Can people with dry eye syndrome get double eyelid surgery?

In general, whether patients with dry eye syndrome can undergo double eyelid surgery depends on the status of their condition. Those with stable conditions and healthy ocular surfaces may proceed with the surgery, while those experiencing acute flare-ups or with existing ocular surface damage should not undergo the procedure until their condition is under control. Detailed analysis is as follows:

If dry eye syndrome is in a stable phase—characterized only by occasional dryness without significant ocular surface inflammation or corneal damage—double eyelid surgery may be performed after medical evaluation. The surgery primarily affects the skin and subcutaneous tissues of the upper eyelid and does not directly damage the lacrimal glands or tear film. With proper preoperative eye moisturization and adherence to postoperative medical instructions, symptoms are unlikely to worsen, and surgical outcomes can be ensured.

If dry eye syndrome is in an acute phase, with noticeable symptoms such as severe dryness, foreign body sensation, and photophobia, or if there is already corneal epithelial erosion or other ocular surface damage, double eyelid surgery should not be performed. At this stage, the ocular mucosa is fragile; surgical stimulation may exacerbate tear secretion disorders, increase discomfort, and raise the risk of postoperative infection, potentially impairing wound healing and surgical results.

Routine eye moisturization is essential. Artificial tears can be used to relieve dryness. Patients should inform their doctor about their condition before surgery, avoid rubbing their eyes afterward, maintain good ocular hygiene, reduce screen time, and prevent eye strain.