Watery eyes could signal dry eye disease, not good health, ophthalmologist warns

Constantly watering eyes may feel like a sign of good eye health, but an ophthalmologist is warning that the opposite could be true — and that screen time and urban pollution are making the condition far more widespread than most people realise.

Dr Shibal Bhartiya, Clinical Director of Ophthalmology at Marengo Asia Hospitals, Gurgaon, explained the underlying cause to HT Lifestyle, and outlined when the condition warrants more than just a bottle of eye drops from the chemist.

Why dry eyes cause watering

The explanation, Dr Bhartiya said, lies in how the tear film actually works. "Constant watery eyes and a dry eye diagnosis sounds like a contradiction. It isn't, and understanding why could change how you treat your eyes forever," she said.

The tear film coating the eye is made up of three distinct layers — oil, water, and mucus — which together keep the surface smooth and stable. When that film breaks down, the eye triggers an emergency response, flooding itself with reflex tears. These reactive, excessive tears provide almost no real lubrication, meaning the eye is simultaneously dry and watering.

Why screen time is making it worse

The rise of screen time has significantly accelerated the problem. People blink roughly a third as often when using screens, causing the oil glands in the eyelids to become clogged and the tear film to evaporate faster than it can be replenished. Combined with air pollution, air-conditioned offices, and long daily commutes, dry eye disease has become one of the most under-diagnosed conditions in urban India.

Symptoms to watch for

Dr Bhartiya outlined five key warning signs that should prompt a proper eye evaluation rather than self-treatment:

• Watery eyes that worsen by evening
• A burning or stinging sensation
• Blurred vision that clears when blinking
• Sensitivity to wind or air conditioning
• Eyes that feel tired even after a full night's sleep

Any of these symptoms persisting beyond two weeks deserves a proper clinical assessment, she cautioned — not another bottle of artificial tears from the chemist.

What actually helps

Dr Bhartiya recommended warm compresses on the eyelids, omega-3 supplements, preservative-free lubricating drops, and deliberate blinking breaks combined with reduced screen time as first-line measures. In more persistent cases, prescription drops or in-clinic treatments that target the oil glands directly may be required.

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.