Prescription Options for Severe Dry Eye: What Are Your Choices?

Dry eye syndrome is a common but often debilitating condition that can significantly impact your vision and quality of life. While mild cases can be managed with over-the-counter artificial tears, those with severe dry eye often require prescription treatments to provide lasting relief. 
 

Understanding Dry Eye 

Dry eye is a condition that occurs when your eyes do not produce enough tears or when the quality of your tears is poor, leading to discomfort, irritation, and vision disturbances. Tears play a crucial role in keeping the eyes lubricated, washing away debris, and protecting against infection. When tear production is insufficient or the tears evaporate too quickly, symptoms such as redness, burning, stinging, blurred vision, and a gritty sensation can develop.
 

Dry eye can result from various factors, including aging, certain medical conditions, environmental influences, prolonged screen time, and the use of certain medications. If left untreated, chronic dry eye can lead to inflammation and potential damage to the eye’s surface, making proper diagnosis and treatment essential. Understanding your prescription options can help you make informed decisions about your eye health.
 

Cyclosporine (Restasis)

Restasis is one of the most widely prescribed treatments for chronic dry eye. It works by reducing inflammation and increasing tear production over time. Since it can take several months to see the full benefits, patients must use it consistently as directed.
 

Lifitegrast (Xiidra)

Xiidra is another prescription eye drop that targets inflammation, specifically blocking proteins that contribute to dry eye symptoms. Many patients experience relief faster than with Restasis, though some report a temporary burning sensation upon application.
 

Corticosteroid Eye Drops

For those with severe inflammation, short-term use of corticosteroid eye drops may be recommended. These provide rapid relief by reducing swelling and irritation but are not meant for long-term use due to potential side effects such as increased eye pressure or cataract formation.
 

Punctal Plugs

Punctal plugs are a common prescription treatment for dry eye, particularly for patients whose symptoms are caused by excessive tear drainage. These tiny, biocompatible devices are inserted into the tear ducts to slow down tear loss, keeping moisture on the eye’s surface for longer periods. Regular check-ups ensure that the plugs remain in place and are providing the desired benefits.
 

Scleral Lenses

Scleral lenses are specialized contact lenses designed to provide relief for individuals with severe dry eye and other corneal conditions. Unlike traditional contact lenses, scleral lenses have a larger diameter and vault over the cornea, resting on the sclera (the white part of the eye). This design creates a fluid-filled reservoir between the lens and the eye’s surface, offering continuous hydration and protection while improving visual clarity. Because they prevent excessive tear evaporation and shield the cornea from environmental irritants, scleral lenses are an excellent option for those who have not found relief with eye drops or other treatments. 
 

Finding the Right Treatment for You

Managing severe dry eye requires a personalized approach, as the best treatment will depend on the underlying cause and severity of your symptoms. Whether you need prescription eye drops, punctal plugs, or advanced therapies, working with an experienced eye care professional can help you find relief and protect your vision in the long run.
 

Get Expert Dry Eye Treatment at Designer Optical of Parkchester

If you’re experiencing persistent dry eye symptoms, professional care can make all the difference. We offer comprehensive evaluations and customized treatment plans to help restore comfort and clarity to your vision. 
 

Schedule a dry eye evaluation with Designer Optical of Parkchester to explore prescription options and take the first step toward lasting relief. Visit our office in Bronx, New York, or call (347) 507-3166 to book an appointment today.