Common symptoms:
- Ocular irritation of dry sensation
- Pain (foreign body sensation)
- Light sensitivity (photophobia)
- Excedssive tearing ("Paradoxical tearing" caused by excessive reflex tearing due to severe corneal surface disease from the dryness.)
Aggravating factors:
- Smoky or dry environments
- Prolonged use of the eyes
- Exposure to extreme environmental conditions
Pattern of symptoms:
- Symptoms are worse on awakening in the morning
- Symptoms tend to be worse toward the end of the day