Do Your Eyes Feel More Dry in the Mornings?

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It is said that dry eye has as many symptoms as it has causes. One person's dry eyes may feel completely different than the next person's dry eyes. Some patients complain that they are dry and scratchy and the next complains that they are irritated and watery.
Some of my patients feel their dry eyes feel worst and night and some feel worse in the mornings. When you have eye irritation first thing in the morning, there are usually a few key reasons.
One of the first questions I like to ask my dry eye patients is, "Do your eyes feel more tired and irritated first thing in the morning or at the end of the day?" The reason that I like to ask this question is that I want to get to the root cause of the dry eye symptoms.
Knowing when the eyes are most dry tells me a lot about the lids. The eyelids are playing a role in their dry eyes when patients tell me that their dry eye symptoms are worse first thing in the morning.

The answer to this one question can tell me one of two things.
"Do your eyes feel dry, gritty, or scratchy as soon as you wake up in the mornings?"
There are 2 major causes for this symptom:
1)Eyelids are not closing all the way while sleeping (aka Nocturnal Lag Ophthalmos)
2)Overgrowth of bacteria on the eyelids and lashes (aka Blepharitis)
...
No. 1) Eyelids Not Closing Completely
No. 2) Overgrowth of Bacteria

CONCLUSION
There are two main reasons why your eyes might feel worse in the morning from the dryness and irritation standpoint. It is important to pinpoint the problem to get to the root cause of your dryness symptoms.
If your eyes feel drier in the morning, it could be that your eyelids are not coming all the way closed while you're sleeping, or that you have an overgrowth of bacteria in those lids and lashes.
Using a lid and lash cleanser before going to bed each night will prevent overgrowth of the bacteria which normally live on our lids and lashes. And, using an artificial tear gel or ointment before you sleep each night can help to keep the front surface of your eyes moisturized all night long.
For a full list of artificial tears gels and ointments, download the Ultimate Guide to Artificial Tears here.

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