Dry Eye Syndrome Understanding and Managing Chronic Eye Discomfort

No one should have to endure constantly itchy or irritated eyes. At Cohen Eye Institute, we believe in a diagnostic-first, patient-focused approach to eye health, ensuring you're not just treated for symptoms but guided toward meaningful, long-term relief. For many, dry eye syndrome is more than a minor annoyance; it’s a daily obstacle that can interfere with reading, driving, screen use, and overall quality of life. That’s why we don’t settle for surface-level care. Led by Dr. Ilan Cohen, a fellowship-trained eye surgeon who has performed over 80,000 procedures, our team uses advanced diagnostic imaging and targeted therapies to identify the true cause of your dryness and build a customized plan for real, lasting comfort.

woman rubbing her eye

What Is Dry Eye Syndrome?

Keratoconjunctivitis sicca—known as dry eye syndrome—occurs when your eyes don’t produce enough high-quality tears to stay properly lubricated. It may be caused by low tear volume, imbalanced tear composition, rapid tear evaporation, and in many cases, a combination of all three.

Left untreated, dry eye can compromise the surface of your eye, reduce visual clarity, and cause persistent discomfort. That’s why early detection and individualized treatment are so important. Our tools go beyond basic screenings to assess your tear film stability, gland function, and ocular surface health with precision.

column media

Causes of Dry Eye Syndrome

Dry eye syndrome can have several potential causes:

Age

As we age, tear production naturally decreases. Many individuals over 50 notice their eyes feeling drier, especially if they've never experienced chronic irritation. This age-related decline in tear volume is one of the most common contributors to dry eye syndrome.

Gender

Hormonal changes can influence tear production. Women, in particular, may notice increased symptoms during pregnancy, menopause, or other periods of hormonal fluctuation. These shifts can disturb the delicate balance of the tear film, leading to dryness.

Medical Conditions

Certain autoimmune diseases—like Sjögren's syndrome, rheumatoid arthritis, or lupus—can reduce tear production. Additionally, conditions such as thyroid disorders may contribute to dryness. Diabetes can also contribute as it is so prevalent that high blood sugar levels damage nerves and tissues in the eyes including those responsible for tear production. Managing the underlying condition can often help alleviate some of the associated symptoms.

Medications

A variety of prescription and over-the-counter drugs, including antihistamines, decongestants, and antidepressants, can interfere with tear production or composition. If your doctor deems it appropriate, you can adjust medication dosages or explore alternative treatments to reduce dryness.

Environmental Factors

Dry climates, windy conditions, and air pollution can all accelerate tear evaporation. Prolonged computer use in air-conditioned or heated environments can also exacerbate dryness. Simple environmental adjustments—like using a humidifier—often provide partial relief.

Background media

Symptoms of Dry Eye Syndrome

When your eyes aren't properly lubricated, you may experience a range of symptoms:

  • Persistent dryness or scratchiness
  • Redness in or around the eyes
  • Burning, stinging, or gritty sensations
  • Blurry or fluctuating vision
  • Excessive tearing (reflex tears)
  • Eye fatigue or heaviness
  • Sensitivity to light
close up on blue eye

Enhance Your Vision

Book Appointment
logomark

Meet Our Doctors

Dr. Ilan Cohen

President and Medical Director

Dr. Cohen

Dr. Nancy Argano

Clinic Leader, Old Bridge

Dr. Argano

Dr. Nathalie Chen

Dry Eye Clinic Leader, Old Bridge

Dr. Chen

Dr. Krishna Morar

Clinic Leader, Ridgewood

Dr. Morar

Dr. Brian Krawitz

Glaucoma Specialist

Diagnosis of Dry Eye Syndrome

Accurate diagnosis begins with a detailed evaluation of your eye health and a discussion of your symptoms and daily habits. The eye care specialists at Cohen Eye Institute may use specialized tests to measure tear production, assess tear film quality, check tear osmolarity levels, and detect inflammation or damage to the ocular surface. These evaluations can include the Schirmer test, tear breakup time analysis, tear osmolarity testing, and examination of the eyelid glands using advanced imaging. By identifying whether your dry eyes stem from inadequate tear volume, poor tear quality, or a combination of both, we can recommend treatments that directly address the root cause. This targeted approach ensures we deliver temporary relief and a sustainable improvement in tear film stability and overall eye comfort.

