Women and Dry Eye

Presenters at Optometry's Meeting noted that hormonal status and cosmetic use can significantly affect test results and dry eye disease presentation.

By: Deborah Fisher

Optometric Management June 18, 2026

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.

PentaVision

Optometric Management