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Dry Eye Prevention

angie_mohr
Angie February 20, 2021
12 Comments
Natural Remedies For The Prevention Of Dry Eyes
By Dr. Mercola
Although many accept declining eye sight as a part of natural aging, it is really more of a side effect of our modern lifestyle. Aging does not automatically equate to failing vision, cataracts or dry eyes, provided you’ve properly nourished your eyes through the years. Unfortunately, statistics demonstrate that many Americans are suffering the effects of years of poor lifestyle choices. In people over age 40:1
  • 24.4 million people have cataracts
  • 2.7 million have glaucoma
  • 4.2 million suffer impaired vision
  • 4.88 million suffer dry eye
The risk of developing dry eye increases with age and women appear to suffer with the condition more than men.2 You may have experienced some of the symptoms of dry eye after having been outside in windy conditions or a long day wearing contact lenses. These symptoms may include a scratchy sensation over your eye, or feeling as if there is something in your eye. It may feel as if your eyelids are heavy, be more difficult to blink or you may experience blurred vision.
The medical term for dry eye is keratoconjunctivitis sicca. Left untreated, the condition may lead to serious damage to your eyes. In the past, dry eye was treated by adding moisture, such as normal saline. Today, there is a better understanding of the complexity of some of the substances in your tears and how they function in your eye.3
Three Layers to a Teardrop
There are several layers to the tears your eyes produce naturally, and up to 1,500 proteins.4 Tears are actually a complex mix of mucus, water, fatty oils and different proteins designed to keep the surface of your eye smooth and protected from environmental pathogens and irritants. You have three different types of tears and each has a different chemical mix produced by three different glands.5
Meibomian glands produce an outer, oily layer that keep your tears from evaporating too quickly, thus enabling the tears to remain on your eye and protect the organ.
Lacrimal glands produce the middle layer of watery tears and water-soluble proteins that help to nourish the cornea and conjunctiva, or mucous membrane covering the entire front of the eye and inside of your eyelids.
Goblet cells produce the innermost mucin layer of tears, or glycoprotein component of mucous. This binds the water from the aqueous layer produced by the lacrimal glands to ensure your eye remains wet.
When your eye is healthy, a continuous bath of basal tears will cover and protect your cornea. This is the clear, dome-shaped outer surface of the eye over the pupil.6 Every time you blink, these basal tears nourish the cells of the cornea. The second type of tear is called reflex tears. These are produced in reflex to an irritant in the eye, or exposure to external irritants such as wind, smoke or onions.7
The third type of tear is the one you may be most familiar with: emotional tears. These are produced after a powerful emotional stimulation and may have higher amounts of proteins than other tears. However, science has not yet conclusively demonstrated this.
This process produces approximately 1.2 ml of tears each day and half a liter each year.8 When insufficient tears are produced, or the composition changes, it can affect both the health of your eye and your vision. Eyesight may be affected as adequate amounts of tears on the surface of your eye affect how your eye focuses light and color.
Your Tears Serve Several Functions
One function of your tears is to keep your eyes moist and functioning optimally. When your eyes become dry, the conjunctiva that covers the eye and inside of your eyelids also becomes dry. This is the condition called keratoconjunctivitis sicca.9 Tears serve other functions as well.
Emotional, or weeping, tears are formed when you experience great joy or sorrow. Actually, any powerful emotional response may generate tears, including anger. Women often cry more than men. According to one estimate, women cry on average 5.3 times per month compared to men who cry 1.4 times per month.10 However, the gender differences may also be related to cultural differences as Western cultures give greater freedom to women than they do to men to cry.
This emotional shedding of tears has healing power as it helps to release powerful emotional triggers, including stress, anger, sadness, grief and joy.11 These emotional tears actually contain stress hormones and other toxins that accumulate during stress. William Frey, biochemist and director of the Psychiatry Research Laboratories at St. Paul-Ramsey Medical Center, commented on his research into the biological role emotional tears play in health, saying:12
