Top Questions to Ask Your Dry Eye Optometrist

Ever felt like no matter what you do, your eyes just can’t seem to stay moisturized? Do you find yourself using eye drops more often but still not getting relief? It might be time for you to meet with a dry eye optometrist.

It’s a common misconception that dry eyes only affect the elderly; in reality, it can affect anyone at any age. These is because dry eyes can be caused by a variety of lifestyle, environmental and medical factors.

I’m Dr. Jotinder Khosla, an optometrist at Optometrist Parramatta. With years of experience in diagnosing and treating dry eye syndrome, I’ve seen firsthand how this condition can impact daily life. My goal is to provide you with the information and care you need to manage dry eyes effectively. I’m here to guide you through understanding the causes, symptoms, and treatments available, so you can enjoy clearer, more comfortable vision.

Keep reading to learn more about dry eyes, and get some suggestions on the types of questions you should be putting to your eye care professional.


What is Dry Eye Syndrome?

What causes that persistent, uncomfortable sensation in your eyes? Dry Eye Syndrome is a condition where the eyes don’t produce enough tears or the right quality of tears to keep the eyes healthy and comfortable. This can lead to various symptoms that can affect your daily life significantly.

Understanding dry eyes involves recognizing the multiple factors that contribute to this condition. Dry Eye Syndrome can be caused by aging and hormonal changes, environmental factors such as dry climates and prolonged screen time, medical conditions like autoimmune diseases and diabetes, and even medications that have side effects impacting tear production.


dry eye optometrist treatment

What Are the Symptoms of Dry Eyes?

Common symptoms include persistent burning, stinging, and itching sensations in your eyes. You might notice redness and irritation, or even find that your eyes water excessively as they try to compensate for the dryness. Blurred vision and increased sensitivity to light are also indicators that something isn’t right.

In more severe cases, these symptoms can lead to chronic discomfort and eye fatigue, significantly impacting your quality of life. Prolonged dry eye can increase the risk of corneal damage and infections, which can further complicate your vision problems. Addressing these symptoms early with a visit to a dry eye optometrist can help prevent long-term complications and improve your daily comfort.

What Does a Dry Eye Optometrist Do?

The initial consultation helps your dry eye optometrist understand your patient history and lifestyle factors that might be contributing to dry eyes. You can expect questions about your daily activities, medication use, and any previous eye conditions.

During the diagnostic phase, a variety of tests are conducted to pinpoint the exact cause of your symptoms. Schirmer’s test and Tear Break-up Time (TBUT) are commonly used to measure tear production and tear film stability. Fluorescein and Lissamine green staining help in detecting damage to the eye’s surface. The optometrist may also perform a Meibomian gland evaluation to check for blockages or dysfunction in these essential oil-producing glands. Additionally, corneal topography analysis provides a detailed map of your cornea, aiding in the detection of any abnormalities.

These comprehensive tests allow the optometrist to tailor a treatment plan specifically for you, ensuring that your dry eye symptoms are managed effectively. Regular follow-ups are also essential to monitor your progress and make any necessary adjustments to your treatment.

To learn more about dry eye diagnostic tools watch the following video from the Eye School with Dr. D YouTube channel.

What Treatment Options are Available for Dry Eye Disease?

There are numerous treatment options available, ranging from simple over-the-counter solutions to more advanced in-clinic procedures.

For mild cases, artificial tears and preservative-free eye drops can provide immediate relief. Eye masks, like OPTI SOOTHE MOIST HEAT MASKS, and medicated lid wipes are also effective in managing symptoms at home. For more persistent dry eye, prescription treatments such as anti-inflammatory eye drops and ointments may be necessary. In severe cases, specially formulated prescription eye drops can provide significant relief.

In-clinic treatments offer more targeted solutions. NuLids treatments and home kits help maintain eye hygiene, while nasolacrimal duct irrigation and Meibomian gland expression address blockages directly. These treatments can significantly reduce symptoms and improve eye health.

Optometrists now have access to innovative therapies that go beyond standard treatments. Intense Pulsed Light (IPL) therapy is one such advanced option. This therapy targets inflammation and improves the function of the Meibomian glands, offering significant relief for those with chronic dry eye conditions.

With the right combination of treatments, managing dry eye disease becomes much more feasible, allowing you to maintain a comfortable and active lifestyle.


When Do You Refer Patients to Ophthalmologists?

A dry eye optometrist might refer a patient to another eye doctor when the condition requires more advanced or specialized care that goes beyond the optometrist’s scope of practice. This can include cases where there is severe meibomian gland dysfunction, significant inflammation, or when surgical intervention might be necessary. Additionally, if the patient has underlying systemic conditions such as autoimmune diseases, or if they do not respond to standard treatments, a referral ensures they receive comprehensive care.

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Do You Have Any Prevention Advice?

There are several lifestyle adjustments that can significantly improve eye comfort. Reducing screen time and taking regular breaks can improve the surface conditions of your eyes. Using humidifiers and avoiding dry environments also play a crucial role in maintaining eye moisture levels.

Diet and hydration are equally important. Ensuring adequate water intake and incorporating Omega-3 fatty acids into your diet can support overall eye health. Nutritional supplements specifically designed for eye health can also provide additional benefits.

Environmental adjustments such as wearing wraparound sunglasses outdoors protect your eyes from wind and harsh sunlight, while creating a comfortable indoor environment with appropriate lighting and moisture levels can reduce strain on your eyes.

Practicing good eye hygiene, such as cleaning your eyelids regularly, is also important. Consistency in treatment and follow-up appointments with your optometrist ensures that any changes in your condition are promptly addressed, keeping your eyes healthy and comfortable.

Regular eye exams are essential for early diagnosis and effective management of dry eye symptoms. Educating yourself about dry eye management is also crucial. Understanding the factors that contribute to dry eyes and knowing how to mitigate them can make a significant difference.

These simple yet effective changes can help manage dry eye symptoms and improve your overall eye health, making your daily activities more comfortable.


Dry eye syndrome is a common condition with various causes. Diagnosis involves a range of tests to assess tear production and quality. Treatment options vary from over-the-counter drops to in-clinic NuLids eyelid cleansing to advanced therapies like Intense Pulsed Light (IPL) therapy. Untreated dry eye syndrome can result in persistent pain, making daily tasks difficult.

Rather than just treating symptoms, the path to sustainable relief begins with speaking to a dry eye optometrist.

Don’t let dry eye discomfort hold you back—book your eye care appointment today!

To make an appointment, give us a call at 02 9891 2020 or click the “Book Online” button on our website.

Dr Jotinder Khosla – Optometrist

B.Optom (UNSW), CertOcTher (UNSW) Therapeutically Endorsed Optometrist
Member of the Orthokeratology Society of Oceania