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Eye conditions · 2 MIN READ

Dry eye

WHAT YOU NEED TO KNOW

  • Dry eye is the common term for a deficiency in the quality or quantity of the tear film covering the eye's surface.
  • Tears contain lipids, water and mucins that work together to protect and lubricate the ocular surface.
  • A thin, dynamic film that protects and lubricates the eye.

Dry eye is the common term for a deficiency in the quality or quantity of the tear film covering the eye's surface. It is very common, is more frequent in women and increases with age, particularly after menopause.

Tears contain lipids, water and mucins that work together to protect and lubricate the ocular surface.

OCULAR SURFACE

The layers of the tear film

A thin, dynamic film that protects and lubricates the eye.

Enlarged tear-film diagram: 1, outer lipid layer; 2, aqueous component; 3, mucins adjacent to the corneal epithelium.

Lipid layer

The outermost layer contains lipids produced mainly by the Meibomian glands. It contributes to tear-film stability and helps limit evaporation.

Aqueous component

Rich in water, salts and proteins, it hydrates and lubricates the ocular surface.

Mucins and the corneal interface

They help tears spread and maintain stable contact with the epithelium. They are present in the aqueous phase and near the surface of the cells.

Water and mucins form a continuous mucoaqueous phase. Colours distinguish the components to aid understanding; thicknesses are enlarged and not to scale. Learn more about the tear film ↗

When the dynamic balance between these three components is disrupted, dry-eye symptoms and signs can develop.

The degree of dryness varies widely, and symptoms do not always reflect the severity of the condition or clinical findings.

Dry-eye treatment varies according to the underlying cause, but usually involves artificial tear drops and is generally long term.

Dry eye — illustration

This information does not replace an individual medical assessment. Follow the advice of the team looking after you.

Dr. Nuno Lopes · Patient information
Editorial presentation updated on 27 October 2026. Your team's individual instructions take priority.

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