The Patient's Guide to Dry Eye Syndrome: Hormones and Dry Eye7:41 PM
Let's face the facts; women report dry eye symptoms more frequently than males in the same age group. In a study by the American Journal of Ophthalmology, 7.8% of women over 50 report dry eye, versus only 4% of polled men. The theoretical culprit?
If artificial tears and gel drops aren't offering enough relief, there are some more aggressive options to try. When I prescribe tears for this population, sometimes an artificial tear with supplemental natural tear components like growth factors can be more beneficial than the standard OTC brands. Viva drops are my favorite tear drop when I am trying to supplement missing components of natural tears.
In this patient population I also really like Restasis. It tends to perform well in post-menopausal women, and I know some doctors that prescribe it strictly for this population. Restasis increases tear production by reducing inflammatory mediators that cause poor tear film performance. Remember, Restasis is a twice a day; every day drop, and sometimes it can take as long as 3-6 months to get relief. Sometimes when initiating Restasis it is a good idea to pulse with a stronger anti-inflammatory like Lotemax until Restasis has time to get into the system. Patients are less likely to give up if they see some relief!