Understanding Dry Eye Evaluations: Tests and Procedures for Relief

November 13, 2023
Close up of a woman with her head in an eye testing device

Read time: 5 minutes


Dry eye syndrome is a prevalent condition that affects millions of people worldwide. Characterized by insufficient tear production or poor quality of tears, it can lead to discomfort, redness, and even impact vision. Fortunately, advancements in eye care have led to sophisticated techniques for evaluating and managing dry eyes.


Let's explore the tests and procedures eye doctors perform during a Dry Eye evaluation in order to diagnose this disease.


Understanding Dry Eye Syndrome


Before we dive into the evaluation process, it's crucial to comprehend the basics of dry eye syndrome. This condition can result from various factors, including aging, environmental conditions, medications, and underlying health issues. Dry eyes occur when the eyes do not produce enough tears or when the tears evaporate too quickly, leaving the eyes inadequately lubricated.


The Dry Eye Evaluation Process


Patient History


The foundation of a thorough dry eye checkup is digging deep into the patient's history. This first step is crucial for getting important info that guides the rest of the assessments. Eye care pros look into the patient's past and present, trying to understand their eye health. They ask about symptoms, lifestyle, and things that might be causing dry eyes.


It's really important to know about the patient's overall health and habits to customize the evaluation for them. Things like spending a lot of time on screens, the environment they're in, and their job can really affect their eye health. By going through the patient's history, eye care experts get a complete picture that helps them focus on specific assessments.


Symptom Assessment


Patients' personal experiences give hints about how bad and what kind of dry eye they have. In the phase where we ask about symptoms, people are encouraged to describe how they feel and what's bothering them. Eye care pros ask about things like dryness, itching, burning, and if their vision changes.


By looking deeply into these experiences, specialists can figure out not just what symptoms are there but also how they affect daily life. The patient's individual experience helps create a careful evaluation plan. Plus, paying close attention to symptoms helps tell the difference between different types of dry eye, making the diagnosis more accurate.


Tear Film Assessment


The thin layer of tears is super important for keeping eyes healthy, and checking it is a big part of the evaluation. Specialists use different tests to look closely at how many tears there are and how good they are, checking things like how they're made, how stable they are, and what they're made of.


A common way to do this is by putting a special dye on the surface of the eye. This dye helps eye care pros see how tears spread and find any problems. By checking the tear film, doctors learn about what might be causing dry eyes, which helps them make treatment plans that work best.


Fluorescein and Lissamine Green Staining


Fluorescein and lissamine green dyes emerge as valuable tools in observing damage to specific ocular structures. Fluorescein highlights damage to the cornea, while lissamine green targets the conjunctiva. The patterns of staining reveal areas of dryness and aid in determining the severity of the condition.


Using this staining method gives doctors a map to follow, showing them where to focus on specific issues. The accuracy of the dry eye evaluation gets better because these dyes are really precise, making treatments more focused and effective.


Schirmer's Test


A key test in checking for dry eyes is the Schirmer's Test which looks at how many tears a person produces. Tiny strips of paper go under the lower eyelid, and by seeing how wet they get over a set time, the doctor gets crucial information about tear levels.


The Schirmer's Test numbers provide diagnostics data which is then combined with what the patient communicates about what they are feeling. This test helps figure out how bad the tear shortage is, guiding doctors in making personalized plans that fit the individual's needs.


Meibomian Gland Assessment


The evaluation goes beyond looking at the Meibomian glands, which produce the oily part of tears. Issues with these glands can cause evaporative dry eye, a common form of the condition. Eye care professionals use techniques like meibography to see the glands and find problems.


This thorough assessment helps us understand what causes dry eyes. By checking the Meibomian glands, doctors can identify specific problems. This allows for targeted treatments that address the main causes of the condition.


Osmolarity Testing


Osmolarity testing adds numbers to the evaluation by measuring the salt content in tears. High osmolarity levels can show that the tear film is unstable, which is a sign of dry eye syndrome. This measurement adds to the other assessments done earlier in the evaluation.


Osmolarity testing gives a measurable way to check the overall health of the tear film. Finding differences from the usual levels helps eye care professionals adjust treatments, making sure they fit the person's specific eye situation.


