Dry eye syndrome is a common and often chronic condition that occurs when the eyes do not produce enough tears, or when the tears evaporate too quickly. This imbalance in the tear film can lead to a range of symptoms, including burning, stinging, redness, and blurred vision. For many people, dry eye is more than just a nuisance—it can interfere with daily activities and significantly impact quality of life.
At California Eye & Face in Fresno, patients receive comprehensive, expert care for dry eye symptoms. Dr. Atif Collins is a board-certified oculofacial plastic and reconstructive surgeon and is one of only 700 surgeons in the United States certified by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), a distinction that reflects his exceptional qualifications and commitment to excellence. He is also board-certified with advanced cosmetic surgery training. With advanced training in the function and structure of the eyelids and tear system, he offers patients across the San Joaquin Central Valley customized solutions to relieve discomfort and improve long-term eye health.
Causes of Dry Eye
Dry eye syndrome can result from a variety of factors that disrupt the delicate balance of tear production and drainage. Common causes include:
- Age-related changes in tear production
- Hormonal fluctuations (especially in women)
- Environmental factors such as wind, smoke, or dry climates
- Extended screen time or reduced blinking
- Certain medications (e.g., antihistamines, antidepressants, blood pressure drugs)
- Autoimmune diseases like Sjögren’s syndrome or rheumatoid arthritis
- Previous eye surgery or trauma
- Eyelid conditions such as blepharitis or incomplete closure
Identifying the underlying cause of dry eye is essential to creating an effective and lasting treatment plan.
Symptoms of Dry Eye
Dry eye symptoms can vary in severity but often include:
- Burning or stinging sensation
- Redness or eye fatigue
- Feeling of grittiness or a foreign body in the eye
- Blurred or fluctuating vision
- Light sensitivity
- Excessive tearing (a reflex response to dryness)
- Difficulty wearing contact lenses
If left untreated, dry eye can lead to chronic inflammation, damage to the eye surface, and a higher risk of infection.
Diagnosis and Evaluation
Dr. Collins performs a thorough evaluation to assess tear production, eyelid function, and the health of the ocular surface. Diagnostic tools may include:
- Tear breakup time testing to measure tear film stability
- Schirmer’s test to measure tear production volume
- Staining with special dyes to identify dry spots on the cornea
- Evaluation of eyelid closure and blink pattern
- Assessment for blepharitis or meibomian gland dysfunction
The information gathered helps guide a treatment plan tailored to the patient’s specific symptoms and causes.
Treatment Options for Dry Eye
Effective dry eye treatment often requires a combination of therapies. Options may include:
Non-Surgical Therapies
- Artificial tears or lubricating ointments
- Prescription anti-inflammatory eye drops (such as cyclosporine or lifitegrast)
- Warm compresses and lid hygiene routines
- Omega-3 supplements to improve tear quality
- Moisture chamber glasses or goggles to protect the eye surface
- Environmental modifications (e.g., humidifiers or screen breaks)
Advanced or In-Office Treatments
- Punctal plugs to slow tear drainage and retain moisture
- Thermal eyelid treatments for meibomian gland dysfunction
- Blepharitis management with medicated scrubs or procedures
- Amniotic membrane therapy for severe ocular surface damage
In cases where anatomical issues are contributing to dryness, such as eyelid retraction or incomplete blinking, surgical correction may be recommended.
Why Choose California Eye & Face for Dry Eye Care?
Dr. Atif Collins is a fellowship-trained oculofacial plastic and reconstructive surgeon with deep expertise in the eyelids, tear film, and ocular surface. His advanced training at The Ohio State University and The James Cancer Center provides a strong foundation for diagnosing and treating complex dry eye cases. As the only ASOPRS-certified surgeon in the region, he offers highly specialized solutions not typically available in general eye care practices.
The practice also includes Certified Physician Assistant Rebecca Solomon, who supports patients with treatment education and ongoing care. At California Eye & Face, every patient receives personalized attention — with a goal of delivering relief, protecting vision, and improving daily comfort.
Find Lasting Relief with Dry Eye Treatment in Fresno, CA
If you’re suffering from dry, irritated, or watery eyes, expert evaluation and treatment can make a lasting difference. Call California Eye & Face in Fresno, CA, at (559) 449-5054 to schedule your consultation and begin your journey to lasting relief in the San Joaquin Central Valley.