Face masks and social distancing have become the first line of defense in COVID-19 prevention.

While these protective measures are essential to combating the virus’ spread, eye doctors are seeing an increase in dry eye cases among people who wear masks. If you are seeking relief, contact us.

What is Mask-Associated Dry Eye (MADE)?

Mask-associated dry eye (MADE) was first described by an ophthalmologist in May 2020 based on the higher rate of dry eye he was seeing in his practice among patients who wore masks. Patients with existing dry eye reported worsening symptoms when wearing a mask.

When a face mask doesn’t fit securely, it can push air from the nose and mouth upward, onto the eyes, causing the tear film — the liquid layer that coats the eyes’ surface — to evaporate more quickly. This leads to MADE.

Dry eye leaves the eyes feeling sore, gritty, dry and irritated. Left untreated, dry eye can cause damage to the cornea.

There are many causes of dry eye, including eye and health conditions, age, gender and certain medications. Insufficient blinking when looking at a digital device or book, poor indoor air quality and pollution can all play a role. Situations that increase how quickly the tear film evaporates can quickly and significantly dry the eye’s surface, leading to more pronounced symptoms.

What Causes Dry Eye When Wearing a Mask?

Wearing a face mask significantly reduces the spread of air when breathing out from the mouth and nose. Instead of moving out, the air moves upwards towards the eyes’ surface. This forces a stream of air over the surface of the eye, causing the tears to evaporate more quickly.

This is the same reason that eyeglasses fog up when wearing a mask.

When masks are worn for long periods of time, this repeated evaporation may lead to dry spots on the eyes’ surface.

How to Prevent or Alleviate MADE?

Here are some simple measures to help reduce dry eye while wearing a mask:

1. Ensure your mask fits well, and consider taping the top edge to prevent air from rising from your mouth toward your eyes.
2. Limit your time in air-conditioned or heated environments when possible. Also, take regular breaks from digital devices.
3. Consult your eye doctor, who will examine your eyes and prescribe the best treatment.

Having to wear a face mask to prevent COVID-19’s spread may cause dry eye, but relief is available. Contact Southwest Family Eye Health Center if you are experiencing dry eye symptoms. We will determine the underlying cause of your dry eye and offer you the best solution so you can get back to having comfortable eyes and vision.

Southwest Family Eye Health Center serves patients from Fort Worth, River Oaks, Westover Hills and Dallas, throughout Texas.

What if we told you that there are tiny critters living on your face? Would you believe it?

The truth is that just about every person on earth has Demodex mites living in their facial pores.

But before you run to the bathroom sink and start scrubbing your cheeks, read on to learn what these microscopic mites are, and how they can affect your eyes.

What are Demodex Mites?

Demodex mites are tiny 8-legged arachnids that make their home in the pores and hair follicles of your face. Fortunately, they’re too small to see with the naked eye, measuring only 0.4 mm long.

There are 2 types of Demodex mites: Demodex folliculorum and Demodex brevis. Both types can be found all over the face, but Demodex folliculorum mites tend to concentrate around the eyelash area.

Demodex mites live inside hair follicles, where they feed on dead skin cells and oily sebum that is secreted onto the hair shaft. That’s why they’re found in higher numbers around greasier areas of the body, like the eyes and nose.

The mites come out of the hair follicle at night to mate and then return in the morning. For this reason, symptoms of a Demodex infestation may be worse in the morning.

Demodex mites can be transferred from one host to another through facial skin or hair contact. They can also be introduced to a new host through shared makeup and cosmetics.

Having a small amount of Demodex mites seems to be harmless, but an overgrowth of mites — called “demodicosis” — can cause a host of symptoms affecting the eyes and other areas of the face. A Demodex infestation can also exacerbate pre-existing skin conditions like rosacea and acne.

How Can Demodex Mites Affect Your Eyes?

Too many Demodex mites can cause uncomfortable symptoms that may include:

• Itchy or burning eyes, especially in the morning
• Swollen eyelids
• Crusty eyes
• Red, irritated eyes
• Watery eyes
• Blurred or decreased vision
• Falling eyelashes
• Infected eyes

If you experience a yellowish discharge on your eyelashes mainly in the mornings, this could be a sign of a Demodex mite infestation.

Severe cases of demodicosis can lead to blepharitis — an inflammation of the eyelids. Blepharitis often leads to an inflammation of the cornea called keratitis, a serious condition that can lead to blindness if left untreated.

Risk Factors For Demodicosis

You’re more likely to have a Demodex mite outbreak if you:

• Have oily skin
• Wear makeup
• Sleep overnight without properly removing makeup
• Have poor personal hygiene

Some pre-existing conditions that increase the possibility of a Demodex outbreak include:

• A weakened immune system
• Alopecia
• Inflammatory acne
• Dermatitis

Your Dry Eye Optometrist Can Help

The good news is that Dr. Jeremy Loy can provide safe and effective treatment for your demodicosis.

