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Dry Eye Doctor in Blacksburg VA

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Dry eye syndrome (DES or dry eye) is a chronic lack of sufficient lubrication and moisture on the surface of the eye. Its consequences range from minor irritation to the inability to wear contact lenses and an increased risk of corneal inflammation and eye infections.

Signs and Symptoms of Dry Eye

Persistent dryness, scratchiness and a burning sensation on your eyes are common symptoms of dry eye syndrome. These symptoms alone may be enough for your eye doctor to diagnose dry eye syndrome. Sometimes, he or she may want to measure the amount of tears in your eyes. A thin strip of filter paper placed at the edge of the eye, called a Schirmer test, is one way of measuring this.

Some people with dry eyes also experience a “foreign body sensation” – the feeling that something is in the eye. And it may seem odd, but sometimes dry eye syndrome can cause watery eyes, because the excessive dryness works to overstimulate production of the watery component of your eye’s tears.

What Causes Dry Eyes?

In dry eye syndrome, the tear glands that moisturize the eye don’t produce enough tears, or the tears have a chemical composition that causes them to evaporate too quickly.

Dry eye syndrome has several causes. It occurs:

  • As a part of the natural aging process, especially among women over age 40.
  • As a side effect of many medications, such as antihistamines, antidepressants, certain blood pressure medicines, Parkinson’s medications and birth control pills.
  • Because you live in a dry, dusty or windy climate with low humidity.

If your home or office has air conditioning or a dry heating system, that too can dry out your eyes. Another cause is insufficient blinking, such as when you’re staring at a computer screen all day.

Dry eyes are also associated with certain systemic diseases such as lupus, rheumatoid arthritis, rosacea or Sjogren’s Syndrome (a triad of dry eyes, dry mouth, and rheumatoid arthritis or lupus).

Long-term contact lens wear, incomplete closure of the eyelids, eyelid disease and a deficiency of the tear-producing glands are other causes.

Dry eye syndrome is more common in women, possibly due to hormone fluctuations. Recent research suggests that smoking, too, can increase your risk of dry eye syndrome. Dry eye has also been associated with incomplete lid closure following blepharoplasty – a popular cosmetic surgery to eliminate droopy eyelids.

Treatment for Dry Eye

Dry eye syndrome is an ongoing condition that treatments may be unable to cure. But the symptoms of dry eye – including dryness, scratchiness and burning – can usually be successfully managed.

Your eyecare practitioner may recommend artificial tears, which are lubricating eye drops that may alleviate the dry, scratchy feeling and foreign body sensation of dry eye. Prescription eye drops for dry eye go one step further: they help increase your tear production. In some cases, your doctor may also prescribe a steroid for more immediate short-term relief.

Another option for dry eye treatment involves a tiny insert filled with a lubricating ingredient. The insert is placed just inside the lower eyelid, where it continuously releases lubrication throughout the day.

If you wear contact lenses, be aware that many artificial tears cannot be used during contact lens wear. You may need to remove your lenses before using the drops. Wait 15 minutes or longer (check the label) before reinserting them. For mild dry eye, contact lens rewetting drops may be sufficient to make your eyes feel better, but the effect is usually only temporary. Switching to another lens brand could also help.

Check the label, but better yet, check with your doctor before buying any over-the-counter eye drops. Your eye doctor will know which formulas are effective and long-lasting and which are not, as well as which eye drops will work with your contact lenses.

To reduce the effects of sun, wind and dust on dry eyes, wear sunglasses when outdoors. Wraparound styles offer the best protection.

Indoors, an air cleaner can filter out dust and other particles from the air, while a humidifier adds moisture to air that’s too dry because of air conditioning or heating.

For more significant cases of dry eye, your eye doctor may recommend punctal plugs. These tiny devices are inserted in ducts in your lids to slow the drainage of tears away from your eyes, thereby keeping your eyes more moist.

If your dry eye is caused by meibomian gland dysfunction (MGD), your doctor may recommend warm compresses and suggest an in-office procedure to clear the blocked glands and restore normal function.

Doctors sometimes also recommend special nutritional supplements containing certain essential fatty acids to decrease dry eye symptoms. Drinking more water may also offer some relief.

If medications are the cause of dry eyes, discontinuing the drug generally resolves the problem. But in this case, the benefits of the drug must be weighed against the side effect of dry eyes. Sometimes switching to a different type of medication alleviates the dry eye symptoms while keeping the needed treatment. In any case, never switch or discontinue your medications without consulting with your doctor first.

Treating any underlying eyelid disease, such as blepharitis, helps as well. This may call for antibiotic or steroid drops, plus frequent eyelid scrubs with an antibacterial shampoo.

If you are considering LASIK, be aware that dry eyes may disqualify you for the surgery, at least until your dry eye condition is successfully treated. Ask Dr. Jacobs, Blacksburg VA eye doctor, about Ortho-K in the meantime. Dry eyes increase your risk for poor healing after LASIK, so most surgeons will want to treat the dry eyes first, to ensure a good LASIK outcome. This goes for other types of vision correction surgery, as well.

 

We also offer services for eye care emergencies, such as pink eye!

BIG NEWS!

We’ll soon be “Eyes on Main”! And that’s not the only news... please offer a warm welcome to Dr. Mike Gowen.

From Dr. J:

I opened my office in 1990 – That’s 30 years coming up on August 1st!!   In some ways it feels like yesterday, and in others, like forever.  Along with so much else that has changed this year, one more occasion is on the horizon.  I am excited to announce that I am selling my practice to Dr. Mike Gowen.  Dr. G and his wife, SallyAnn, met at Virginia Tech close to 40 years ago. They have been proud and loud Hokies ever since and dreamed of returning to live in Blacksburg.  Both are strong supporters of the arts, athletics and the civic engagement that make this a very special place to live, work and play!

I am thrilled to be handing the baton to a doctor who believes as I do in community service. Plus, he is laser focused also on individualized patient care, personal and professional intellectual advancement and enjoying the good things and kind people who come along every day.

Better yet, I’m not going anywhere!  I will continue seeing patients, focusing on visual rehab for those suffering from concussions/TBI, working to control the progression and consequences of nearsightedness through orthokeratology and other treatments, and counseling all regarding the inter-relation of the eyes, brain and body, along with the importance of nutrition, exercise and mental well-being.  There’s so much I yet want to learn and do, and now I won’t have to worry about arguing with insurance companies.  I’m excited!

From Dr. G:

It’s impossible to express how pleased I am to be moving to Blacksburg. It has long been the dream of my wife and I to become a part of this unique town, where we met as Virginia Tech students and continued to frequent as alumni.    I look forward to the privilege of serving the people of Blacksburg and bringing my lifetime of experience in the field of eye care to serve one and all. I'm delighted that Dr. Steve Jacobs will remain with the practice, which will now be “EYES on Main.” I consider it a great privilege to continue the exemplary patient care and community service that Dr. Jacobs has and will continue to provide to the New River Valley. Together we will serve the Blacksburg community with the same culture of care and community involvement that has always been a part of this practice.

 More updates to follow.  Send us a message or give us a call with questions, comments, or to set up an appointment.

We can always be reached at 540-953-0136!

Sincerely,Dr. J, Dr. S, Dr. G & staff