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Can Dry Eyes Cause Blurry Vision?

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A person takes off their glasses and squints to try to see more clearly.

Blurry or out-of-focus vision is often a sign that it’s time to visit your optometrist. However, this symptom doesn’t necessarily mean updating your prescription will help.

Yes, dry eyes can also be the culprit of blurry or fluctuating vision. Tear film disruption means the cornea no longer has a smooth optical surface, causing incoming light to scatter, leading to blurry vision. Furthermore, reflex tears, corneal damage, and chronic inflammation can exacerbate ongoing dryness, thereby contributing to the persistence of dry eye symptoms.  

Thankfully, early intervention and proper management can break this cycle. A dry eye consultation is the first step to sharp vision and lasting relief. 

Defining Dry Eye 

Dry eye is more than a lack of tears. It occurs when there’s a disruption in the tear film, affecting the quality or quantity of tears needed to keep the eye’s surface adequately hydrated. 

Besides helping you express complex emotions, tears play a functional role in maintaining good eye health and vision. After all, tears aren’t just water. They’re a sophisticated mix of water, oil, and mucus designed to protect and nourish your eyes. 

Balance is the key to a healthy tear film. A disruption in any layer can lead to dryness, irritation, blurry vision, and other symptoms associated with dry eye. Among all these symptoms, blurry vision can make everyday tasks particularly challenging. 

Identifying the cause of dry eye enables your optometrist to develop an effective management strategy. For most people, these symptoms are the result of a combination of factors, rather than a single cause.

How Dry Eye Can Cause Blurry Vision

Blurry vision and dry eye are directly linked because tears play a crucial role in maintaining the eye’s smooth optical surface. 

Here’s how dry eye contributes to this frustrating symptom through 4 key mechanisms:

Tear Film Disruption

The tear film is the first and most critical refractive surface of your eyes. This creates a smooth, transparent surface for the cornea, for incoming light to pass through before reaching your retina. 

An unstable or uneven tear film is typical in dry eye. It interrupts the light’s path, causing it to scatter instead of focusing correctly on the retina. This leads to distorted or blurry vision. 

For example, tears can evaporate too quickly or fail to spread evenly across the eye’s surface due to insufficient oil production, which affects tear film health. These disruptions create temporary inconsistencies that interrupt your visual clarity, making reading or focusing on screens challenging.

Reflex Tearing & Overproduction 

Watery eyes are a common symptom of dry eye. You might think it a good sign, since more tears equal less dryness, right? Not quite. 

When your eyes sense irritation because of dryness, they respond by producing an excess of reflex tears. These tears, however, are primarily water and contain minimal oil or mucus content. Since we need a balance of all 3 layers for a healthy tear film, these tears cannot keep the eye adequately moist. 

Ironically, this flood of tears doesn’t relieve dryness and can create fluctuating vision clarity. It’s like trying to look through a fogged-up glass.

A patient discusses their dry eye symptoms with an optometrist.

Corneal Damage 

More than just experiencing an influx of irritating symptoms, dry eye can damage the corneal surface over time without proper management. 

The cornea requires a stable tear film to maintain its smoothness and clarity. Persistent tear instability can cause microscopic abrasions, swelling, and irregularities in the cornea, leading to prolonged blurry vision.

Sadly, this is why even activities you once enjoyed, like driving at night or focusing on fine details, can become difficult when you delay timely intervention. 

Chronic Inflammation 

Inflammation often accompanies dry eye, either causing or exacerbating the condition. 

This inflammation can irritate and swell the eye’s surface, disrupting healthy tear production. Persistent inflammation can create a vicious cycle of worsening dryness and increasing vision problems. 

Treating Dry Eye & Blurry Vision 

Fortunately, living with dry eye and subsequent blurry vision doesn’t have to be an everyday reality. Our expert team offers a range of effective dry eye therapies to tackle this chronic condition. 

After evaluating the health of your tear film, the severity of your symptoms, and your vision, your optometrist can determine a dry eye therapy plan that aligns with your specific needs. Each treatment addresses the root cause of dryness for lasting relief and sharp vision. 

Intense Pulsed Light (IPL) Therapy 

IPL therapy uses precise light pulses to treat the underlying cause of dry eye, particularly meibomian gland dysfunction (MGD). 

MGD affects the oil-secreting glands (meibomian glands) along the edges of your eyelids. MGD can lead to blocks or clogs in these glands, affecting the oil quality necessary for a healthy tear film and accelerating tear evaporation.  

IPL therapy gently targets and clears clogged glands, restores tear film balance, and reduces dry eye and blurry vision over time with each session. 

TearCare® 

TearCare delivers gentle heat to your eyelids, melting meibomian gland blockages and improving the flow of essential oils into your tear film. 

This noninvasive procedure is quick, comfortable, and specifically designed to improve tear stability, alleviating symptoms like blurry or fluctuating vision.

Amniotic Membrane Therapy 

For severe dry eye cases or corneal damage, amniotic membrane therapy acts as a healing patch for the eye’s surface. 

These biodegradable membranes reduce inflammation, promote tissue repair, and enhance comfort, making them particularly effective for people with chronic dryness and compromised vision.

Punctal Plugs 

Sometimes, the greatest way to maintain hydration is to encourage tears to stay on the eye for longer.  

Punctal plugs achieve this by temporarily blocking the drainage of tears from your eyes. This simple and minimally invasive solution can help alleviate symptoms in cases of moderate to severe dry eye.

A Clearer Future Awaits 

Occasional dryness after prolonged periods of work isn’t always concerning, but experiencing persistent dryness, discomfort, and blurry vision is a sign that warrants further investigation. 

With proper care, we can effectively manage dry eye symptoms, allowing you to experience long-term relief and enjoy clear vision. 

Connect with our Advanced Eyecare Optometry team to book your dry eye consultation today! 

Written by Dr Gina DellArciprete

Dr. Gina Dell’Arciprete is a compassionate and caring optometrist who is passionate about helping her patients achieve optimal vision and eye health. Known for being a great listener and intellectually honest, she takes the time to understand your unique needs and concerns.

Dr. Dell’Arciprete earned a double major in general science and Italian from Fordham University in 1987. She then went on to receive her Doctor of Optometry (OD) degree from the SUNY College of Optometry in 1991. Following her graduation, she completed a residency in Primary Eye Care at Keller Army Hospital, West Point, NY, in 1992. As an Assistant Clinical Professor at SUNY College of Optometry, Dr. Dell’Arciprete enjoyed teaching future optometrists for eleven years. She has been a board-certified Diplomate of the American Board of Optometry since January 2014.

Dr. Dell’Arciprete has a broad range of experience and expertise in various areas of eye care, including dry eye, glaucoma, contact lenses, and functional vision. Dr. Dell’Arciprete finds immense satisfaction in helping people see more clearly and comfortably. She is dedicated to preventing eye diseases and promoting overall health through comprehensive eye care.

When Dr. Dell’Arciprete isn’t caring for patients, she enjoys spending time with family, traveling, exploring her passion for wine and food, and indulging in the outdoors through hiking.

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