Vision / Eye Changes (Dry Eyes - Menopause-Related)
Changes in vision and eye comfort, particularly dry eyes, are common for women around menopause. Reduced levels of estrogen and androgens can affect the glands responsible for tear production (lacrimal and meibomian glands), leading to decreased tear quantity or quality. This causes symptoms like dryness, burning, stinging, grittiness, light sensitivity, and sometimes blurred vision. While usually manageable with artificial tears and lifestyle adjustments, significant vision changes warrant a full eye exam to rule out other age-related eye conditions.
Management Strategies
- Over-the-counter artificial tears (preservative-free recommended for frequent use)
- Gel drops or ointments (for longer relief, often used at night)
- Omega-3 fatty acid supplements (evidence mixed, consult doctor)
- Warm compresses and gentle lid scrubs (if Meibomian Gland Dysfunction contributes)
- Using a humidifier
- Avoiding direct airflow from fans/vents
- Taking breaks during screen use (20-20-20 rule)
- Wearing wrap-around sunglasses outdoors
- Staying hydrated
- Prescription eye drops (e.g., cyclosporine - Restasis/Cequa, lifitegrast - Xiidra) to increase tear production/reduce inflammation
- Punctal plugs (to block tear drainage)
- Specialty contact lenses (scleral lenses)
Impact
- Discomfort
- Visual disturbance
- Difficulty reading or using screens
- Increased risk of eye infections or corneal damage if severe
Diagnostic Considerations
Comprehensive eye exam by an optometrist or ophthalmologist. Tests may include visual acuity, tear breakup time (TBUT), Schirmer's test (tear quantity), staining of the cornea/conjunctiva, assessment of meibomian glands. Rule out other eye conditions (cataracts, glaucoma, macular degeneration - also age-related).