Treatment and Management


After finishing the dry eye evaluation, the eye care professional has a lot of information to create a personalized treatment plan. This plan might include things like using artificial tears, making lifestyle changes, taking prescription medications, and sometimes doing small procedures to fix underlying problems. By using the information from the evaluation along with proven treatments, doctors can give specific help, making life better for people dealing with dry eye syndrome.


The Takeaway


A Dry Eye Evaluation is a crucial step in understanding and managing the complexities of dry eye syndrome. With a thorough assessment, eye care professionals can tailor treatments to provide relief and improve the overall eye health of individuals suffering from this common condition. If you're experiencing symptoms of dry eyes, don't hesitate to schedule an evaluation with an eye care specialist to embark on your journey toward clearer, more comfortable vision.

Share this blog post on social or with a friend:

The information provided in this article is intended for general knowledge and educational purposes only and should not be construed as medical advice. It is strongly recommended to consult with an eye care professional for personalized recommendations and guidance regarding your individual needs and eye health concerns.


All of Urban Optiks Optometry's blog posts and articles contain information carefully curated from openly sourced materials available in the public domain. We strive to ensure the accuracy and relevance of the information provided. For a comprehensive understanding of our practices and to read our full disclosure statement, please click here.

OUR LATEST POSTS

Woman wearing yellow-rimmed sunglasses and a cream-colored top with arms above her head.
October 22, 2025
Discover why some designs endure in fashion. Explore how eyewear luxury brands like Urban Optiks Optometry blend style with timeless quality.
Woman in profile view looking off in the distance, with a blurred person in the background.
October 17, 2025
Discover how eye movement patterns reveal emotional intelligence. Learn the science behind gaze, cultural variations, and how eye-tracking research enhances communication, leadership, and emotional skills.
Man in plaid blazer and sunglasses, standing outdoors with autumn foliage.
October 12, 2025
Discover handcrafted eyewear designed for San Diego’s fall lifestyle. Explore artisan frames at Urban Optiks Optometry that blend comfort and style.
Close-up of an eye with an abrasion, illuminated with ultraviolet light.
October 7, 2025
Read time: 5 minutes The cornea is the clear, dome-shaped surface at the front of the eye. It plays two essential roles: focusing light for sharp vision and protecting the eye’s delicate inner structures from debris and infection. Because it is both exposed and highly sensitive, the cornea is especially vulnerable to injury. A scratch or scrape on its surface is known as a corneal abrasion. While many abrasions are minor and heal quickly, they can cause significant discomfort and may lead to complications if left untreated. Knowing the causes, symptoms, and treatments can help you protect your vision and respond appropriately if an injury occurs. What Is a Corneal Abrasion? A corneal abrasion is a scratch or scrape on the epithelium, the thin outer layer of the cornea. This surface contains numerous nerve endings, which explains why even small abrasions often cause sudden, sharp pain. Along with discomfort, abrasions can also blur vision until the surface has healed. You can find out more about corneal abrasions in this article from Harvard Health Publishing . Common Causes Corneal abrasions often happen in everyday life, from something as simple as rubbing the eye too hard to environmental hazards at work or outdoors. Some of the most common causes include: Foreign particles such as dust, sand, or metal shavings entering the eye Accidental scratches , often from fingernails or makeup brushes Improper contact lens use , including wearing them overnight or with poor hygiene Paper cuts from envelopes or books Tree branches or leaves encountered outdoors Workplace hazards , especially when protective eyewear is not used Symptoms to Watch For Because the cornea is so sensitive, symptoms usually appear immediately. These may include: Sudden eye pain, especially noticeable when blinking Redness, tearing, and excessive blinking A persistent sensation of something in the eye (foreign body sensation) Light sensitivity ( photophobia ) Blurred or decreased vision Difficulty keeping the eye open These symptoms can overlap with other conditions, including corneal infections, so a professional exam is recommended rather than self-diagnosis. Diagnosis Eye doctors typically use a slit-lamp microscope to examine the cornea in detail. They may also apply a fluorescein dye, which makes scratches more visible under blue light. This exam helps confirm the abrasion and check for any trapped foreign objects. In more serious cases, or if caused by high-velocity