Can dry eye syndrome be treated with surgery?

Whether dry eye syndrome requires surgical treatment depends on the severity of the condition and the response to therapy. Patients with mild symptoms or those who respond well to conservative treatments typically do not need surgery, whereas surgical intervention may be necessary for severe cases or when conservative treatments fail. The details are as follows:

If dry eye symptoms are mild—such as dryness or a foreign body sensation—and tear production is not severely impaired, surgery is usually unnecessary. In such cases, discomfort can be effectively relieved and disease progression controlled by using artificial tears to supplement tear film, combined with warm compresses and meibomian gland massage to improve gland function. Additionally, reducing screen time and avoiding direct exposure to air conditioning airflow can help.

When dry eye progresses to a severe stage—such as significantly reduced tear secretion or serious meibomian gland dysfunction—and symptoms persist despite long-term conservative treatment, affecting quality of life, surgery may be considered. Common procedures include punctal plug insertion, which blocks the tear drainage ducts to prolong the retention time of tears on the ocular surface.

In daily life, maintaining adequate eye moisture is essential. Using a humidifier indoors, avoiding prolonged near-work activities, and taking breaks to look into the distance every 30 minutes of screen use are recommended. Maintaining regular sleep patterns, minimizing late nights, and incorporating foods rich in Omega-3 fatty acids—such as deep-sea fish—into the diet can also support improved ocular surface health.