Unexpected Causes of Severe Dry Eye Symptoms

Dry eye is one of the most common complaints among patients, yet its causes are often more complex than simple eye fatigue or environmental dryness. When symptoms become severe, there may be an underlying condition contributing to the discomfort. Understanding these less obvious causes is key to finding lasting relief.

Meibomian Gland Dysfunction (MGD)

One of the most common yet overlooked causes of chronic dry eye is Meibomian Gland Dysfunction (MGD). The meibomian glands, located along the eyelid margins, produce the oily layer of your tears that prevents evaporation. When these glands become clogged or inflamed, the tear film breaks down too quickly, leaving your eyes dry and irritated. MGD is often associated with eyelid inflammation, styes, and even skin conditions like rosacea.

Treatment options can range from warm compress therapy and in-office gland expression to advanced procedures that clear blockages and restore healthy oil flow. Managing MGD is often essential to successfully controlling severe dry eye symptoms.

Blepharitis and Inflammation

Blepharitis, or chronic eyelid inflammation, is another common culprit behind dry eye symptoms. It occurs when bacteria, debris, or mites accumulate along the lash line, causing redness, swelling, and flaking. This condition disrupts the tear film and can lead to burning, itching, and a gritty sensation.

Because blepharitis and MGD frequently occur together, comprehensive treatment often includes a combination of eyelid hygiene, medicated wipes, or in-office treatments designed to improve eyelid health and tear quality.

Eye Surgery and Postoperative Dryness

If you’ve recently undergone eye surgery such as LASIK, cataract removal, or other corneal procedures, postoperative dry eye can develop as the surface nerves of the cornea temporarily lose sensitivity. This reduces tear production and can cause significant discomfort during the healing process.

Fortunately, this type of dryness is usually temporary and can be effectively managed with lubricating drops, punctal plugs, or prescription medications to promote healing and restore balance to your tear film.

Other Contributing Dry Eye Factors

Beyond these primary causes, other health issues can also worsen dry eye symptoms. Autoimmune conditions, hormonal changes, certain medications, and even prolonged digital device use can all play a role. A thorough eye exam is the best way to pinpoint the source of your discomfort and create a personalized treatment plan.

Schedule Your Dry Eye Evaluation Today

Severe dry eye is rarely caused by just one factor. Conditions like MGD, blepharitis, and post-surgical changes can all contribute to tear film instability and persistent irritation. Identifying and addressing these root causes is the first step toward lasting relief and protecting your long-term vision.

If you’re struggling with ongoing dryness or irritation, schedule a dry eye evaluation at Quality Eye Care for a treatment plan that works for you. Contact our office in Jacksonville, Florida, by calling (904) 601-1300 to book an appointment today.