“What now needs to be done is a study of the actual crying behavior of people with stress-related illnesses. People say they feel better after crying, and our data show this is so. Crying is an exocrine process.
That is, a process in which a substance comes out of the body. Other exocrine processes, like exhaling, urinating, defecating and sweating, release toxic substances from the body. There’s every reason to think crying does the same, releasing chemicals that the body produces in response to stress.”
Crying may also stimulate your body to produce endorphins, “feel good” hormones to help balance your emotional state.13 Even when the emotional or situational problem persists, crying may help you feel better and improve your decisions about that situation.
What Triggers Dry Eye?
Dry eye can result from an immediate environmental stimulus, such as a windy day, or can turn into a chronic condition if there’s a problem with your tear glands. There are two main types of chronic dry eye:14
  • Deficiency: triggered by an inadequate production of tear volume
  • Evaporative: more common, this condition is triggered by an acceleration of tear evaporation due to poor-quality tear production
There are health conditions that affect both the quality of the tears your body produces and the amount of tears produced. Health conditions that may trigger one of the two reasons for chronic dry eye include:15
  • Lasik surgery
  • Hormonal changes during pregnancy or menopause
  • Sjögren’s syndrome
  • Rosacea
  • Lupus
  • Scleroderma
  • Diabetes
  • Rheumatoid arthritis
  • Thyroid disorders
  • Vitamin A deficiency
Environmental conditions that may contribute to the development of situational dry eye include:16
  • Wind
  • Smoke
  • Medications such as decongestants, antihistamines, antidepressants, hormone replacement therapy, birth control pills and medications for anxiety, Parkinson’s disease and high blood pressure
  • Seasonal allergies
  • Prolonged periods without blinking
  • Extended period at the computer
Most people report symptoms such as feeling a gritty sensation in the eye during blinking or photosensitivity. You may experience blurred vision as your tears help focus light, or feel eyestrain or fatigue from consistent straining to see clearly. These symptoms usually fluctuate during the day as the amount of tear production or quality of your tears may vary.
Possible Complications
Your eyes thrive in a moist environment, so depriving the eye of moisture may lead to significant complications.17 Without a moist level of tears to protect your eye, you are open to a greater number of infections. These infections can result in inflammation of the conjunctiva that covers the eye and inside the eye lids. However, conjunctival inflammation does not only occur with infection; it may be triggered from lack of moisture on the eye alone.
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Left untreated, dry eye may increase the number of corneal abrasions and ulcerations to the cornea that may ultimately lead to deterioration of your vision. Ulcerations of the cornea is called keratitis, which may lead to permanent scarring.18
Natural Strategies to Help Prevent Dry Eyes
While recommended treatments may include tear-stimulating drugs, artificial tears or eye drops to control the inflammation caused by the dry eye, like all other health conditions, prevention is your best medicine. If you currently have dry eye, you’ll want to incorporate these strategies while slowly weaning off your current medications with your physician, to reduce your risk for complications.
The following strategies may help prevent problems with reduced tear production or poor-quality tears, or help reverse the current pattern. Use them while reducing the environmental factors that increase your dry eye discussed below.
N-acetyl-cysteine (NAC)
A derivative of the amino acid L-cysteine, NAC has antioxidant properties and is widely used to reduce the viscosity (consistency) of secretions in bronchopulmonary disorders.19 Ophthalmologists use it to treat corneal abrasions and ulcers, and dry eye.
In the long term, you may develop mucus plaques on the corneal surface of your eye with dry eye. NAC can help to dissolve these plaques and improve the health of your eye.20 Researchers believe NAC plays a role in protecting the surface of the eye. In animal research, NAC has been shown to suppress the inflammatory response.21
In a human study comparing NAC with artificial tears, objective findings in the group using NAC were significantly better than those using artificial tears, although there were no significant subjective findings in the patients.
The use of NAC increases the production of glutathione, which is the principal antioxidant for your eyes, protecting against oxidative damage. Researchers have found nearly all ophthalmological diseases are linked with low levels of glutathione.22