particles, additional imaging may be used. Treatment and Healing Most corneal abrasions heal within 24 to 72 hours. Treatment focuses on pain relief, preventing infection, and supporting the natural healing process. Depending on the injury, your doctor may recommend: Lubricating drops or ointments to ease irritation Antibiotic drops to prevent infection (especially important for contact lens wearers) Prescription drops to relax eye muscles and reduce pain in some cases Avoiding contact lenses until healing is complete Protective eyewear to prevent further trauma Eye patches are rarely used today, and steroid drops are generally avoided during the initial healing period since they can slow recovery. Special Considerations for Contact Lens Wearers Contact lenses increase the risk of both abrasions and infections. Wearing lenses too long, handling them without proper hygiene, or sleeping in them can scratch the cornea and create conditions for bacterial growth. If you wear contacts and develop sudden eye pain, redness, or blurry vision, remove the lenses immediately and see your eye doctor. Continuing to wear contacts over an abrasion can worsen the injury and delay healing. When to Seek Medical Care Even if symptoms seem mild, it’s best to have corneal abrasions evaluated by an optometrist or ophthalmologist. Seek prompt care if: Pain lasts longer than 24 hours Vision becomes increasingly blurry Sensitivity to light worsens There is discharge, swelling, or signs of infection You have a history of recurrent corneal erosions Without treatment, abrasions may lead to complications such as corneal ulcers or scarring, both of which can cause permanent vision changes. Prevention  Many abrasions are preventable with good habits. Steps you can take include: Wearing protective eyewear during high-risk activities like construction, sports, or yard work Handling contact lenses with clean hands and avoiding overnight wear unless prescribed Replacing eye makeup tools regularly and keeping them clean Avoiding rubbing your eyes, especially in dusty or dry environments Using artificial tears to keep the eyes hydrated The Takeaway Corneal abrasions may be common, but they should never be ignored. With proper treatment, most heal quickly and without lasting effects. However, untreated abrasions can progress into serious eye conditions that permanently affect vision. Whether from contact lenses, workplace exposure, or everyday accidents, protecting your cornea is essential to safeguarding your eyesight. Learn more about other corneal conditions in this article from the National Eye Institute.
Woman with dark hair squinting at sunglasses with a concerned expression.
October 2, 2025
Learn what causes eyewear allergies, common frame material triggers, and hypoallergenic alternatives
Doctor holding a brain model, showing a patient, other doctors looking at scan in background.
September 27, 2025
Learn how strokes can affect vision, from field loss to eye movement issues, and discover strategies that support adaptation and visual independence.
Woman in sunglasses with shopping bags over her shoulders is smiling while outdoors.
September 22, 2025
Explore how touch, sight, and feel impact your fashion choices. Visit Urban Optiks Optometry in San Diego for an immersive sensory shopping experience.
Two women in sunglasses and fashionable accessories, smiling and posing together.
September 15, 2025
Discover how accessories and confidence transform style. Explore luxury sunglasses brands to elevate your look with Urban Optiks Optometry.
Colorfully dressed young adults posing as a photographer takes their picture.
September 11, 2025
Explore how pop culture influences your style. Discover practical tips, including contact lenses in San Diego, to enhance your everyday fashion.
A collage of images of people wearing glasses
September 4, 2025
Uncover how your personal style choices in luxury designer eyewear reflect your personality. Explore the latest trends at Urban Optiks Optometry.
Woman wearing yellow-rimmed sunglasses and a cream-colored top with arms above her head.
October 22, 2025
Discover why some designs endure in fashion. Explore how eyewear luxury brands like Urban Optiks Optometry blend style with timeless quality.
Woman in profile view looking off in the distance, with a blurred person in the background.
October 17, 2025
Discover how eye movement patterns reveal emotional intelligence. Learn the science behind gaze, cultural variations, and how eye-tracking research enhances communication, leadership, and emotional skills.
Man in plaid blazer and sunglasses, standing outdoors with autumn foliage.
October 12, 2025
Discover handcrafted eyewear designed for San Diego’s fall lifestyle. Explore artisan frames at Urban Optiks Optometry that blend comfort and style.
Close-up of an eye with an abrasion, illuminated with ultraviolet light.
October 7, 2025
