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Tips for Managing Dry Eyes in the Morning

  • Last updated February 27, 2023

6 min read

Danielle Stoken
Written byDanielle Stoken
Jovi Boparai, MD
Reviewed by Jovi Boparai, MD
Danielle Stoken
Danielle StokenEye Health & Wellness ContributorPittsburgh, PA

Bio

I was so excited when I learned about CorneaCare and am honored to share content, tips and stories about dry eye! I am a certified Health Coach through the Institute for Integrative nutrition so the intersection of nutrition/lifestyle and dry eye disease is one that I am particularly passionate about. Since recently becoming a mom, I care even more about my eye care and self-care and am learning so much through CorneaCare's educational resources.

Get to know me a little better!

Hobby: baking sourdough bread
Food: pasta
Superhero: my dad
Guilty pleasure: cold brew coffee (really, any coffee)
Secret power: serious facial recognition/recollection

Training:

Undergraduate: Carnegie Mellon University
Nutrition training: Institute for Integrative Nutrition

Jovi Boparai, MD
Jovi Boparai, MDCo-founder & CEO of CorneaCarePhiladelphia, PA

Bio

Dry eye disease is tough! I get it. I have struggled with dry eyes for several years from contact lens use, and from spending countless hours looking at computer screens. In college, my dry eyes got so bad that I couldn’t wear contact lenses, because of a constant “foreign body sensation” when I had them in. I had to stop reading every 30 minutes because my eyes would start to burn and my vision would get blurry. I tried a plethora of treatments and nothing seemed to work. Dry eye disease was not only impacting my eyes, but also my emotional wellbeing. It was preventing me from enjoying life, and getting in the way of my professional training. I felt overwhelmed, frustrated and hopeless.

It was only when I realized that my dry eyes were linked to my lifestyle, environment and overall health did things start to make sense. I noticed that on days when I spent less time on the computer, my eyes felt better. My symptoms would flare when it was windy, or when there was low humidity. I knew that if I wanted to get ahead of my dry eyes, I needed to not only treat my eyes, but to also address my lifestyle. I started a consistent regimen of artificial tears and eyelid hygiene. I switched from monthly contact lenses to daily contact lenses. I started taking scheduled breaks from looking at a computer. I ate a healthier diet focused on anti-inflammatory/antioxidants foods, and I bought a humidifier for my room. In the beginning doing all this seemed impossible, but over time it became part of my usual routine. Not only did my eyes feel better, but I was overall healthier and happier! Turns out what is good for my eyes, was also good for my mind and body. I carried this lesson with me as I started my career to become an ophthalmologist and ophthalmic surgeon.

Because of my personal journey and professional training, I believe dry eye treatment starts by listening to and empowering the patient. I listen for the struggles and cue in on their strengths, while picking up on their lifestyle. Only then do we together start building a treatment plan that incorporates good eye hygiene with small, but impactful lifestyle changes. Our sight is our most important sense, and it is intimately linked to our very being. I want dry eye patients to not only get their dry eyes under control, but to also enjoy good mental and physical health, and live a fulfilling life. What is good for the eyes should also strengthen the mind and fortify the body!

Get to know me a little better!

Hobby: vintage watches
Food: peanut butter
Superhero: Superman
Guilty pleasure: desserts
Secret power: has never had a headache

Training:

Undergraduate: University of Pittsburgh Honors College
Medical school: Weill Cornell Medicine
Ophthalmology residency: Wills Eye Hospital.

Tips for managing dry eyes in the morning

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Table of Contents

If you are constantly waking up with dry eyes in the morning, you may be experiencing a common symptom of dry eye disease. Dry eye disease is a chronic condition that affects millions worldwide. Symptoms of dry eye disease can be debilitating and cause issues far beyond just your eyes. More importantly, dry eye disease affects your mental, social, and physical well-being.

