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Waking Up With Dry Eyes

Many dry eye sufferers experience a flare-up at night, either late in the evening or during the night. Waking up with dry eyes can adversely affect the positive feelings gained from a good night’s sleep.

Why do some people experience worsening symptoms at night? If your eyes feel sandy, dry, or as if they’re burning in the morning, it can be due to several factors. Perhaps your eyelids don’t fully close while you sleep (nocturnal lagophthalmos), or the symptoms are a side effect of certain medications that you take. Another possibility is that you’re not producing sufficient tears at night to flush out irritants. If you’re experiencing any of the above, speak with Our doctors today.

What Causes Red, Itchy or Painful Eyes Upon Waking?

Nocturnal Lagophthalmos

Ordinarily, during sleep your eyelids provide vital protection from air and debris that can irritate or damage the cornea. Nocturnal lagophthalmos is the inability to close your eyelids during sleep, usually due to a problem with the skin or muscles around your eyes. If left untreated, this condition can result in corneal scarring, eye infections, and impaired vision.

Insufficient Tear Production At Night

If you aren’t producing enough tears at night, you will be unable to flush inflammation-causing substances from your eyes while you sleep.

Tear production tends to diminish with age, due to some medical conditions or as a side effect of specific medicines. Environmental conditions, such as windy and dry climates, can also cause your tear volume to diminish due to increased tear evaporation.

Damaged eyelids can make it difficult to fully close the eyes during sleep. Complications from surgery, an injury, an illness, or an eye disorder, including glaucoma and optic neuropathy, can cause eyelid damage.

Thyroid-Related Eye Symptoms

Protruding or bulging eyes are a common symptom of Graves’ disease, a form of hyperthyroidism. This can interfere with your ability to close your eyes while sleeping.

Medication Taken at Bedtime

Certain medications, whether prescription or over-the-counter, may cause dry eyes while you sleep. These include:

  • Antihistamines and Decongestants
  • Hypertension Drugs
  • Hormones
  • Drugs for Gastrointestinal Problems
  • Pain Relievers
  • Antidepressants
  • Skin Medications
  • Chemotherapy Medications
  • Antipsychotic Medications

If you are taking any of the medications listed above and are experiencing dry eye symptoms, speak with Our doctors to see whether there are alternative treatments less likely to cause dry eye.

In the majority of cases, medication-related dry eye symptoms will resolve once the medication is discontinued. However, it may take several weeks or months for symptoms to completely disappear.

How to Treat Morning Dry Eye

Depending on the cause, morning dry eye can be treated with sleeping masks, lubricating eye drops, eyelid weights, and ointment applied right before bed. Using a humidifier will ensure that you sleep in a moisture-rich environment that is less likely to dry out your eyes. In those with severe cases of nocturnal lagophthalmos, eyelid surgery may be necessary.

The best way to determine the cause of your morning dry eyes is to visit Our doctors for a comprehensive eye exam. Be sure to bring along a list of all medications and nutritional supplements you routinely take, as it will help us determine whether there is any causation, and provide you with a more effective treatment plan.

The Dry Eye Center At Eye Trends serves patients from Houston, Spring, Woodlands, Conroe, and throughout Texas.

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Dr. Inns is a 1982 graduate of the University of Houston College of Optometry. He holds a Bachelor of Science degree from Wilfred Laurier University, Canada. During his training at the University of Houston, he held positions in research and was a teaching assistant / laboratory instructor.

Postgraduate work includes therapeutic courses at Pennsylvania College of Optometry and the Optometric Glaucoma Specialist Course at the University of Texas Medical School. Dr. Inns has published in Optometry Today and Optometric Management. He also volunteers at the schools in his area.

Dr. Inns and his wife, Lynn, spend much of their spare time calling and visiting with their four boys.

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Amber Draper, Manager

As the manager of The Woodlands office, Amber Draper leads the team with the focus on patient care and assisting with their ophthalmic needs. Having over 10 years experience, Amber can aid patients with the most appropriate lens technology to match their daily needs. Everyone needs at least one pair of sun wear, especially here in Texas.

Amber is a proud graduate of Sam Houston State University with a BA in History, and a minor in Spanish.

In her spare time, she is with family, friends, and enjoying some Houston Texans Football.

Dr. Toups is a 1984 graduate of the University of Houston College of Optometry. He has a Bachelor of Science degree in Pharmacy from Northeast Louisiana University.

Being a therapeutically licensed optometrist, Dr. Toups is trained to diagnose and treat ocular conditions. He specializes in contact lenses and he is current with all refractive surgery procedures.

Dr. Toups is married, has five children and has lived in the Houston area since 1980.

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