Treatments for Dry Eye Syndrome

Finding lasting relief often involves a multifaceted strategy that matches your specific needs. Below are some common treatment approaches:

Artificial Tears

Over-the-counter lubricating eye drops can provide short-term relief, replenishing moisture on the eye's surface. Choosing preservative-free options can help if you need to use them frequently.

Ointments

Thicker than standard eye drops, ointments coat the eye for longer and are often recommended at night. These can be particularly useful if your eyes are prone to dryness while you sleep.

Punctal Plugs

Inserting small silicone or collagen plugs into the tear ducts prevents tears from draining too quickly, retaining more moisture on the eye's surface. This can benefit individuals whose primary issue is rapid tear evaporation.

Medications

Prescription eye drops, such as anti-inflammatory or immunomodulatory agents, can address underlying causes like gland inflammation. Oral medications may also be considered, especially if systemic conditions are at play.

Lifestyle Changes

Adjusting your environment—like adding a humidifier or taking regular screen breaks—can alleviate symptoms. Staying hydrated, increasing your intake of omega-3 fatty acids, and managing allergies are other practical ways to reduce dryness.

Surgery

In severe cases, surgical interventions may help correct structural issues with the eyelids that contribute to dryness or allow for permanent closure of the tear drainage channels. This is typically considered only after less invasive methods prove insufficient.

Background media
Doctor media

Why Choose Cohen Eye Institute for Dry Eye Treatment?

Dry eye syndrome is common, but it shouldn’t be overlooked. At Cohen Eye Institute, we take a surgical-level approach to even the most routine conditions, using:

  • Advanced diagnostics like tear osmolarity testing and corneal imaging
  • Root-cause analysis, not just symptom suppression
  • Evidence-based treatments tailored to your anatomy and environment
  • A collaborative, education-driven process that empowers you to take control of your eye health

Dr. Cohen’s reputation for excellence draws patients from around the world—not just for complex surgeries but also for precision care that restores comfort and function.

Testimonials

Took my 8yr old here for the first time because of her pediatrician recommendation. As soon as I walked in the office front desk was very welcoming. The gentleman who helped me ...

Took my 8yr old here for the first time because of her pediatrician recommendation. As soon as I walked in the office front desk was very welcoming. The gentleman who helped me was very polite and friendly.

Yaritza O.

Had such a great experience at Cohen Eye Institute! The whole process was super smooth—from booking my appointment to the actual LASIK procedure. The staff was so friendly...

Had such a great experience at Cohen Eye Institute! The whole process was super smooth—from booking my appointment to the actual LASIK procedure. The staff was so friendly, patient (especially with how nervous I was) and made me feel comfortable the entire time.

Dr. Cohen took the time to explain everything about LASIK, answered all my questions, and made me feel completely at ease. You can tell he genuinely cares about his patients and their results.

If you’re thinking about getting LASIK, I highly recommend this place. Professional, efficient, and overall just a great experience!

Debby R.

I had an amazing experience at Cohen Eye institute! From start to finish they went above and beyond to ensure everything was ok The clinic itself is super clean and neat with st...

I had an amazing experience at Cohen Eye institute! From start to finish they went above and beyond to ensure everything was ok The clinic itself is super clean and neat with state of the art equipments. Their attention to detail and professionalism made the entire process seamless . I want to thank the staff but foremost Kenia she’s at front desk she went above and beyond making it very clear and simple experience I would highly recommend this clinic to anyone for there Eye needs ill definitely will go there again.

Elvis S.

It’s been always great experience from last two years. Doctors and other staffs have been amazing. Ms Sarany and Ms Karlee are outstanding with their customer service. I w...

