Dry Eye in the Morning

Combatting Nocturnal Lagophthalmos: Preventive Measures

Addressing dry eye in the morning involves effective strategies such as:

• Aromatherapy
• Using warm eye masks
• Taking a warm bath
• Taping the eyelids closed during sleep.

Relaxing activities, like the warm bath, can increase your parasympathetic activity, which regulates the “rest and digest” function and decreases sympathetic activity prior to falling asleep. This may also reduce the stimulation of the Muller’s muscle.

Taping the eyelids closed physically keeps your eyes covered, which should help keep them better lubricated.

Artificial tears can also be a viable option to manage symptoms of dry eye in the morning.

Other Causes of Dry Eye in the Morning

While nocturnal lagophthalmos is a common cause, there are several other factors that can lead to dry eye in the morning:

• Environment: Dry or windy climates can cause increased tear evaporation, leading to dry eyes. Similarly, indoor environments with air conditioning or heating systems can dry out the eyes.
• Prolonged Screen Time: Spending long hours in front of a screen can reduce the frequency of blinking, causing tear evaporation and resulting in dry eyes.
• Age: As we age, tear production naturally decreases. This can result in dry eye in the morning, especially in older adults.
• Medication: Certain drugs such as antihistamines, antidepressants, and certain blood pressure medicines can reduce tear production.
• Health Conditions: Some health conditions like Sjogren's syndrome, rheumatoid arthritis, and diabetes can cause dry eyes.
• Contact Lenses: Long-term use of contact lenses can cause dryness and irritation, leading to dry eye in the morning.
• Sleep Position: Sleeping with your face against the pillow can cause your tears to evaporate more quickly, leading to dry eyes in the morning.

Remember, managing these factors can help reduce the incidence of dry eye in the morning.