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Waking Up With Dry Eyes

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Many dry eye sufferers experience a flare-up at night, either late in the evening or during the night. Waking up with dry eyes can adversely affect the positive feelings gained from a good night’s sleep.

Why do some people experience worsening symptoms at night? If your eyes feel sandy, dry, or as if they’re burning in the morning, it can be due to several factors. Perhaps your eyelids don’t fully close while you sleep (nocturnal lagophthalmos), or the symptoms are a side effect of certain medications that you take. Another possibility is that you’re not producing sufficient tears at night to flush out irritants. If you’re experiencing any of the above, speak with Dr. Shaun Golemba today.

What Causes Red, Itchy or Painful Eyes Upon Waking?

Nocturnal Lagophthalmos

Ordinarily, during sleep your eyelids provide vital protection from air and debris that can irritate or damage the cornea. Nocturnal lagophthalmos is the inability to close your eyelids during sleep, usually due to a problem with the skin or muscles around your eyes. If left untreated, this condition can result in corneal scarring, eye infections, and impaired vision.

Insufficient Tear Production At Night

If you aren’t producing enough tears at night, you will be unable to flush inflammation-causing substances from your eyes while you sleep.

Tear production tends to diminish with age, due to some medical conditions or as a side effect of specific medicines. Environmental conditions, such as windy and dry climates, can also cause your tear volume to diminish due to increased tear evaporation.

Damaged eyelids can make it difficult to fully close the eyes during sleep. Complications from surgery, an injury, an illness, or an eye disorder, including glaucoma and optic neuropathy, can cause eyelid damage.

Thyroid-Related Eye Symptoms

Protruding or bulging eyes are a common symptom of Graves’ disease, a form of hyperthyroidism. This can interfere with your ability to close your eyes while sleeping.

Medication Taken at Bedtime

Certain medications, whether prescription or over-the-counter, may cause dry eyes while you sleep. These include:

  • Antihistamines and Decongestants
  • Hypertension Drugs
  • Hormones
  • Drugs for Gastrointestinal Problems
  • Pain Relievers
  • Antidepressants
  • Skin Medications
  • Chemotherapy Medications
  • Antipsychotic Medications

If you are taking any of the medications listed above and are experiencing dry eye symptoms, speak with Dr. Shaun Golemba to see whether there are alternative treatments less likely to cause dry eye.

In the majority of cases, medication-related dry eye symptoms will resolve once the medication is discontinued. However, it may take several weeks or months for symptoms to completely disappear.

How to Treat Morning Dry Eye

Depending on the cause, morning dry eye can be treated with sleeping masks, lubricating eye drops, eyelid weights, and ointment applied right before bed. Using a humidifier will ensure that you sleep in a moisture-rich environment that is less likely to dry out your eyes. In those with severe cases of nocturnal lagophthalmos, eyelid surgery may be necessary.

The best way to determine the cause of your morning dry eyes is to visit Dr. Shaun Golemba for a comprehensive eye exam. Be sure to bring along a list of all medications and nutritional supplements you routinely take, as it will help us determine whether there is any causation, and provide you with a more effective treatment plan.

Dry Eye Center At Valley Vision Optometry serves patients from Vancouver Island, Lower Mainland, Okanagan, Kootenay’s, and throughout British Columbia.


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We are currently offering in-office care by appointment only.



The following is a summary of the steps we have taken to protect your safety.

Physical Distancing Measures:

o Reducing density of people: We have adopted a schedule which will reduce the amount of patients in our facility at one time.

o We will have some of our team working from home operating a call centre and tele-medicine pre-screening.

o Spacing stickers have been placed on our floor.

Engineering controls:

o Forms have been digitized and will be emailed to patients in advance of the appointment to minimize contact.

o A “For Payment" button has been installed on our website, for patients to be able to pay from home to minimize contact.

o Plexiglass barriers have been installed at all 3 Front Desk stations

o Our doors will remain locked during Phase 2, opening the door to let in scheduled patients only.

o A dropbox has been installed for patients to drop off glasses in need of repair.

o Contact lens sales are administered through our webstore.

Administrative controls:

o Cleaning protocols have been written. Staff training on these protocols has been scheduled.

o Clear rules are posted on our front door and throughout all of the stations in our office.

Personal protective equipment:

o Patients will be required to wear a mask upon entry to the office and throughout their time with us. Those who do not have a mask will be supplied a surgical mask upon entry.

Policies around sickness:

o Employees and patients with cold or flu symptoms will be required to stay home.

Frequent hand washing:

o Patients, Doctors, and our Team will be required to wash hands upon entry and exit in to the exam rooms.

o Eyewear Consultants will wear gloves when handling eyewear and performing adjustments.

We currently are operating a reduced schedule, so are triaging patients to ensure those with the highest needs are prioritized.


Dr. Shaun Golemba

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We are open by appointment only. Our current hours are Monday to Friday, 8am – 4pm. Please call our office to schedule an appointment. Read about our safety protocols here.