It’s been always great experience from last two years. Doctors and other staffs have been amazing. Ms Sarany and Ms Karlee are outstanding with their customer service. I will definitely recommend

Razib E.

First time patient and the doctor that took care of me was Karlee she did such an amazing job so knowledgeable feel very comfortable. Now this my new home The past experience th...

First time patient and the doctor that took care of me was Karlee she did such an amazing job so knowledgeable feel very comfortable. Now this my new home The past experience that I had in other locations has just been horrible thank you guys for making me feel comfortable. The place is so impeccable clean.

Oscar O.

Everything was great from beginning to end. All the staff were friendly and professional. I’ve been with them for many years and it’s been amazing since my 1st visit...

Everything was great from beginning to end. All the staff were friendly and professional. I’ve been with them for many years and it’s been amazing since my 1st visit.

David C.

I’m a first time patient i came 6mins late my schedule but the staff assist me right away. They are very friendly and they work fast i was in and out the building.Dr. Kris...

I’m a first time patient i came 6mins late my schedule but the staff assist me right away. They are very friendly and they work fast i was in and out the building.Dr. Krishna Morar explained to me clearly whats going on with my eyes so clearly understand what I need to do with his advice. God blessed every one

Bhel G.

From the moment I walked in, I was warmly greeted by Kenia, whose bubbly personality and efficiency truly made my day. Her knowledge and fast service stood out, making the entir...

From the moment I walked in, I was warmly greeted by Kenia, whose bubbly personality and efficiency truly made my day. Her knowledge and fast service stood out, making the entire experience smooth and enjoyable. The office was spotless and well-organized, creating a welcoming atmosphere. I’ll definitely be returning!

Manuel S.

My experience was all together great regarding the medical part, where I think there’s room for improvement is the wait time and the efficiency of the front desk staff. Bu...

My experience was all together great regarding the medical part, where I think there’s room for improvement is the wait time and the efficiency of the front desk staff. But they’re all professional and friendly and my eyes are better now, that’s what matters!

Adriana N.

Professional and courteous staff. Well organized and comfortable facility. They answered all my questions and were very friendly when I asked to have my prescription sent to a d...

Professional and courteous staff. Well organized and comfortable facility. They answered all my questions and were very friendly when I asked to have my prescription sent to a different farmacy. This was my first visit and will see the surgeon in 2 weeks.

Joe C.

I recently had the pleasure of being treated at the Cohen Eye Institute, and I couldn't be more impressed. From the moment I walked in, the staff were warm, welcoming, and incre...

I recently had the pleasure of being treated at the Cohen Eye Institute, and I couldn't be more impressed. From the moment I walked in, the staff were warm, welcoming, and incredibly professional. The doctors and medical team were knowledgeable, compassionate, and took the time to answer all my questions.

The facility itself is state-of-the-art, with modern equipment and a clean, comfortable environment. The entire experience, from initial consultation to post-op care, was seamless and stress-free.

I highly recommend the Cohen Eye Institute to anyone seeking top-notch eye care. Their expertise, combined with their caring approach, makes them stand out in the field. I'm so grateful for the care I received and would trust them with my family's eye health without hesitation.

Lisa F.

I have great faith in Dr. Morar. He answers my questions and explains things so I can understand. Sammy did my initial eye check and was efficient, courteous and kind. It was a ...

I have great faith in Dr. Morar. He answers my questions and explains things so I can understand. Sammy did my initial eye check and was efficient, courteous and kind. It was a great vision checkup.

Marie T.

I have been going to Dr. Morar for years. He is very thorough, caring, compassionate and he always takes his time. He explains everything in detail. My son went with me once and...

I have been going to Dr. Morar for years. He is very thorough, caring, compassionate and he always takes his time. He explains everything in detail. My son went with me once and Dr. Morar answered all of my son’s concerns. I leave there satisfied never second guessing what Dr. Morar has done. You won’t sit around for a long time like most places. I’m always called in around my appointment time.

