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Dry eye treatments

Most dry eye can be treated medically.
One of the many artificial tear products
 

Simple strategies

There are some simple things you can do to help dry eyes.

  • Avoid conditions that encourage evaporation of the tears such as air conditioning and hot dry heat from heaters and hairdryers.
  • Wrap around sunglasses can stop the wind drying your eyes.

Artificial tear supplements

Many people with dry eyes need to top up their natural tear production with artificial tears. You do not need a prescription to buy or use most artificial tears.


As you can see from the table below, there are many different types of artificial tears. Some artificial tears are very watery, others are very thick. Some drops have preservative, others do not. Some cannot be used by contact lens wearers. Everyone’s eyes are different and it may take a while to find the drop that is right for you. 

Using artificial tear drops

The table below contains the name, lubricant and preservative of all the artificial tear drops currently available in New Zealand. The table is designed to help patients take control of their dry eye treatment by making therapy logical.

Start with a ‘thin’ drop. If it doesn’t seem to work, try using it more frequently or try another thin drop with a different preservative. Use the drops regularly. Dry eye treatment often fails because treatment is inadequate.

If you don’t get relief, use a thicker drop. If you develop an allergy (redness, itch etc) try a product with a different preservative or a non-preserved drop. Use preservative-free drops if drops are required more than 6 times a day. Ointments are usually too thick to use during the day. They are best used just before bed to give lasting relief overnight.

Type Name Lubricant Preservative
Thin drops: Aquify Comfort drops Sodium hyaluronate Sodium Perborate
  Blink Tears Polyethylene glycol / Hyaluronic acid Ocupure
  Blink Contacts Sodium hyaluronate Ocupure
  Genteal Hydroxypropyl methylcellulose Sodium Perborate
  Polytears Hypromellose / Dextran Polyquad
  Refresh Optive Carboxy methylcellulose Sodium / Glycerin / Erythritol / Levocarnitine Purite
  Refresh Tears Carboxy methylcellulose Purite
  Systane Polyethylene glycol / Propylene glycol / Hydroxypropyl Guar Polyquad
  Systane Ultra Polyethylene glycol / Propylene glycol / Hydroxypropyl Guar Polyquad
  Systane Balance
(Currently unavailable in NZ)
Propylene glycol / Hydroxypropyl Guar / mineral oil Polyquad
  Tears Naturale II Hydroxypropyl methylcellulose / Dextran / Glycerin Polyquad
  Visine Hydroxypropyl methylcellulose Benzalkonium Chloride
  Vistil Polyvinyl alcohol OXYD
Thick drops Blink GelTears Polyethylene glycol Ocupure
  Refresh Liquigel Carboxy methylcellulose Purite
  Vistil Forte Polyvinyl alcohol OXYD
Preservative free drops Bion Tears Hydroxypropyl methylcellulose None
  Blink Tears preservative free Polyethylene glycol None
  Genteal single use Hydroxypropyl methylcellulose None
  Polytears free Hypromellose / Dextran None
  Refresh Polyvinyl alcohol / povidone None
  Refresh Celluvisc Carboxy methylcellulose None
  Refresh Plus Tears Carboxy methylcellulose None
  Systane preservative free Polyethylene glycol / Propylene glycol / Hydroxypropyl Guar None
  Systane Ultra preservative free
(Currently unavailable in NZ)
Polyethylene glycol / Propylene glycol / Hydroxypropyl Guar None
  Thera Tears non preserved Carboxy methylcellulose (hypotonic) None
  Tears Naturale Free Hydroxypropyl methylcellulose / Dextran / Glycerin None
Ointment Genteal Gel Hydroxypropyl methylcellulose / Carbopol Sodium Perborate
  Lacrilube preservative-free Paraffin None
  Polyvisc Paraffin / Wool fat None
  Refresh Lacrilube White petrolatum / Mineral oil Chlorobutanol