Warm vs Cool Compress for Dry Eye

The tear film is actually a complex biological element that is made up of three specific parts, which are the:

            1. Aqueous, or watery element
            2. Lipid, or oily element
            3. Nutritional element

When someone has dry eyes, there is generally an issue with at least one of these three elements. Most commonly, people find that their tears drain away too quickly, evaporate too quickly, or don’t nourish the eyes enough. The Meibomian oil glands, found in the eyelids, are responsible for the production of the oily layer. This has to be in place to stop tears from evaporating quickly. On the other hand, dry eyes can also be present because people use computers too long and forget to blink. The result is that there is an insufficient production of tears, and it tends to be the watery layer that becomes dysfunctional.

The table below highlights the key differences between warm and cold compresses.



So which one of the two is better?  Basically, there is no clear-cut answer to that question. Rather, the recommendation is to start with the cold compress, when you have time to just sit back and relax for a while. Apply it for around five minutes. If you find that this did not provide you with any relief, go for the warm compress instead.




On the other hand, if you frequently wake up with crusty, sticky, or flaky eyes, it is more likely that there is a problem with the lipid layer of the tear film. In that case, it is recommended to use the warm compress instead, as it effectively stimulates the glands to unblock themselves.


The most important thing is that you only use completely clean compresses. Additionally, if you use your own cloths or towels for them, make sure they are soft. The eyes and eyelids are incredibly delicate organs, and it is all too easy to cause further irritation and actually make the situation worse. And always consult with a physician if you find that none of your efforts work.



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