Objective:

To highlight the impact of hormonal status and cosmetic use on dry eye disease in women.

Approach:

Key Findings:

• Women are twice as likely as men to develop clinically significant dry eye disease (DED).
• Hormonal changes, particularly declining estrogen, progesterone, and androgen levels, are major contributors to dry eye, with testosterone deficiency linked to evaporative dry eye.
• Cosmetic practices, such as tightlining eyeliner, waterproof makeup, and eyelash extensions, can exacerbate ocular surface disease and destabilize the tear film.
• A gender-sensitive history improves diagnostic accuracy and treatment outcomes, as hormonal status and cosmetic use can significantly affect test results.
• Management strategies should be personalized and consider hormonal influences, with recommendations varying by life stage.

Interpretation:

Successful diagnosis and management of dry eye in women require consideration of hormonal history and cosmetic habits.

Limitations:

• The presentation may not cover all potential factors influencing dry eye disease.
• Further research may be needed to establish comprehensive management protocols.

Conclusion:

Incorporating hormonal and aesthetic considerations into clinical practice is essential for effective dry eye management in women.

Sources:

• American Optometric Association
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