His staff is very helpful, professional and kind. I’m always greeted with a smile no matter who is taking care of me. The entire office is always clean. I wouldn’t change this practice. I highly recommend Cohen Eye Institute!

Zenda P.

I enjoyed the friendly staff and the courtesy of the tech's it was very clean and up to date. With the equipment. And Dr Mora was quite friendly and knowledgeable I enjoyed my v...

I enjoyed the friendly staff and the courtesy of the tech's it was very clean and up to date. With the equipment. And Dr Mora was quite friendly and knowledgeable I enjoyed my visit exceptionally

Marc P.

The facility is equipped with the most advanced technology, ensuring top-notch care for every patient. The staff is exceptionally friendly, professional, and attentive, making e...

The facility is equipped with the most advanced technology, ensuring top-notch care for every patient. The staff is exceptionally friendly, professional, and attentive, making every visit a pleasant experience. The doctors are incredibly knowledgeable and take the time to answer all questions with patience and clarity. I always feel heard and cared for here. Thank you for providing such outstanding service!

Mehdi T.

Great place. Everyone friendly, competent and respectful. Doctor was excellent. Very modern and clean office. Very little wait time

Great place. Everyone friendly, competent and respectful. Doctor was excellent. Very modern and clean office. Very little wait time

M. W.

Everyone was attentive, friendly and respectful. The place is clean and Dr Morar is amazing, he addresses any concerns thoroughly and makes sure he provides an excellent custome...

Everyone was attentive, friendly and respectful. The place is clean and Dr Morar is amazing, he addresses any concerns thoroughly and makes sure he provides an excellent customer service.

Hazel N.

I was just seen 2 weeks ago and I will continue to come here! The staff is always so helpful and the doctors have very good bedside matter along with being very informative. He ...

I was just seen 2 weeks ago and I will continue to come here! The staff is always so helpful and the doctors have very good bedside matter along with being very informative. He took the time to answers my questions and I did not feel rushed in anyway. I have seen two different doctors here and I would recommend any of the doctors here.

Jill N.

Clean office friendly staff excellent doctor interactions. Listened to questions n not pushy. Good experience.

Clean office friendly staff excellent doctor interactions. Listened to questions n not pushy. Good experience.

Angela P.

Dr. Morar has been doing an excellent job on diagnosing my eye issues for 7yrs now. He has always been very cordial, professional and compassionate. Thanks Doc

Dr. Morar has been doing an excellent job on diagnosing my eye issues for 7yrs now. He has always been very cordial, professional and compassionate. Thanks Doc

Daryl W.

Dr. Morar is a great and smart doctor. All my relatives using him as their eye doctor. He is very caring and always spends time with you, listens to you and gives you good advis...

Dr. Morar is a great and smart doctor. All my relatives using him as their eye doctor. He is very caring and always spends time with you, listens to you and gives you good advises. The practice is very clean, all the staff are super friendly. If you have an emergency, they will help you even without appointments.

Ivanka G.

Facility is clean and the marjority of the front desk is pleasant. The doctor was amazing, kind and caring. My mother is very satisfied with the service.

Facility is clean and the marjority of the front desk is pleasant. The doctor was amazing, kind and caring. My mother is very satisfied with the service.

Maria C.

Very professional and courteous staff. Little to no waiting time on the day of your appointment. No matter what questions you ask they are always willing to take the time to exp...

Very professional and courteous staff. Little to no waiting time on the day of your appointment. No matter what questions you ask they are always willing to take the time to explain things to you and where necessary use visual aides in their explanations. Great service all around.

Ron F.

Great experience, excellent customer service. Gentlemen at desk was very knowledgeable, pleasant, compassionate. Rest of staff excellent service. Thank you all God Bless all of ...

Great experience, excellent customer service. Gentlemen at desk was very knowledgeable, pleasant, compassionate. Rest of staff excellent service. Thank you all God Bless all of you!

Lily

Cohen Eye Institute is one the best in New York City. Extremely professional and well educated people. They take good care of their patients immediately and lead you to the righ...

