Best Eye Drops For Dry Eyes, According To Experts

Dry eyes are not just uncomfortable; they can be truly debilitating. Affecting millions of Americans each year, this condition can lead to a range of symptoms, from a stinging or burning sensation to blurry vision.

While severe cases of dry eye often necessitate prescription medication, over-the-counter eye drops (artificial tears) offer a safe and effective solution for mild cases, providing quick relief from bothersome symptoms. However, with countless brands available, selecting the right eye drops for your needs can be challenging.

To assist you, the Forbes Health editorial team consulted a panel of three vision experts who shared their top recommendations for eye drops specifically formulated to combat dry eye. Ratings were determined by the editorial team based on various criteria, including cost, the number of experts endorsing each product, as well as its safety for contact lens wearers and the presence of preservatives. Here are our top recommendations.

To identify the best eye drops for dry eyes, the Forbes Health editorial team consulted a panel of three eye health experts. These experts offered their top recommendations for eye drops specifically formulated to alleviate dry eye symptoms. The editorial team assigned star ratings based on various factors, including cost, the presence of preservatives, compatibility with contact lenses, and the number of panelists endorsing each product.

Dry eye occurs when your eyes fail to produce enough tears or generate an inadequate type of tear film, as defined by the American Academy of Ophthalmology. Blinking creates a three-layer film of tears that coats the surface of the eye, maintaining its smoothness and clarity, which is essential for optimal vision.

If you’re struggling with dry eyes, you are not alone—nearly 16 million Americans are affected by this condition each year, according to the National Eye Institute. Those most at risk include individuals over 50, women, contact lens wearers, and those lacking essential nutrients like vitamin A or omega-3 fatty acids, as well as individuals with certain autoimmune disorders.

Dry eye symptoms are diverse and extend beyond mere dryness. You may experience the following discomforts:

• Stinging or burning sensation in eye
• Scratchy or gritty sensation in eye
• Blurry vision
• Red or irritated eyes
• Light sensitivity

It’s crucial to note that some symptoms—such as blurry vision, eye pain, red eyes, and sensitivity to light—could indicate more serious conditions, like uveitis (inflammation inside the eye). If you encounter any of these symptoms, it’s important to consult a medical professional promptly.

Dry eye happens when your glands aren’t able to keep your eyes wet with enough tears or when your tears dry up too fast. These issues can stem from an array of causes, according to the American Academy of Ophthalmology, including:

• Age (due to hormonal changes)
• Certain diseases, such as rheumatoid arthritis and thyroid disease
• Too much screen time
• Using contact lenses for an extended period of time
• Being in a smokey or dry climate
• Having LASIK or other refractive eye procedures
• Certain eye conditions, such as blepharitis (when eyes are swollen or red), entropion (when eyelids turn in) or ectropion (when eyelids turn outward)
• Certain medications

Mild cases of dry eye can often be effectively managed using over-the-counter (OTC) artificial tears, as recommended by our panel of experts. Research indicates that individuals suffering from mild dry eye may need to use these eye drops up to four times a day, while those with more severe cases might require even more frequent application.

It is important to note that many OTC eye drops contain preservatives, which can increase the risk of adverse effects with frequent use. If you find yourself using eye drops more than six times a day, consider opting for a preservative-free alternative.

In addition to artificial tears, other OTC options for treating dry eye include gels and ointments, which are typically used at bedtime.

For more severe cases of dry eye, as diagnosed by your eye care professional, prescription eye drops such as Restasis or Xiidra may be necessary to stimulate tear production. Other treatment options might involve tear duct plugs, which can prevent tears from draining too quickly, or, in rare circumstances, surgical intervention if your dry eye is due to excessively loose eyelids that cause rapid tear loss.

If your dry eye condition is related to lifestyle factors, consider adopting healthier habits. Limit your screen time, incorporate omega-3 fatty acids into your diet, wear wraparound sunglasses, avoid smoke and wind whenever possible, and use a humidifier to maintain moisture in the air.

If you experience dry and scratchy eyes, it’s important to schedule an appointment with an eye doctor. They can perform various tests to assess whether you are producing enough tears and evaluate the longevity of your tear film after blinking.

Although it may be easy to dismiss dry eyes as a minor issue, neglecting them can lead to damage to your corneas. An eye doctor can provide effective relief and, ultimately, safeguard your vision.