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Why Are My Eyes Watering? How Dry Eye Can Cause Tearing

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Key Takeaways

  • Dry eye can lead to watery eyes because dryness irritates your eye and your body responds with a flood of reflex tears.
  • Allergies, infections, blocked tear ducts, and wind or smoke can also make your eyes water.
  • An optometrist can check your tears, eyelids, and oil glands to find out what’s behind your symptoms.
  • Home habits, eye drops, and in-office treatments can help manage dry eye and reduce tearing.

You’re reading on the couch or walking into a cool breeze, and suddenly tears are running down your cheeks. It can feel strange to hear your eyes might be dry when they keep watering. Our team at Insight Eyecare hears this question often, and the answer surprises many people.

Your eyes may be watering because they’re dry, since dryness irritates the surface of your eye and your body responds by producing extra tears. If tearing has become part of your daily routine, a dry eye assessment with our team can help you find out what’s going on and what can bring you comfort.

What Is Dry Eye and Why Does It Cause Watery Eyes?

Dry eye means your eyes aren’t getting the moisture they need to stay comfortable. To see why this leads to tears, it helps to look at how healthy tears work.

How Healthy Tears Keep Your Eyes Comfortable

Every time you blink, a thin film of tears coats your eye. Each of its three layers has its own job:

  • The outer oily layer slows down how fast your tears evaporate.
  • The middle watery layer adds moisture to your eye.
  • The inner mucus layer helps tears spread evenly across the surface.

When one layer falls short, your eyes can start to feel dry and uncomfortable.

Why Dry Eye Causes Excessive Tearing

The cycle often looks like this:

  • Dryness irritates the surface of your eye.
  • Your body sends a flood of reflex tears.
  • Those reflex tears don’t have enough oil to actually hydrate your eyes.
  • Your eyes are still dry, causing more irritation.

You might dab your eyes a dozen times a day and still feel like there’s sand under your eyelids.

Other Common Reasons for Watery Eyes

Dry eye is one possible reason for tearing, but your eyes can water for other reasons too, including:

  • Allergies and infections like pink eye.
  • Blocked tear ducts.
  • Smoke, wind, bright light, or something stuck in your eye.

Because these can look alike, an eye exam can help sort out which one fits your symptoms.

Signs and Risk Factors of Dry Eye-Related Tears

Common Signs to Watch For

Dry eye tears tend to show up alongside other clues. You may notice:

  • Teary eyes with a gritty, scratchy feel.
  • Burning, redness, or blurry vision between blinks.
  • Sensitivity to light and frequent blinking.

Everyday Habits and Risk Factors

Your daily routine and health can play a role. Common factors linked to dry eye include:

  • Screen time and reading, since you tend to blink less when you focus.
  • Wind, indoor heating, air conditioning, and airplane cabins.
  • Age, hormone changes, and some medications.

How Does an Optometrist Check for Dry Eye?

Optometrist on a stool listens as a patient in an exam chair points near their eye while talking, with a phoropter and slit lamp behind them.

What to Expect at Your Eye Exam

A dry eye appointment starts with a friendly conversation about how your eyes feel day to day. During your visit, your optometrist can:

  • Ask about your symptoms, health history, and medications.
  • Take a close look at the surface of your eye and your eyelids.
  • Check the oil glands along the edges of your eyelids.

How Does Sodium Fluorescein Staining Work?

During a dry eye assessment, your optometrist may use sodium fluorescein, a special dye that helps make your tear layer visible. The dye is placed on the surface of your eye, allowing your optometrist to examine how well your tears cover the eye and look for signs of dryness or damage to the surface.

This helps your optometrist assess your tear film and better understand what’s contributing to your symptoms. Your results help guide recommendations for managing your dry eye.

How to Manage Watery Eyes Linked to Dry Eye

Simple Habits at Home

Small changes can make a noticeable difference. Try adding these habits to your day:

  • Hold a warm compress over your closed eyes for 5 to 10 minutes daily.
  • Clean your eyelids gently once or twice a day.
  • Follow the 20-20-20 rule at screens by looking 20 feet away for 20 seconds every 20 minutes.
  • Run a humidifier in the rooms where you spend much of your day.

Eye Drops and Prescription Options

Depending on your exam results, the optometrist may recommend:

  • Preservative-free artificial tears to calm irritation.
  • Prescription drops for inflammation, which can take several weeks to show results.
  • Punctal plugs to help tears stay on your eye longer.

In-Office Treatments

When symptoms linger, additional in-office care may help manage dry eye. Depending on your assessment, your optometrist can recommend appropriate treatment options to address your symptoms and support healthier tears.

Your care plan will be based on your eye health, tear layer, and daily habits.

Book a Dry Eye Exam in South Surrey and White Rock

If your eyes keep watering, or your symptoms persist or worsen, our team at Insight Eyecare can help you find out why. Book an appointment with an optometrist in South Surrey and White Rock and start a care plan that fits your eyes and your routine.

Written by Dr. Karen Sahota

Dr. Karen Sahota is originally from Maple Ridge, BC. She received her undergraduate degree in Biology from the University of British Columbia. She then went to Pacific University of College of Optometry, where she received her Doctor of Optometry degree (with distinction) in 2008. She and her husband, Dr. Avi Sahota, started Insight Eyecare – Doctors of Optometry in 2010. Dr. Sahota is a member of the Beta Sigma Kappa International Optometric Honour Society, BC Doctors of Optometry, and the Canadian Association of Optometrists. Besides giving exceptional optometric exams for general eye health and vision correction, Dr. Sahota also specializes in contact lens fittings and diagnosis of early glaucoma, cataracts, and retinal pathologies. She is very experienced in pediatrics, infant vision, and pre- and post-operative LASIK and cataract surgery through her training in the United States at the Spokane VA Eye Clinic, Eugene Oregon Eye Care Centre, and the Oak Harbor Naval Hospital. Dr. Sahota is also fluent in Punjabi. She is dedicated to educating her patients and increasing public awareness about the importance of regular eye health check-ups and providing her patients with the utmost best care possible. Currently, Dr. Sahota resides in South Surrey with her husband, Dr. Avi Sahota and her two sons, Kai and Luka. In her free time, she enjoys spending time with her family, travelling, and reading.
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