Cohen Eye Institute is one the best in New York City. Extremely professional and well educated people. They take good care of their patients immediately and lead you to the right track of your treatment.

Wisdom E.

Loved my doctor. As a new patient they were able to accomidated me for same day emergency appointment. I never had an issue with scheduling. The doctor was very caring for my ey...

Loved my doctor. As a new patient they were able to accomidated me for same day emergency appointment. I never had an issue with scheduling. The doctor was very caring for my eye and gave recommendations. Very professional, nice and knowledgeable.

Damaris P.

My experience in this facility is one of gratitude. I appreciate their professionalism and level of care they demonstrated throughout my visit .I thank the whole staff for their...

My experience in this facility is one of gratitude. I appreciate their professionalism and level of care they demonstrated throughout my visit .I thank the whole staff for their efficiency and their prompt services.

Tiffany

I didn't wait to much for them to call me inside,the staff are very nice and the Dr is polite & gentle. The place is affordable,nice & clean.

I didn't wait to much for them to call me inside,the staff are very nice and the Dr is polite & gentle. The place is affordable,nice & clean.

Blanca I.

Everyone was very professional, patient, and friendly . The Institute is very clean, the examination was thorough and the doctor made me feel confident and secure that he would ...

Everyone was very professional, patient, and friendly . The Institute is very clean, the examination was thorough and the doctor made me feel confident and secure that he would take care of my vision problems.

Larry A.

From entering into the office through completing my appointment, the staff and doctor were prompt, courtesy & professional, which is much appreciated.

From entering into the office through completing my appointment, the staff and doctor were prompt, courtesy & professional, which is much appreciated.

Alfred S.

Life-Changing Experience!I recently had LASIK surgery with Dr.Cohen and his team, and I honestly can’t believe I waited this long to do it. From start to finish, the...

Life-Changing Experience!I recently had LASIK surgery with Dr.Cohen and his team, and I honestly can’t believe I waited this long to do it. From start to finish, the entire process was smooth, professional, and surprisingly quick. The consultation was thorough—they explained everything in detail and answered all of my questions, which really helped ease any nerves I had.The actual procedure took less than 15 minutes, and I was seeing better almost immediately. By the next day, my vision was crystal clear—no glasses, no contacts, just perfect vision. It’s still wild to wake up and see without fumbling for glasses.The staff was incredibly kind and knowledgeable, and they made sure I was comfortable every step of the way. Recovery was easy, just a few days of taking it easy and using eye drops.Getting LASIK was one of the best decisions I’ve ever made. If you’re on the fence—go for it. It’s truly life-changing!

Anonymous
Reviews media

Frequently Asked Questions Dry Eye Syndrome

Can I wear contact lenses if I have chronic dry eyes?

Some people with mild dryness can wear specially designed lenses or switch to daily disposables. In more severe cases, your eye doctor may advise limiting or discontinuing lens use to prevent further irritation.

Will drinking more water help my dry eyes?

Staying hydrated can support overall tear film health, but it's unlikely to resolve persistent dryness on its own fully. Combining adequate hydration with targeted treatments often yields better results.

Is it okay to use regular eye drops throughout the day?

Yes, though frequent drops containing preservatives can sometimes irritate the eyes. Preservative-free artificial tears are usually recommended for repeated application.

Do I need a specialist, or can my primary care doctor treat dry eye?

While your primary care physician can offer some guidance, an eye care specialist is best equipped to diagnose the underlying cause and provide advanced treatments tailored to your needs.

Are there any home remedies that truly make a difference?

Simple steps like using warm compresses, blinking more often during screen time, and adjusting humidity levels can complement professional treatments. However, for moderate to severe cases, medical intervention is typically necessary.

Enhancing Your Vision

Guiding you toward the procedure that fits your unique needs, so you can see the world clearly and confidently.

Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 917-398-4011.
Contact Us

Book an appointment

If you do not see your preferred date and time please call the office, so we can accommodate your request (917) 398-4011.