Omega-3
Your body begins using omega-3 fats before you’re born to help develop your vision.23 Those benefits continue through adulthood, and omega-3 may be a useful remedy for dry eye.
In a study with more than 450 participants, a daily dose of 360 mg eicosapentaenoic acid (EPA) and 240 mg docosahexaenoic acid (DHA), helped reduce symptoms of dry eye in people whose condition was aggravated by computer use.24 At the end of the three-month trial, the individuals taking the omega-3 supplement enjoyed significantly fewer symptoms and reduced abnormal tear evaporation.
In another study using fish oil and flaxseed oil, nearly 70 percent were asymptomatic after three months as the supplement appeared to increase tear production.25 A double-blind study of 38 postmenopausal women found omega-3 supplementation helped stabilize corneal surface regularity.
You can boost your omega-3 by eating foods like wild-caught salmon, sardines and anchovies, or by taking a fish oil supplement. Krill oil is another option. Krill oil has a unique combination of both omega-3 fats and astaxanthin, the latter of which also offers natural protection against ultraviolet light.26
Astaxanthin
Astaxanthin is a carotenoid produced by a form of microalgae. This pigment is used by the algae to protect itself from the environment when water begins to dry up. It’s the carotenoid that gives salmon, shrimp, lobster and crab their pink coloring. The highest concentration is found in the muscle of wild-caught salmon, which biologists believe give the fish the endurance they need to swim long distances upstream.27
This powerful antioxidant helps to protect your eyes as it prevents unstable molecules from damaging cells and boosts your immune system by increasing the number and activity of macrophages and T-cells. Astaxanthin also protects your eyes against macular degeneration, blindness and cataracts.28
Light therapy and eyelid massage
Using a technique called intense-pulsed light therapy followed by massage of the eyelids helped 87 percent of people in a study with severe dry eye to experience reduced symptoms.29
Vigorous exercise
According to Dr. Reza Dana, professor of ophthalmology at Harvard Medical School, “A lot of evidence supports the benefits of rigorous exercise. It fosters blood flow, helps regenerate tissues and, by increasing heat, promotes the release of oils in the eyes.”30
Reduce Environmental Factors That Increase Dry Eye
There are also environmental factors you can modify that may help reduce situational dry eye, and reduce the influences that may aggravate chronic dry eye. Although simple, the end results may improve your quality of life and reduce your daily discomfort. Tears are spread over your eyes as you blink, so activities that increase the time between blinking may aggravate your symptoms, such as sitting in front of a computer.
  • Cut back on screen time and take periodic breaks to rest your eyes. Wearing blue-blocking glasses in the evenings reduces eyestrain and may also help increase your production of melatonin before sleep.
  • Closing your eyes for a couple of minutes or blinking repeatedly may help distribute your basal tear layer more evenly across your eye.
  • Smoking cessation and eliminating exposure to secondhand smoke may help reduce symptoms.
  • Wraparound sunglasses help protect against wind.
  • Wear water-tight goggles when swimming in fresh or salt water.
  • Reduce or eliminate your use of contact lenses.
  • Sit up high on the computer so you are looking down on the screen to minimize exposure of your eye surface.
  • Adjust the air flow from air conditioners and fans so they don’t blow directly on your face.
Sources and References
1 American Academy of Ophthalmology, Eye Health Statistics
2, 5, 6, 15, 16 National Eye Institute, Facts About Dry Eye
3, 4, 30 New York Times, July 31, 2017
7, 10 Huffington Post, January 24, 2014
8 Science Alert, May 12, 2015
9, 14 Merck Manual, Keratoconjunctivitis Sicca
11 Dr. Judith Orloff, The Health Benefits of Tears
12 New York Times, August 31, 1982
13 Psychology Today, July 27, 2010
17, 29 MayoClinic Dry Eye Complications
18 Health Services Executive, Dry Eye Syndrome
19, 21, 22 Dr. Sandra Cremers, N-Acetyl-Cysteine for Dry Eyes
20 Review of Ophthalmology, November 15, 2006
23, 24 All About Vision, Eye Benefits of Omega-3 Fatty Acids
25 Ophthalmology News, Omega-3 and Dry eye
26 Well-Wise, Krill Oil Benefits
27, 28 What is Dry Eye, Astaxanthin Benefits for Eye Health
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Categories: Eyes, General Natural Health Information
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angie_mohr
Angie
I am a Certified Nutritional Consultant, Bioanalyst, teacher and Natural Health researcher.

