Dry Eye Treatment in Frankfurt: Relief for Your Symptoms at Last
- Tudebon
- October 7, 2022
Dry eye treatment is a key focus at our Frankfurt practice in the Westend district, to which we dedicate ourselves with the utmost care and state-of-the-art diagnostic methods. Millions of people suffer from the symptoms of dry eye, often also referred to as sicca syndrome. Burning, itching, redness, and a constant foreign body sensation can significantly impair quality of life. At the ophthalmology practice of Dr. Mareen Schmidt in Westend, we take your complaints seriously and, after a thorough analysis, develop an individualized and sustainable treatment plan for you. Dry eye treatment.
Dry eye treatment: Understanding the causes
For a successful Dry eye treatment It is crucial to understand the underlying cause. Dry eye is not a single condition. We generally distinguish between two main forms, which can also occur in combination:
- The hypovolemic form (too little tear fluid): In this case, the tear glands do not produce enough of the watery component of the tear film. The eye is not adequately lubricated. Causes can include age, hormonal changes, or certain medications.
- The evaporative form (evaporation too quickly): This is by far the most common cause. Here, the composition of the tear film is disrupted. An oily layer, produced by the meibomian glands in the eyelid margins, is meant to protect the aqueous layer like a lid from evaporating too quickly. If this oily layer is disrupted (meibomian gland dysfunction), the tear film evaporates too rapidly.
Prolonged screen work (office eye syndrome), dry indoor air, air conditioning, and wearing contact lenses are further important factors that increase the need for eye protection. Dry eye treatment favor.
Symptoms that require dry eye treatment
The symptoms of dry eye are varied and can change throughout the day. Many patients report an increase in symptoms in the evening or after intensive screen work.
Typical signs that make dry eye treatment advisable:
- Burning, itching or scratching in the eye
- A persistent foreign body sensation („a grain of sand in the eye“)
- Red eyes
- Light sensitivity
- Tired, heavy eyelids
- Blurred vision that improves briefly with blinking.
- Paradoxical tearing (The eye tries to compensate for dryness by overproducing watery tears)
The diagnosis: The first step towards successful treatment
A thorough diagnosis is the basis for every successful [project/event]. Dry eye treatment In our Frankfurt practice, we take the time to analyze the exact condition of your tear film and eyelids.
The diagnostic procedure includes:
- Medical history: We will discuss your symptoms, your work and lifestyle habits, and any underlying medical conditions in detail.
- Slit lamp examination: Using a special microscope, Dr. med. Mareen Schmidt assesses the surface of the eye, the eyelid margins and the openings of the meibomian glands.
- Tear film analysis: We measure the tear film breakup time (BUT) to assess stability and the amount of tear production (Schirmer test) to determine a true deficiency of tear fluid.
- Staining of the eye surface: Using a special dye, we can make tiny dry spots on the cornea and conjunctiva visible.
Step-by-step plan for dry eye treatment: Individualized and targeted
The Dry eye treatment It is not a rigid scheme, but is individually tailored to the cause and severity of your symptoms. We generally follow a step-by-step plan.
Step 1: Artificial tears and eyelid care
The basic therapy consists of moisturizing the surface of the eye with high-quality artificial tears and daily eyelid hygiene to improve the function of the meibomian glands. Choosing the right eye drops is crucial.
|
Type of eye drops |
Main active ingredient / property |
Recommended for... |
|
Low-viscosity drops |
E.g. hyaluronic acid in low concentration. |
For minor discomfort, for occasional moisturizing, for contact lens wearers. |
|
Highly viscous gels/drops |
For example, hyaluronic acid in high concentration, carbomer. |
For more severe symptoms, use overnight, as they adhere to the surface for longer. |
|
Lipid-containing drops |
Also contain an oil component. |
The frequent evaporative form, to stabilize the protective lipid layer of the tear film. |

Stage 2: Drug therapy
If simple lubrication is insufficient and chronic inflammation of the ocular surface is present, special anti-inflammatory eye drops (e.g., containing cortisone or cyclosporine A) can be used. These intervene more deeply in the disease process and are an important component of modern treatment. Dry eye treatment.