Because Demodex mites are so small, they’re impossible to diagnose on your own. Only a comprehensive eye exam can determine the source of your symptoms.

Treatment for a Demodex mite infestation typically involves a medicated ointment that can prevent the mites from reproducing. In severe cases, oral medication may be prescribed. Your eye doctor may also manually clean the margins of your eyelids or recommend over-the-counter products that can help soothe irritation and promote healing.

If you suspect you have demodicosis or experience any of the symptoms listed above, contact Southwest Family Eye Health Center to schedule an eye exam.

Southwest Family Eye Health Center serves patients from Fort Worth, River Oaks, Westover Hills, Dallas, and throughout Texas.

What Is Dry Eye?

Our tears are made up of water and oil layers. Dry eye (also known as dry eye syndrome) occurs when the eyelids’ meibomian glands do not secrete enough natural oil into the tears. This causes the eyes to become dry, itchy, red, and painful. Environmental conditions like dry or windy air, and staring at a screen or book for a long time, can also dry out your eyes.

Here’s What To Do About It

One of the best ways to make dry, irritated eyes feel refreshed is with a warm compress. A warm compress will open the oil glands and soften oil blockages, allowing oil to flow into the tears. Wet a clean washcloth or place it in a microwave for 20 seconds. Touch it to your wrist to make sure it’s not too hot, then place the compress on your closed eyelids for a few minutes while tilting your head back or reclining. When the compress cools, reheat and repeat.

Compresses slow the evaporation of tears. Their warm moisture provides relief by stabilizing the eyes’ tear film and improving the meibomian glands’ production of oil. With your eyes now hydrated and lubricated, they can also expel bacteria more efficiently.

Certain prescription eye drops also address dry eye, and steroids can provide relief. Others provide additional lubrication. Please consult with Dr. Jeremy Loy, who can recommend or prescribe the best drops for your eyes.

Other home remedies include:

• An air filter to eliminate irritants
• A humidifier to increase moisture in the air and decrease evaporation of your tears
• Drinking water to stay hydrated
• Wearing sunglasses to deflect ultraviolet rays and wind that dry the eyes

Please Keep the Following in Mind:

• Don’t make the compresses or washcloths too hot.
• Use a different compress for each eye to prevent spreading an infection between the eyes.
• We recommend lightly cleaning with a swab or cloth, then wetting and wiping your eyelids several times each day. Doing so can prevent bacteria from entering your eyes.

If you are experiencing dry eye, please bring it to our attention. Untreated, dry eye can sometimes cause corneal abrasions or ulcers, inflammation, and even vision impairment.

At Southwest Family Eye Health Center, Dr. Jeremy Loy will treat patients with dry eye from Fort Worth, River Oaks, Westover Hills, Dallas, and throughout Texas.

References:

• https://www.reviewofoptometry.com/article/dry-eye-therapy-keeping-it-simple

Dry eye symptoms such as red, watery, stinging eyes can negatively affect your work. But could your work environment actually be causing or exacerbating your symptoms? Recent research shows that where you work can heighten your risk of developing dry, irritated eyes.

Which Work Environments Increase Your Risk of Developing Dry Eye Symptoms?

Offices

Several factors appear to contribute to dry eyes. In fact, a survey of American and European office employees found that a third suffered from dry eye symptoms.

Research has shown that prolonged physical inactivity and staring at computer monitors increases a person’s susceptibility to developing dry eye syndrome.

Staring at a computer screen can reduce the number of times a person blinks by 30%. That’s problematic because blinking is essential for lubricating the eyes and keeping the protective tear film that covers the eye intact. If you find your eyes becoming irritated or uncomfortable at work, try blinking more, especially while using the computer and reading.

The humidity level of the air in the office also plays a role. Overuse of air conditioning and heating can cause the air to become dry, increasing the rate of tear evaporation. Having insufficient tears is a leading cause of dry eye symptoms. If you find that your work environment is too dry, try using a humidifier to add some moisture back into the air.

The Great Outdoors

Certain outdoor jobs can expose the eyes to eye-drying elements like wind, debris, and direct sunlight. Wind and heat can cause the eye’s tear film to prematurely evaporate, leaving the eye unprotected and susceptible to dryness.

Other factors that contribute to dry eye syndrome include pollution and exposure to harmful UV rays. Outdoor workers such as construction workers, farmers, and lifeguards should always use protective eyewear while working.

How Your Dry Eye Optometrist Can Help

Dry eye symptoms can range from mildly bothersome to debilitating. A comprehensive eye exam with Dr. Jeremy Loy will determine the underlying cause of your symptoms so the most effective treatment can be offered.

Relief from dry eye symptoms extends far beyond the options available at the drugstore. If you’re experiencing dry eye symptoms of any degree, contact Southwest Family Eye Health Center to discover how you can achieve long-lasting relief. We look forward to hearing from you.

Southwest Family Eye Health Center serves patients from Fort Worth, River Oaks, Westover Hills, Dallas, and throughout Texas.

