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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. Daniel Quon 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. Daniel Quon 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. Daniel Quon 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.

South Coast Dry Eyes Center serves patients from Costa Mesa, Orange County, Newport Beach, Irvine, and throughout California.



COVID-19 has been and continues to be an ongoing trial for all of us. During this unforeseen time, we ask kindly for your understanding and compliance to the CDC guidelines. In order to decrease the chances of contraction, we are allowing only one parent to accompany their child during the examination. We appreciate your patience and understanding.

We also want to inform you of the new additional symptoms of COVID-19 that have been added to the previous symptoms as potential indicators of having COVID-19:

New symptoms:             Congestion/runny nose

Previous symptoms:       Headache
                                            Dry cough
                                            Shortness of breath
                                            Sore throat
                                            Muscle/body aches
                                            New loss of taste or smell

Please be aware that a person does not have to have all of these symptoms but anyone or multiple symptoms can be an indicator of having COVID-19. If you or any family members are experiencing any of the above symptoms, we kindly ask that you reschedule your appointment and contact yourprimary care provider. It is best to reschedule your appointment with us after being symptom-free for14 days.

We at South Coast Optometry truly appreciate each and every one of you as a person and value your trust in us to take care of your most precious eyes. As always, we will continue to closely monitor the COVID-19 situation and communicate any and all changes through our website, Again, we truly appreciate your understanding and support during this unprecedented time and look forward to seeing everyone soon!


Dr. Daniel E. Quon, O.D., and The Entire South Coast Optometry Team!!!


Until further notice, we are only seeing essential care patients. Our hours are:
Monday: 10:00 AM to 7:00PM
Tuesday: Closed
Wednesday: 10:00 AM to 7:00 PM
Thursday: 9:00 AM to 6:00 PM
Friday: 10:00AM to 6:00 PM
Saturday: 9:00 AM to 5:00 PM

We now offer TeleHealth consultations, Call (714) 540-2020 to schedule a time
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