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Can Dry Eyes Cause Headaches?

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Dry, gritty eyes can be frustrating enough, but when they come with a headache, it’s easy to wonder if you’re just tired or if something else is going on. It’s common to treat them as separate issues, but they can be linked. 

The ongoing strain your eyes experience when they lack proper moisture can directly lead to tension headaches. Addressing the root cause of your dry eye can often help ease both symptoms.

The Link Between Eye Discomfort and Headaches

When your eyes are dry, they have to work harder to focus, which can lead to eye strain. This constant effort can cause tension in the muscles around your eyes and forehead. This tension may result in a headache, often described as a dull ache behind the eyes.

How Eye Strain Triggers Pain

Your eyes are constantly sending signals to your brain. When the tear film breaks down or the ocular surface becomes irritated, that feedback can trigger nerve signals which your brain may interpret as pain or discomfort. Squinting to see more clearly or to reduce discomfort also puts extra stress on your facial muscles. This added tension can contribute to head discomfort.

Signs Your Headache Is Eye-Related

It can be hard to tell if your headache is caused by your eyes. Look for these clues:

  • Pain that gets worse after long periods of reading or screen time is a common cause of digital eye strain.
  • Headaches that feel like a dull ache located behind or around your eyes.
  • Discomfort that eases when you rest your eyes.
  • A feeling of heaviness or fatigue in your eyes, along with a headache.

Notice the Signs of Dry Eye

Dry eye is more than just a feeling of dryness. It involves a range of symptoms that can affect your daily comfort and vision. If you experience these regularly, you may be dealing with chronic dry eye, which can benefit from professional dry eye treatment. Symptoms can include: 

  • A scratchy or gritty feeling, like something is in your eye
  • Redness or irritation
  • A stinging or burning sensation
  • Periods of blurry vision
  • Light sensitivity
  • Watery eyes, which are the body’s response to irritation

Common Reasons for Dry Eye

Several factors can affect your eyes’ ability to stay lubricated. Your daily habits and environment can play a significant part.

Your Environment and Allergies

Dry air from heating or air conditioning can cause tears to evaporate too quickly. Allergens like dust, pet dander, or pollen can also irritate the surface of your eyes. This irritation can contribute to dryness and discomfort.

Your Tear Quality and Production

Tears are a complex mixture of water, oil, and mucus that protect your eyes. If your body doesn’t produce enough tears, your eyes can become dry. The same can happen if your tears lack the right balance of components, especially oil from your meibomian glands.

Eyelid Issues During Sleep

Some people’s eyelids don’t close completely while they sleep. This exposure to air throughout the night can cause significant dryness. You might notice the most discomfort right when you wake up.

A person rubbing their eyes as they on their side in bed

Medications and Contact Lenses

Certain medications, including antihistamines and decongestants, can reduce tear production as a side effect. Wearing contact lenses for long hours can also prevent an adequate amount of tears from reaching your cornea. This can lead to increased dryness over time.

Ways to Find Relief at Home

You can take simple steps at home to manage dry eye symptoms and the related headaches. These habits can help restore moisture to your eyes and reduce strain. Consistency is often helpful for managing discomfort.

Simple Changes to Your Daily Routine

Small adjustments can make a big difference. Try to stay hydrated by drinking plenty of water daily and using a humidifier to add moisture to the air. When you’re on a digital device, follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds to give your eyes a necessary break.

Direct Eye Care Habits

Applying warm compresses can be helpful for some forms of dry eye, but it’s important to use the right type of heat. A basic warm, damp cloth may soothe general facial or eyelid discomfort, but it does not stay hot enough to effectively treat meibomian gland dysfunction (MGD)

For MGD, eye-safe heat masks designed to maintain therapeutic temperatures (around 40°C) are far more effective for softening the oils in the glands and supporting healthier tear quality.

Keeping the eyelids clean is also essential, but very gentle cleansers are recommended. While mild soap can help, dedicated lid-cleansing products, such as ZocuFoam, Blephaclean, or other ophthalmologist-recommended formulas, are typically more effective and less irritating for maintaining eyelid and eyelash hygiene.

Because dry eye disease is complex, the right approach can vary. For example, in some patients with MGD who also have ocular rosacea, heat may actually worsen symptoms rather than improve them. This is why proper diagnosis and personalized treatment plans are so important for lasting relief.

The Role of Eye Drops

Over-the-counter artificial tears can offer short-term relief by adding moisture to the eye’s surface and supporting the tear film. This lubrication can temporarily ease dryness-related discomfort and even reduce strain that may contribute to headaches. 

For people who use drops frequently, preservative-free formulas are often a better option to minimize irritation. However, it’s important to understand that lubricating drops primarily address symptoms, not the underlying cause of dry eye disease. 

While they’re a useful starting point, especially for mild or intermittent symptoms, more targeted treatments are often necessary to manage root causes such as meibomian gland dysfunction, tear instability, inflammation, or eyelid disease. 

An eye doctor can help determine the underlying etiology and recommend more effective long-term treatment options.

When to See an Optometrist in Vaughan

If home remedies don’t provide enough relief, it’s a good idea to seek professional care. An eye exam can help identify the specific cause of your dry eye. This can also help rule out other potential issues.

During a comprehensive eye exam, our eye doctor in Vaughan can assess your tear production, tear quality, and overall ocular surface health to help identify the source of your dry eye symptoms. If signs of dry eye disease are present, we may recommend a dedicated dry eye evaluation. This is a more detailed assessment focused specifically on the factors contributing to your dryness. 

This allows us to better understand the underlying cause of your symptoms and develop a personalized treatment plan tailored to your needs. A proper diagnosis is essential for guiding effective, long-term care.

Take Care of Your Eye Health

At Lowy & Sewell Eye Care, we understand how connected your eye comfort is to your overall well-being. We care for our patients by looking at how vision and eye health impact quality of life. If you’re dealing with persistent dry eye and headaches, book an appointment with us today so we can help you find a path to relief.

Written by Dr. Jeremy Sewell

Dr. Jeremy Sewell graduated from the University of Guelph, where he obtained his Bachelor of Biological Sciences with Honours in 2007. Dr. Sewell obtained his Doctor of Optometry from Indiana University in 2015.

His training included internships at Vision Care Specialist in Chicago, Illinois, WJB Dorn Veterans Hospital in Columbia, South Carolina, Indianapolis Eye Care Center in Indianapolis, Indiana, and Atwater Eye Care Center in Bloomington, Indiana.

During his Optometry studies, Dr. Sewell was involved in non-profit volunteer work. He provided screening eye exams at multiple homeless shelters for underprivileged persons in the Indianapolis area and at elementary schools in the Bloomington area. Dr. Sewell has special interests in retinal pathology, specialty contact lens fittings, and the treatment and management of acute red eye.

When not working at his Concord, ON, eye clinic, Dr. Sewell enjoys travel, rock climbing, hockey and guitar.

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