Read time: 5 minutes The cornea is the clear, dome-shaped surface at the front of the eye. It plays two essential roles: focusing light for sharp vision and protecting the eye’s delicate inner structures from debris and infection. Because it is both exposed and highly sensitive, the cornea is especially vulnerable to injury. A scratch or scrape on its surface is known as a corneal abrasion. While many abrasions are minor and heal quickly, they can cause significant discomfort and may lead to complications if left untreated. Knowing the causes, symptoms, and treatments can help you protect your vision and respond appropriately if an injury occurs. What Is a Corneal Abrasion? A corneal abrasion is a scratch or scrape on the epithelium, the thin outer layer of the cornea. This surface contains numerous nerve endings, which explains why even small abrasions often cause sudden, sharp pain. Along with discomfort, abrasions can also blur vision until the surface has healed. You can find out more about corneal abrasions in this article from Harvard Health Publishing . Common Causes Corneal abrasions often happen in everyday life, from something as simple as rubbing the eye too hard to environmental hazards at work or outdoors. Some of the most common causes include: Foreign particles such as dust, sand, or metal shavings entering the eye Accidental scratches , often from fingernails or makeup brushes Improper contact lens use , including wearing them overnight or with poor hygiene Paper cuts from envelopes or books Tree branches or leaves encountered outdoors Workplace hazards , especially when protective eyewear is not used Symptoms to Watch For Because the cornea is so sensitive, symptoms usually appear immediately. These may include: Sudden eye pain, especially noticeable when blinking Redness, tearing, and excessive blinking A persistent sensation of something in the eye (foreign body sensation) Light sensitivity ( photophobia ) Blurred or decreased vision Difficulty keeping the eye open These symptoms can overlap with other conditions, including corneal infections, so a professional exam is recommended rather than self-diagnosis. Diagnosis Eye doctors typically use a slit-lamp microscope to examine the cornea in detail. They may also apply a fluorescein dye, which makes scratches more visible under blue light. This exam helps confirm the abrasion and check for any trapped foreign objects. In more serious cases, or if caused by high-velocity particles, additional imaging may be used. Treatment and Healing Most corneal abrasions heal within 24 to 72 hours. Treatment focuses on pain relief, preventing infection, and supporting the natural healing process. Depending on the injury, your doctor may recommend: Lubricating drops or ointments to ease irritation Antibiotic drops to prevent infection (especially important for contact lens wearers) Prescription drops to relax eye muscles and reduce pain in some cases Avoiding contact lenses until healing is complete Protective eyewear to prevent further trauma Eye patches are rarely used today, and steroid drops are generally avoided during the initial healing period since they can slow recovery. Special Considerations for Contact Lens Wearers Contact lenses increase the risk of both abrasions and infections. Wearing lenses too long, handling them without proper hygiene, or sleeping in them can scratch the cornea and create conditions for bacterial growth. If you wear contacts and develop sudden eye pain, redness, or blurry vision, remove the lenses immediately and see your eye doctor. Continuing to wear contacts over an abrasion can worsen the injury and delay healing. When to Seek Medical Care Even if symptoms seem mild, it’s best to have corneal abrasions evaluated by an optometrist or ophthalmologist. Seek prompt care if: Pain lasts longer than 24 hours Vision becomes increasingly blurry Sensitivity to light worsens There is discharge, swelling, or signs of infection You have a history of recurrent corneal erosions Without treatment, abrasions may lead to complications such as corneal ulcers or scarring, both of which can cause permanent vision changes. Prevention  Many abrasions are preventable with good habits. Steps you can take include: Wearing protective eyewear during high-risk activities like construction, sports, or yard work Handling contact lenses with clean hands and avoiding overnight wear unless prescribed Replacing eye makeup tools regularly and keeping them clean Avoiding rubbing your eyes, especially in dusty or dry environments Using artificial tears to keep the eyes hydrated The Takeaway Corneal abrasions may be common, but they should never be ignored. With proper treatment, most heal quickly and without lasting effects. However, untreated abrasions can progress into serious eye conditions that permanently affect vision. Whether from contact lenses, workplace exposure, or everyday accidents, protecting your cornea is essential to safeguarding your eyesight. Learn more about other corneal conditions in this article from the National Eye Institute.
Woman with dark hair squinting at sunglasses with a concerned expression.
October 2, 2025
Learn what causes eyewear allergies, common frame material triggers, and hypoallergenic alternatives