What is tear evaporation?

Everyone’s tears evaporate. But when you have evaporative dry eye, your tears escape too quickly—more than what’s considered normal. This leaves eyes feeling dry, rough, and gritty.

The tear film is made up of 3 layers: the oily layer on top, the watery layer of tears, and the inner mucus layer. In healthy eyes, the oily layer helps to keep the tears from drying out.

With evaporative dry eye, damage in the oily layer on the surface of the eye allows too many tears to evaporate.

A closer look

Little glands called meibomian glands make an oily layer on the surface of the eye. This prevents the watery tears underneath from evaporating. In evaporative dry eye, the meibomian glands don't work as they should and the oily layer becomes damaged. This leads to too much tear evaporation.

Factors that contribute to evaporative dry eye

  • Icon of a blue phone with a hand tapping the screen
    Screen time (blinking less)
    Screen time (blinking less)

    When you concentrate on screens (or read or drive), you blink less often without noticing. When you aren’t blinking as much as you should, more tears evaporate.

  • Icon of a blue medication bottle with a while plus sign on it
    Certain medications
    Certain medications

    Antihistamines, decongestants, acne medication, antidepressants, heart medication, and diabetes medication can affect the tear film.

  • Icon of blue clouds being pushed to the right by a gust of wind
    The environment
    The environment

    Wind, smoke, air conditioning, or dry air in the environment can speed up evaporation.

  • Icon of a blue slice of birthday cake with a single candle on top
    Aging
    Aging

    Dry eyes can be a natural part of aging.

  • Icon of a blue eye with minus sign in a circle on the top left Icon of a blue eye with minus sign in a circle on the top left
    Meibomian gland dysfunction
    Meibomian gland dysfunction

    When the meibomian glands (the glands responsible for making the oily layer on the surface of the eye) get clogged or don’t work properly, the tear film doesn't form properly. It's the leading cause of too much tear evaporation.

  • Icon of 4 blue concentric circles with a triangle in each cornerIcon of 4 blue concentric circles with a triangle in each corner
    Inflammation
    Inflammation

    Inflammation in dry eye is very common. When too much tear evaporation causes damage to the surface of your eye, it can also cause inflammation. This can make damage worse, creating a vicious cycle of worsening dry eye signs and symptoms.

Stylized image featuring a water droplet that says 9 out of 10 have evaporative dry eye

Finding the right treatment

If you’ve tried over-the-counter treatments, prescriptions, or procedures and are still looking for relief, maybe it's time to try something different. Consider asking your doctor about MIEBO.

Other drops may add tears or increase the number of tears you make. For about 9 out of 10 people with dry eye, the cause, in part, is too much tear evaporation. This means that other drops alone may not be enough.

MIEBO is the only prescription drop that directly targets tear evaporation.

Ready to get to the root of the problem?

MIEBO works differently to protect against tear evaporation.

See how MIEBO works

INDICATION

MIEBO® (perfluorohexyloctane ophthalmic solution) is used to treat the signs and symptoms of dry eye disease.

IMPORTANT SAFETY INFORMATION

  • Remove contact lenses before using MIEBO and wait for at least 30 minutes before reinserting
  • It is important to use MIEBO exactly as prescribed
  • It is not known if MIEBO is safe and effective in children under the age of 18
  • The most common eye side effect seen in studies was blurred vision (1% to 3% of patients reported blurred vision and eye redness)

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Click here for full Prescribing Information for MIEBO.

Expand Expand

INDICATION

MIEBO® (perfluorohexyloctane ophthalmic solution) is used to treat the signs and symptoms of dry eye disease.

IMPORTANT SAFETY INFORMATION

  • Remove contact lenses before using MIEBO and wait for at least 30 minutes before reinserting
  • It is important to use MIEBO exactly as prescribed
  • It is not known if MIEBO is safe and effective in children under the age of 18
  • The most common eye side effect seen in studies was blurred vision (1% to 3% of patients reported blurred vision and eye redness)

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Click here for full prescribing Information for MIEBO.