
Dry eye isn’t just an annoyance - it’s a day-to-day disruption that can make reading, driving, or simply blinking feel uncomfortable. For many patients, symptoms come and go. For others, the irritation lingers like wind-blown sand across the eyes. Understanding what’s behind the dryness and knowing when to seek professional care can make a tremendous difference in long-term comfort and eye health.
Dry eye is very common in Honolulu—and around the world. Dry eye develops when the eyes don’t produce enough tears or when the tears evaporate too quickly, and several underlying factors can contribute to this imbalance. One of the most common causes is Meibomian Gland Dysfunction (MGD). The meibomian glands, located along the eyelid margins, create the oily layer of your tears that helps prevent evaporation. When these glands become blocked or inflamed, the tear film becomes unstable, often leading to burning, irritation, and blurry vision.
Environmental and lifestyle factors also play a major role. Honolulu’s bright sun, warm climate, and ocean winds can dry out the tear film. Air conditioning, prolonged screen time, contact lens wear, poor contact lens materials, poor contact lens fitting, wind exposure, and smoking can further worsen dryness by increasing inflammation and increasing tear evaporation.
Hormonal changes and aging contribute as well. Tear production naturally decreases over time, and hormonal shifts can intensify dry eye symptoms.
Certain medications and medical conditions may also reduce tear quality or quantity. Medications such as antihistamines, antidepressants, and blood pressure medications, along with conditions like autoimmune diseases, rosacea, thyroid disorders, and others, can directly affect the stability of your tear film and lead to chronic dryness.
Mild, occasional dryness is common - but ongoing symptoms are a sign to schedule a professional dry eye evaluation at Kahala Eye Clinic.
Seek care if you experience:
We use advanced diagnostic tools to evaluate the quality of your tears, examine the meibomian glands, and assess your overall ocular surface health.
Our advanced dry eye treatments are tailored to your specific needs and may include:
Dry eyes can make even simple tasks feel uncomfortable, but the right care brings long-lasting relief. We are here to help you find the right path forward, using modern diagnostics and personalized dry eye care tailored to island living.
If dry eye is affecting your daily life, schedule a consultation at Kahala Eye Clinic by clicking here to learn more about advanced treatment options.