Dry Eye After Menopause

By Marilyn Haddrill; contributions and
review by Gary Heiting, OD

Many older Americans have dry eyes that can range from mild to severe. And if you are 50 or older and female, your chance of developing a more severe form of dry eye syndrome is even higher.

Studies show that about 7.8 percent of women and about 4.7 percent of men in this older age group develop significantly dry eyes.*

Women who have undergone menopause may experience disrupted chemical signals that help maintain a stable tear film. Resulting inflammation also can lead to decreased tear production and dry eye. Some theories indicate that a decline in the hormone androgen could be an underlying cause of dry eye in older women.

What Can You Do if You Are Older and Develop Dry Eyes?

While levels of the female hormone estrogen also decrease following menopause, studies have not shown any beneficial effect of estrogen hormone replacement therapy (HRT) in relieving dry eye.

If you are over 40 and have been diagnosed with dry eye, you may want to avoid laser vision correction surgery. Procedures such as LASIK and PRK can permanently affect nerve function of your eye's clear surface (cornea) and worsen dry eye problems.

Dry eyes are common in women after menopause.

If you choose to have a refractive surgery consultation, be sure to tell your examining eye doctor about your dry eye condition. Your doctor can perform special tests to determine if your eyes are moist enough for laser vision correction.

If you already have been diagnosed with dry eyes, make sure you are being treated appropriately for other conditions associated with both aging and dry eye, such as rheumatoid arthritis and thyroid autoimmune disease.

Also, keep in mind that many medications required by adults over age 40 may cause or worsen dry eye problems. Examples include diuretics (often prescribed for heart conditions) and antidepressants. If you suspect a medication may be the underlying cause of your dry eye, be sure to discuss this with your doctor. It's possible that changing to a different medical treatment may be equally effective without causing dry eye problems. Also, concurrent treatment of your dry eye may be necessary.

Finally, it's possible that allergies or other problems that cause eye inflammation may be the underlying cause of your dry eye symptoms. Your eye doctor may recommend over-the-counter or prescription eye drops to relieve both your eye allergies and inflammatory dry eye problems.

Resources:

*Impact of dry eye syndrome on vision-related quality of life. American Journal of Ophthalmology. March 2007.

[Page updated May 2009]