Stage 3: Interventional procedures
In severe cases, small silicone plugs (punctal plugs) can be inserted into the tear ducts. These reduce the outflow of tear fluid, so that more moisture remains on the eye.
Frequently asked questions about dry eye treatment
Here you will find answers to common questions that patients ask us about Dry eye treatment in our Frankfurt practice.
Why are my eyes watering when they should be dry?
This is known as paradoxical tearing and is a very common symptom. When the surface of the eye is dry and irritated, it sends a distress signal. The eye reacts to this with an overproduction of watery tears. However, since the oily phase of the tear film is often missing, these "emergency tears" cannot adhere to the surface and simply run off over the eyelid margin. A targeted Dry eye treatment stabilizes the tear film and ends this paradoxical tearing.
Are all artificial tears from the pharmacy equally good?
No, there are significant differences. Choosing the right eye drops is a crucial part of the Dry eye treatment. It's important that the drops are preservative-free, as preservatives can further irritate the eye over time. Depending on the cause of your dryness, drops containing hyaluronic acid, lipids, or other ingredients may be more suitable. We'll advise you on which product is best for you.
Can dry eye permanently damage my eyesight?
In the vast majority of cases, dry eye does not lead to permanent vision loss, but the unstable tear film can cause fluctuating and blurred vision. However, in very severe, untreated cases, chronic dryness can lead to damage to the corneal surface. Consistent treatment Dry eye treatment This is therefore also important to protect the health of the cornea.
How long does dry eye treatment take?
Dry eye is often a chronic condition, similar to dry skin. Dry eye treatment Therefore, treatment is usually long-term. The goal is to control the symptoms so well that you are symptom-free in your daily life. However, the need for moisturizing and eyelid care usually persists long afterward.
What can I do at the office to combat dry eyes?
The "office eye syndrome" is one of the most common causes of eye strain. Dry eye treatment This requires taking regular screen breaks (the 20-20-20 rule: every 20 minutes, look at an object 20 feet/6 meters away for 20 seconds), blinking consciously, and using your lubricating eye drops regularly. Adequate hydration and ventilating the office are also important.
Does my diet play a role?
Yes, diet can also affect the Dry eye treatment To support eye health, an adequate intake of omega-3 fatty acids (found in oily fish, flaxseeds, and walnuts) can improve the quality of the tear film's oily layer and have an anti-inflammatory effect. A balanced diet and sufficient fluid intake are generally beneficial for eye health.
My eyes are always stuck together in the morning. Is that related?
Yes, sticky eyelids in the morning are a classic sign of meibomian gland dysfunction, the most common cause of evaporative dry eye. Consistent eyelid hygiene with warm compresses and gentle massage is a key component of treatment. Dry eye treatment, in order to improve the drainage of the oily secretion.
Do home remedies help in the treatment of dry eye?
The most important and effective measure you can take yourself is regular eyelid hygiene with warm compresses. We advise against other home remedies such as chamomile tea rinses, as these can further irritate the eye and trigger allergies. A professional Dry eye treatment based on proven and safe methods.
What is the difference between eye drops in a bottle and in single doses?
Both dosage forms generally contain the same active ingredients. Single-dose containers are always preservative-free. For vials, you should ensure you choose a "preservative-free" product, which is preserved using a special filter system. The choice often comes down to personal preference and how frequently you intend to use it. Dry eye treatment.
Why should I see an ophthalmologist for dry eyes?
Only an ophthalmologist can determine the exact cause of your symptoms, rule out any serious illness, develop a treatment plan tailored to your needs, and, if necessary, develop interdisciplinary collaboration with your rheumatologists, dermatologists, or gynecologists for your benefit.
Furthermore, many private health insurance companies reimburse lubricating eye drops prescribed by an ophthalmologist.
A professional Dry eye treatment Dr. Mareen Schmidt ensures that you receive an effective and safe therapy tailored to your specific needs.
Finally find relief from your symptoms
You don't have to put up with the unpleasant symptoms of dry eye. Modern ophthalmology offers excellent options for relief. If you require a comprehensive examination and a treatment plan tailored to your individual needs, we can help. Dry eye treatment If you wish to have an appointment in Frankfurt, please feel free to make an appointment at the practice of Dr. med. Mareen Schmidt.

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