate faster than they can be replenished.

  • Meibomian gland dysfunction (MGD) - most common cause
  • Prolonged screen use / reduced blink rate
  • Contact lens wear
  • LASIK surgery (temporary dry eye in some patients)
  • Autoimmune conditions (Sjögren's syndrome, rheumatoid arthritis, lupus)
  • Thyroid eye disease
  • Low humidity environments - air conditioning, heating, flights
  • Certain medications (antihistamines, antidepressants, oral contraceptives)
  • Post-menopausal hormonal changes
  • Vitamin A deficiency

Recognise the symptoms

Burning, stinging or gritty sensation
Redness that worsens through the day
Blurred vision that clears with blinking
Excessive watering / reflex tearing
Sensitivity to wind, smoke and air conditioning
Difficulty wearing contact lenses
Eye fatigue with screen use
Stringy mucus discharge

What our dry eye evaluation includes

Tear break-up time (TBUT)

Measures how quickly the tear film breaks apart between blinks. Normal is >10 seconds. Dry eye patients typically <5 seconds.

Schirmer's test

Assesses baseline tear production - a filter paper strip placed on the lower lid for 5 minutes measures total aqueous production.

Meibography

Infrared imaging of the eyelid to visualise meibomian gland structure. Shows gland dropout - a key measure of MGD severity.

Corneal staining

Fluorescein and rose bengal dyes reveal areas of epithelial damage on the corneal and conjunctival surface - indicating severity and location of dryness.

Blink analysis

Assessment of blink rate and blink completeness - incomplete blinks leave the lower cornea exposed and are a major driver of dry eye in screen users.

Osmolarity testing

Tear osmolarity is the gold-standard biomarker for dry eye disease. Higher osmolarity = more severe dry eye.

Dry eye can involve more than tear production

The cornea, conjunctiva, eyelid margins, tear film and meibomian glands function as one ocular surface system. If symptoms suggest allergy, infection, blepharitis, recurrent erosion or another corneal condition, a wider surface evaluation may be needed.

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From artificial tears to gland therapy - we find what works

Warm compresses + lid hygiene

First-line treatment for MGD. Daily warm compresses soften meibum, lid massage expresses blocked glands. Simple but effective when done consistently.

Preservative-free artificial tears

Sodium hyaluronate or carboxymethylcellulose drops used 4 - 6x daily. Preservative-free formulations are essential for regular long-term use.

Omega-3 supplementation

High-dose EPA/DHA omega-3 (2 - 3g/day) improves meibum quality and tear stability over 3 months. Strong evidence base for MGD-driven dry eye.

Cyclosporine eye drops (Restasis / Ikervis)

Anti-inflammatory prescription drops for moderate-severe dry eye. Reduce inflammation in the lacrimal glands. Begin to work in 3 - 6 months.

Punctal occlusion

Temporary or permanent plugs inserted into the tear drainage canal (punctum) to keep tears on the eye surface longer.

In-clinic thermal pulsation / meibomian gland expression

Heated, pulsed compression of the eyelids to clear blocked meibomian glands. Single treatment provides 6 - 12 months of improvement for many MGD patients.

Autologous serum eye drops

Serum prepared from the patient's own blood - contains growth factors, vitamins and immunoglobulins that support corneal healing. For severe, refractory dry eye.

Scleral contact lenses

Large-diameter rigid lenses that vault over the cornea and hold a reservoir of fluid on the eye surface. Transformative for severe dry eye or post-LASIK dry eye.

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Get a proper dry eye evaluation at Eye Veda

Our cornea specialist will assess your tear film, meibomian glands and corneal health - and give you a personalised management plan, not just another bottle of drops.

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Dry eye - frequently asked questions

Tired of daily drops that don't really work? Let's find the real cause.