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Causes and Treatment of Dry Eyes

When you think of tears, it's usually about grief, sadness, or other strong emotions. The phrase ?Not a dry eye in the house? sums up our reaction to weddings, funerals and other life-changing events. Movies that make us cry even have their own special name: weepies. But did you know that the tears we weep when we?re feeling sad are different from the ones we shed when we chop an onion? Or that, even though crocodiles can?t cry, there?s a real medical condition called Crocodile Tear Syndrome?

Cheers for Tears

Human beings need to cry. Tears are a liquid that cleans, nourishes, lubricates and protects the eyes. Without tears, the outer covering of the eye would be damaged due to dryness, and the cornea would not receive the oxygen and nutrients it needs to function, nor would its waste products be flushed away.

The three basic kinds of tears

  1. Basal tears maintain the health of the cornea by keeping it wet and free of dust. These tears are surprisingly complex, containing among other substances lipids, glucose, sodium, potassium and an enzyme called lysozyme, also present in our saliva, which is crucial to eye health. Some of these substances serve an immune function by protecting against bacterial infection.
  2. Reflex tears are the body?s way of expelling foreign particles (dirt, dust) or other irritants, such as onion vapors, tear gas or pepper spray. The reason onions are an irritant is that they contain a compound that, when it encounters water in our tear ducts, creates sulfuric acid! (Next time you?re cooking, try slicing the onion in the sink under running water.)
  3. Emotional tears, brought on by pain, stress or strong feelings, have a different chemical makeup than other tears. Emotional tears may be the body?s way of expelling excess hormones.
Crocodile tears are not real tears (not even for crocodiles). Instead, the phrase means ?to pretend a sorrow that one doesn?t in fact feel, to create a hypocritical show of emotion,? according to the Web site World Wide Words. The idea originated as far back as the 13th century and stems from the mistaken belief that crocodiles wept while eating their prey.

Crocodile Tear Syndrome, however, does exist. It is a rare outcome of recovery from Bell?s Palsy: faulty regeneration of the facial nerve responsible for the salivary and tear glands causes patients to cry while eating (even, perhaps, when eating crocodile).

How Dry I Am

People who suffer from a condition called keratitis sicca, or ?dry eye,? know how important tears are. Dry eye sufferers endure stinging, itching, burning, blurry vision, or light sensitivity; the condition also makes the eyes feel scratchy and gritty, as if there is a speck of dirt that won?t go away. Ironically, this condition may actually cause the eyes to respond with reflex tears, which do not help the problem, as they don?t contain the lubricating substances necessary to alleviate the dryness.

One of the most common causes of dry eye is aging, due to a decrease in tear production as we get older. Other causes include a reaction to certain medications, including antihistamines, and environmental factors such as wind, smoke, heating and air-conditioning. Contact lens wearers also report an increase in dry eye, as do those who?ve undergone laser eye surgery (LASIK surgery) ? another compelling reason to follow the Rebuild Your Vision Program.

Treating Dry Eye

Dry eye condition can be treated with eye drops (artificial tears), a prescription drug called Restasis or plugs may be inserted into the tear ducts to block drainage. If the condition is left untreated, eye damage and/or vision loss can occur. So the next time you have a ?good cry,? celebrate the good!

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Last post: Feb 1, 2011

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