Women and Dry Eye - Report - MDSpire

Women and Dry Eye

  • By

  • Deborah Fisher

  • June 17, 2026

  • 3 min

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Clinical Report: Women and Dry Eye

Overview

Women are disproportionately affected by dry eye disease (DED), with hormonal changes and cosmetic practices influencing its presentation and management.

Background

Dry eye disease is a common condition that can impact quality of life, particularly in women. Hormonal fluctuations, especially during perimenopause, and the use of cosmetics are factors that can exacerbate symptoms.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • Women are twice as likely as men to develop clinically significant DED.
  • Hormonal changes, particularly declining estrogen and progesterone, contribute to meibomian gland dysfunction and dry eye.
  • Cosmetic practices, such as the use of waterproof makeup and eyelash extensions, can worsen ocular surface disease.
  • A gender-sensitive history improves diagnostic accuracy.
  • Management strategies should consider hormonal status and cosmetic use.

Clinical Implications

Clinicians should inquire about hormonal status and cosmetic use in women presenting with dry eye symptoms.

Conclusion

Recognizing the unique factors affecting women with dry eye is crucial for accurate diagnosis and management.

Related Resources & Content

  1. Ophthalmology Management, 2019 -- DRY EYE UPDATE WITH A FOCUS ON WOMEN
  2. Contact Lens Spectrum, 2014 -- Dry Eye Dx and Tx
  3. Contact Lens Spectrum, 2020 -- DRY EYE DX AND TX
  4. ScienceDirect, 2025 -- TFOS DEWS III: Diagnostic Methodology
  5. Frontiers in Medicine, 2026 -- Focus on sex hormone axis disorder: exploring the susceptibility mechanism of dry eye in perimenopausal women
  6. optometric management — DRY EYE: Bolstering the tear film
  7. Marginal Eyeliner Use and Meibomian Gland Function
  8. TFOS DEWS III: Diagnostic Methodology - ScienceDirect
  9. Focus on sex hormone axis disorder: exploring the susceptibility mechanism of dry eye in perimenopausal women

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