Related Articles

Responses

    1. Angie July 6, 2022

      MSM eye drops there are recipes in our FB group, not sure if they are posted here yet but yes take omega 3s for sure and no OTC drugs are going to cure it

      1. Jayne Seversen July 11, 2024

        I was at the eye doctor yesterday and was prescribes the generic of Restasis It is nearly $200 a month and not to expect many results for the first couple months. I left to process this and here I am on this page. Thank you everyone for bringing me back to reality.

        results for the first couple,e months

  2. Christine March 29, 2021

    Great article Angie, thanks for sharing this information. I am specifically looking for the cause of a stye. My daughter just called and asked for a remedy. I’m thinking a cotton ball with CS but wanted to confirm first with you.
    Thanks again

  3. Unknown Member March 28, 2021

    Hi, are you aware of any natural alternatives to use as eyes drops? I see some with manuka honey in them so got me thinking that maybe there is some more natural homemade eye drops to be found instead of the chemical filled chemist ones.
    Thank you

    1. Angie March 28, 2021

      There is this one and another one with MSM
      I read in “Healing with DMSO” by Amandha Vollmer that she puts Vit. C in eyedrops with DMSO but never said how much. This article tells you how much, which is very little, as I suspected.
      I would mix the solution with colloidal silver with some pink himalayan or Real Salt added rather than plain saline, but that’s me.
      DMSO Eye Drops for Cataracts, Macular Degeneration, Floaters, Vision
      If you’ve been reading this blog for any length of time, you’ll know I’m really big on using and testing DMSO-based protocols. I have popular protocols for hemorrhoids, rectal stricture and intestinal strictures – all using DMSO as a primary, active component.
      I also find the idea of using DMSO in eyedrops particularly interesting – and not just because my father is an eye doctor! Once again, it is DMSO’s ability to penetrate tissue rapidly (and carry other substances into the tissues) that makes it so interesting as an eye treatment.
      What I don’t know (personally) at this point, is how effective it is, how these solutions feel (energetically as well as physically) in the eye, and which concentration to use.
      Based on my experience with DMSO thus far – it’s efficacy and potency – I would be inclined to start testing eyedrops at a 2% DMSO solution and gradually work up from there.
      However, some Internet research reveals that people are already using much stronger formulas than that, with supposedly good results:
      Option A: 40% DMSO Saline Eyedrops
      I have to say, when I first read about someone using 40% DMSO in their eyes, I thought they were stark raving mad. Then I found this popular blog selling 40% solution eyedrops in their shop, with a number of good reviews underneath! And no one reports screaming in pain or their eye burning out of it’s socket – go ahead, take a look… A couple of the reviews also say the drops are reducing their floaters and making their vision sharper.
      Option B: 20% DMSO Saline Eyedrops
      Many online sources also recommend a 20% solution, like this one.
      Option C: 6.25% DMSO Combination Solution Eyedrops
      Most reasonable (to my mind) is this formula, based on the work of Dr. Robert Rowen which combines DMSO with glutathione and vitamin C. So the proportions are:
      DMSO – 6.25%
      Glutathione – 1.25%
      Vitamin C – 1.25%
      The rest would be sterile saline. And you can have a good compounding pharmacy make these up for you. But depending on legalities, they may not be able to add the DMSO to the solution. So you can purchase the 99% DMSO in a glass bottle and add that yourself in the correct amount (ask your pharmacist).
      However, this article by Gabriela Segura MD talks about a 50% DMSO solution being beneficial:
      “His research showed drops of 50% DMSO to be effective in retinitis pigmentosa and macular degeneration, and presented a report on this at the New York Academy of Sciences symposium in 1971. (Haley, 2000)”
      But further down the page has a testimonial from someone using 25% DMSO eye drops who says, “The only side effect was a slight burning sensation…” which is exactly what I would expect when even a 20% solution can give a burning feeling on rectal mucosal tissue with any kind of tear or fissure present.
      Personally, I think I would get a bottle of Similasan homeopathic allergy eye drops (which I love) and add 2-5% DMSO to the bottle. And test it. That takes care of both the saline and sterility issues, but you could easily manipulate the DMSO concentration.
      Of course, based on my own experiments with mucosal tissue, if I had any scar tissue in my eyes, then DMSO eyedrops would certainly be worth a try. I’ve seen reports in a number of places for DMSO’s effectiveness with macular degeneration (a deterioration of central vision in certain elderly people) and cataracts, but I don’t know anyone personally who’s tried it with those issues.
      Hmmm… perhaps I should make some up and give them a test to see which concentration of DMSO works best… Let me know in the Comments section if you’ve ever tried DMSO eyedrops and what concentration you used, and how it felt!
      https://blog.listentoyourgut.com/dmso-eyedrops-for-cataracts-macular-degeneration-floaters-vision/