Key points

  • Experiencing dry eyes in the morning is a common symptom of dry eye disease.
  • Several lifestyle factors and medical conditions can cause your eyes to be dry in the morning.
  • Get relief from waking up with dry eyes by adhering to a good dry eye treatment plan that includes eyelid hygiene, tear replacement, reducing inflammation and lifestyle and environmental modifications.
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Social impacts of dry eye disease

If you wake up with dry eyes in the morning, you may not be getting adequate high-quality sleep needed for rest and repair. We all know how it feels to be well-rested versus sleep-deprived. Poor quality of sleep is linked with many physical and psychological medical conditions, including obesity, mood disorders, high blood pressure and reduced performance at work.¹ 

We’re here to tell you that even though DED affects most people for life, there are ways to manage DED symptoms so that you wake up and feel excited about the day ahead! 

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A Quick Overview of Dry Eye Disease

Dry eye disease (DED) is an eye condition also known as keratoconjunctivitis sicca, dry eye syndrome and ocular surface disease, and it is much more common than you may think! Dry eyes affect 30 million people in the United States and 300 million people worldwide.² 

So what exactly is DED? You can think about it as a malfunction in your tear film. Your tear film coats your cornea, or the front part of your eye. Your tear film plays a crucial role in protecting the eyes, making them feel comfortable, and helping you see clearly. If your tear film isn’t working well (due to various reasons), it sets off a cascade of inflammation, leading to the classic dry eye symptoms.³

Tear film

We explore DED in much greater detail in What is Dry Eye Disease and in our Dry Eye 101 Course. If you have questions or want to share your experience with dry eyes, visit our community page!

Symptoms of Dry Eyes

Some of the most common symptoms of dry eyes in the morning match the classic symptoms of DED. These symptoms include:³

  • Redness
  • Gritty feeling
  • Burning sensation
  • Itchy eyes
  • Light sensitivity
  • Blurred vision
Key symptoms of dry eye disease

What Causes Dry Eyes in the Morning

Like with DED, there are many factors that can contribute to symptoms of morning dry eyes and everyone’s situation is unique. While DED sufferers may experience symptoms all day long, some may have more intense symptoms in the morning compared to the rest of the day, or only have symptoms in the morning. Below are some of the most common causes of dry eyes in the morning. 

Nocturnal lagophthalmos

Don’t worry; we won’t ask you to pronounce this condition! Nocturnal lagophthalmos simply means that your eyelids remain partially open while you are sleeping. As you can imagine, this causes some instability to your tear film and may cause your eyes to dry out overnight. Nocturnal lagophthalmos may disrupt your sleep, even if it doesn’t fully wake you up.⁴

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Environmental Factors

Your sleeping environment can cause dry eyes in the morning. Allergens, such as dust mites, dirt, and even dead skin cells, can all irritate the eyes while you sleep and cause them to become dry. Keeping your sleeping area tidy and wiped clean is a simple solution to remove bedroom allergens.

Other environmental factors for DED include:⁶

  • Low humidity in the room
  • Sleeping in front of a fan or air conditioner, or under an air vent
  • Using digital screens before bed
  • Cigarette smoke
  • Aerosol sprays and synthetic fragrances
Indoor conditions affecting dry eye disease

Medications and medical conditions

The tricky part about DED is that there are many factors that contribute to you experiencing symptoms. Several medical conditions such as Sjörgens syndrome, meibomian gland dysfunction, rheumatoid arthritis, blepharitis, and even hormonal changes such as pregnancy and menopause can cause DED. Even seemingly harmless over-the-counter (OTC) medications such as antihistamines and decongestants can lead to dry eyes, especially with prolonged use. Certain prescription medications such as antidepressants and contact lenses can also dry out the eyes.⁵ We do not suggest stopping any of these medications, but it’s best to talk to your eye care provider to discuss potential side effects and treatments available.

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How Do You Treat Dry Eyes in the Morning

The good news about treating dry eyes in the morning is that simple lifestyle changes can be tried first before starting treatment options such as OTC or prescription medications or medical procedures. Unfortunately, with DED, you may require more intense medical intervention, but with the right treatment plan and a good self-care and eye care routine, you can manage DED and still live a great life. 

The basics of dry eye treatment include eyelid hygiene, tear replacement, reducing inflammation and lifestyle and environmental modifications.

Eyelid hygiene

The eyes and eyelids work together to maintain your tear film and protect your eyes. Eyelid hygiene includes daily care of your eyelids with warm compresses and scrubbing your eyelids with eyelid wipes or sprays. You can purchase pre-made warm compresses or make your own with a warm towel and water. For eyelid scrubbing, you can use gentle baby shampoo and a soft towel, or buy pre-moistened eyelid cleansing wipes.

