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.  ...