As the weather gets warmer and Covid-19 restrictions gradually ease, many people want to spend as much time outdoors as possible. But for those with chronic dry eye syndrome, uncomfortable symptoms may deter them from enjoying Mother Nature. Some of these symptoms include:

• Dry eyes
• Itchy eyes
• Grittiness
• Watery eyes
• Irritated or burning eyes
• Blurred vision

While the only sure way to diagnose and treat your eye condition is having an eye exam with Dr. Jeremy Loy, the following tips may offer some relief until your next appointment — especially while you’re spending time in the open air.

Always Bring Along a Water Bottle

A dehydrated body can mean dehydrated eyes. Drinking plenty of water can help your eyes produce the healthy amount of tears needed to maintain lubrication. Even if you are spending time in a humid environment, be sure to drink water or other hydrating fluids. Try to avoid alcoholic beverages and sugary drinks, as they can be dehydrating and exacerbate dry eye symptoms.

Pack Some Lubricating Eye Drops

One of the main causes of dry eye syndrome is insufficient or poor quality tears. Lubricating eye drops, also known as artificial tears, can compensate for the lack of tears and offer temporary relief. The drops’ tiny containers make them travel-friendly and perfect for almost any outdoor activity. There are many kinds of eye drops on the market, but Dr. Jeremy Loy can recommend or prescribe the most suitable type for your eyes.

Wear Protective Eyewear

Exposure to the elements can leave your eyes feeling dry and uncomfortable. Wearing protective eyewear, such as sports goggles or wrap-around sunglasses, can protect your eyes from harsh winds, debris in the air, and sunlight. Even a light breeze can strip the eyes of their protective tear film and accelerate the rate of evaporation.

Visit Your Dry Eye Optometrist

While the above recommendations can provide temporary relief, a dry eye evaluation with Dr. Jeremy Loy can help identify and treat the underlying cause of your symptoms. Dr. Jeremy Loy will recommend the latest and most effective dry eye treatments for long-lasting relief and optimal comfort. If you or a loved one is suffering from dry eye syndrome, call Southwest Family Eye Health Center to schedule your consultation today.

Southwest Family Eye Health Center serves patients from Fort Worth, River Oaks, Westover Hills, Dallas, and throughout Texas.

Many of us have experienced an involuntary eyelid spasm but didn’t give it much thought. These eyelid spasms, or twitches, are a repetitive and involuntary spasm of the muscles in the eyelids. The twitch most frequently occurs in the upper eyelid, but can occasionally occur in both upper and lower eyelids.

The twitch sensation is generally painless and harmless. It can be caused by several factors and rarely indicates a more serious underlying condition. One condition, however, that can contribute to eyelid twitching is dry eye syndrome (DES). Below, we’ll briefly explain DES and how it can trigger eyelid twitching.

What Is DES?

Dry eye syndrome is characterized by the chronic lack of sufficient ocular lubrication and can be caused by allergies, irritants, and insufficient or poor quality tears. Some symptoms of dry eye include:

• Dry, irritated eyes
• Watery eyes
• Blurry vision
• Grittiness
• Stinging or burning sensation

If you suspect you have DES or experience any of the above symptoms, speak with Dr. Jeremy Loy about finding relief and regaining the quality of life you seek.

How Is Eyelid Twitching Related To DES?

When the eyes lack lubrication, the nervous system compensates by increasing the eyes’ blink rate to try and refresh the tear film. If the brain sends too many signals to increase the blink rate, the eyelid’s muscles may begin to twitch due to the overload of signals fired from the brain. Eventually, as the eyelid muscles become more fatigued from the excess blinking, twitching becomes more noticeable and irritating.

What Can Be Done To Ease Symptoms?

Eyelid twitching can be bothersome and can even interfere with performing daily tasks. Though twitching episodes usually subside after a minute or two, there are some steps you can take to shorten their duration or eliminate them altogether.

Try using lubricating eye drops to bring some moisture back to your eyes, thus reducing the signals sent to the nervous system to increase the blink rate. Dr. Jeremy Loy can recommend which over-the-counter drops best suit your eyes’ needs, or prescribe more potent eye drops.

Try gently massaging your closed upper eyelids to suppress the twitching when it occurs. The light pressure can help relax the surrounding muscles. You can also apply a warm eye compress when the lid is twitching or whenever your eyes feel irritated.

Additionally, if you experience twitching or cramping in other muscles, such as in your legs, taking some magnesium may help reduce the frequency of the spasms.

How We Can Help

Mild eyelid spasms and twitches are generally not something to be concerned about, unless they are prolonged, frequent, or distract you from your normal routine. At Southwest Family Eye Health Center, we aim to provide you with relief from any dry eye symptoms using the latest treatments available. If you or a loved one suffer from eye twitches or any other DES symptoms, let us help you manage your ocular condition for a lifetime of clear and comfortable vision.

Southwest Family Eye Health Center provides dry eye relief and other services to patients from Fort Worth, River Oaks, Westover Hills, Dallas, and Texas.