    2. Angie March 28, 2021

      Make your own eye drops
      50 ml CS water
      1ml Himalayan salt
      2.5ml msm powder
      Put two drops every hour or two until infection is addressed…
      Just get pure MSM. You can buy it loose, in flakes or powder or it’s fine to buy it if it’s in capsules, you can pour it out of the capsules.

    2. Angie March 28, 2021

      I read in “Healing with DMSO” by Amandha Vollmer that she puts Vit. C in eyedrops with DMSO but never said how much. This article tells you how much, which is very little, as I suspected.
      I would mix the solution with colloidal silver with some pink himalayan or Real Salt added rather than plain saline, but that’s me.
      DMSO Eye Drops for Cataracts, Macular Degeneration, Floaters, Vision
      If you’ve been reading this blog for any length of time, you’ll know I’m really big on using and testing DMSO-based protocols. I have popular protocols for hemorrhoids, rectal stricture and intestinal strictures – all using DMSO as a primary, active component.
      I also find the idea of using DMSO in eyedrops particularly interesting – and not just because my father is an eye doctor! Once again, it is DMSO’s ability to penetrate tissue rapidly (and carry other substances into the tissues) that makes it so interesting as an eye treatment.
      What I don’t know (personally) at this point, is how effective it is, how these solutions feel (energetically as well as physically) in the eye, and which concentration to use.
      Based on my experience with DMSO thus far – it’s efficacy and potency – I would be inclined to start testing eyedrops at a 2% DMSO solution and gradually work up from there.
      However, some Internet research reveals that people are already using much stronger formulas than that, with supposedly good results:
      Option A: 40% DMSO Saline Eyedrops
      I have to say, when I first read about someone using 40% DMSO in their eyes, I thought they were stark raving mad. Then I found this popular blog selling 40% solution eyedrops in their shop, with a number of good reviews underneath! And no one reports screaming in pain or their eye burning out of it’s socket – go ahead, take a look… A couple of the reviews also say the drops are reducing their floaters and making their vision sharper.
      Option B: 20% DMSO Saline Eyedrops
      Many online sources also recommend a 20% solution, like this one.
      Option C: 6.25% DMSO Combination Solution Eyedrops
      Most reasonable (to my mind) is this formula, based on the work of Dr. Robert Rowen which combines DMSO with glutathione and vitamin C. So the proportions are:
      DMSO – 6.25%
      Glutathione – 1.25%
      Vitamin C – 1.25%
      The rest would be sterile saline. And you can have a good compounding pharmacy make these up for you. But depending on legalities, they may not be able to add the DMSO to the solution. So you can purchase the 99% DMSO in a glass bottle and add that yourself in the correct amount (ask your pharmacist).
      However, this article by Gabriela Segura MD talks about a 50% DMSO solution being beneficial:
      “His research showed drops of 50% DMSO to be effective in retinitis pigmentosa and macular degeneration, and presented a report on this at the New York Academy of Sciences symposium in 1971. (Haley, 2000)”
      But further down the page has a testimonial from someone using 25% DMSO eye drops who says, “The only side effect was a slight burning sensation…” which is exactly what I would expect when even a 20% solution can give a burning feeling on rectal mucosal tissue with any kind of tear or fissure present.
      Personally, I think I would get a bottle of Similasan homeopathic allergy eye drops (which I love) and add 2-5% DMSO to the bottle. And test it. That takes care of both the saline and sterility issues, but you could easily manipulate the DMSO concentration.
      Of course, based on my own experiments with mucosal tissue, if I had any scar tissue in my eyes, then DMSO eyedrops would certainly be worth a try. I’ve seen reports in a number of places for DMSO’s effectiveness with macular degeneration (a deterioration of central vision in certain elderly people) and cataracts, but I don’t know anyone personally who’s tried it with those issues.
      Hmmm… perhaps I should make some up and give them a test to see which concentration of DMSO works best… Let me know in the Comments section if you’ve ever tried DMSO eyedrops and what concentration you used, and how it felt!
      https://blog.listentoyourgut.com/dmso-eyedrops-for-cataracts-macular-degeneration-floaters-vision/