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Tear replacement

While eyelid hygiene stabilizes tear film, tear replacement replenishes tear film. Tear replacement can be accomplished with artificial tears or eye drops, gels or ointments available in OTC and as prescriptions. It’s important to keep in mind that the best tear replacement treatment is the one that you adhere to consistently and that works for you. It often takes several weeks of consistent artificial tear use before seeing noticeable results. It may be best to start with a tear gel or ointment for dry eyes in the morning and use right before bedtime to provide overnight lubrication.⁷ 

Artificial tears and eye drops

Reducing inflammation

Inflammation seems to be a hot topic these days, and for a good reason. When your body is inflamed, it is hard to maintain overall health. Inflammation in your tear glands, cornea, or conjunctiva (outer layers of your eyes) can lead to your body not making enough tears, or the right types of tears.⁶ Reducing eyelid inflammation with cold compress, supplements like omega-3 fatty acids and good nutrition can significantly impact dry eye symptoms. 

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Lifestyle and environmental changes

Lifestyle and environmental modifications can make a huge difference in reducing DED and morning dry eye symptoms. 

  • Using a humidifier (cool mist is preferred over warm)
  • Moving your bed away from direct air and heat sources
  • Avoiding digital screens like computers or smartphones before bed
  • Stopping or avoiding cigarette smoke before bed and in the home
Lifestyle Changes: balanced diet, working with the weather, taking regular breaks

In severe cases, talk to your eye doctor (ophthalmologist or optometrist) about a treatment plan that includes eyelid hygiene, ocular lubrication, prescription eye drops, medications, or procedures along with simple lifestyle changes to help alleviate symptoms. 

Putting It All Together

Waking up with dry eyes in the morning can be frustrating. The morning should be a time of hope and excitement about the day ahead. If you are waking up with dry, painful eyes it may be hard to get in a positive mood for the day.

At CorneaCare, we care about your whole health, which we believe begins with good eye health. After all, we use our eyes from the moment we wake up until we go to sleep at night. It’s important you focus on both preventing and treating dry eyes with good lifestyle habits that impact not just your eyes, but your overall health and wellbeing. 

Want to take care of your dry eyes but not sure where to start?
Take the quiz

What’s Next

Our popular Dry Eye 101 course is a great way to start a solid eye treatment plan. If you’ve already taken it, way to go! We’d love to hear from you in our Dry Eye Community.

Bibliography

  1. “Short- and long-term health consequences of sleep disruption.” NCBI, 19 May 2017, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449130/. Accessed 23 February 2022.
  2. TFOS – Tear Film & Ocular Surface Society, http://www.tfosdewsreport.org/. Accessed 23 February 2022.
  3. “Dry eyes – Symptoms and causes.” Mayo Clinic, 24 September 2020, https://www.mayoclinic.org/diseases-conditions/dry-eyes/symptoms-causes/syc-20371863. Accessed 23 February 2022.
  4. Gudgel, Dan T. “Sleeping with Eyes Open.” American Academy of Ophthalmology, 26 October 2018, https://www.aao.org/eye-health/tips-prevention/sleeping-with-eyes-open. Accessed 23 February 2022.
  5. Higuera, Valencia, and Justin Laube. “What Is Dry Eye? Symptoms, Causes, Diagnosis, and Treatment.” Everyday Health, 28 September 2020, https://www.everydayhealth.com/dry-eyes/guide/. Accessed 23 February 2022.
  6. Seltman, Whitney. “How Does Your Environment Affect Dry Eye?” WebMD, 13 April 2021, https://www.webmd.com/eye-health/dry-eye-irritants. Accessed 23 February 2022.
  7. Caceres, Vanessa. “Guide your patients toward better gel and ointment use.” EyeWorld, https://www.eyeworld.org/2008/guide-your-patients-toward-better-gel-and-ointment-use/. Accessed 23 February 2022.
  8. Seltman, Whitney. “What’s the Link Between Dry Eyes and Inflammation?” WebMD, 13 April 2021, https://www.webmd.com/eye-health/dry-eye-inflammation. Accessed 23 February 2022.

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