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These websites may collect data about you, use cookies, embed additional third-party tracking, and monitor your interaction with that embedded content, including tracking your interaction with the embedded content if you have an account and are logged in to that website.

WHO WE SHARE YOUR DATA WITH

In general, the third-party providers used by us will only collect, use and disclose your information to the extent necessary to allow them to perform the services they provide to us.

However, certain third-party service providers, such as payment gateways and other payment transaction processors, have their own privacy policies in respect to the information we are required to provide to them for your purchase-related transactions.

For these providers, we recommend that you read their privacy policies so you can understand the manner in which your personal information will be handled by these providers.

In particular, remember that certain providers may be located in or have facilities that are located a different jurisdiction than either you or us. So if you elect to proceed with a transaction that involves the services of a third-party service provider, then your information may become subject to the laws of the jurisdiction(s) in which that service provider or its facilities are located.

As an example, if you are located in Canada and your transaction is processed by a payment gateway located in the United States, then your personal information used in completing that transaction may be subject to disclosure under United States legislation, including the Patriot Act.

Once you leave our store’s website or are redirected to a third-party website or application, you are no longer governed by this Privacy Policy or our website’s Terms of Service.

LINKS

When you click on links on our store, they may direct you away from our site. We are not responsible for the privacy practices of other sites and encourage you to read their privacy statements.

HOW LONG WE RETAIN YOUR DATA

If you leave a comment, the comment and its metadata are retained indefinitely. This is so we can recognize and approve any follow-up comments automatically instead of holding them in a moderation queue.

For users that register on our website (if any), we also store the personal information they provide in their user profile. All users can see, edit, or delete their personal information at any time (except they cannot change their username). Website administrators can also see and edit that information.

WHAT RIGHTS YOU HAVE OVER YOUR DATA

If you have an account on this site, or have left comments, you can request to receive an exported file of the personal data we hold about you, including any data you have provided to us. You can also request that we erase any personal data we hold about you. This does not include any data we are obliged to keep for administrative, legal, or security purposes.

WHERE WE SEND YOUR DATA

Visitor comments may be checked through an automated spam detection service.

YOUR CONTACT INFORMATION

When you purchase something from our store, as part of the buying and selling process, we collect the personal information you give us such as your name, address and email address.

When you browse our store, we also automatically receive your computer’s internet protocol (IP) address in order to provide us with information that helps us learn about your browser and operating system.

HOW WE PROTECT YOUR DATA

To protect your personal information, we take reasonable precautions and follow industry best practices to make sure it is not inappropriately lost, misused, accessed, disclosed, altered or destroyed.

If you provide us with your credit card information, the information is encrypted using secure socket layer technology (SSL) but we do not store your credit card information. Although no method of transmission over the Internet or electronic storage is 100% secure, we follow all PCI-DSS requirements and implement additional generally accepted industry standards.