Dry eyes are a major cause of eye irritation in adults. Symptoms include blurry vision, irritation, foreign body sensation, mucous discharge, and eye fatigue. The cause of dry eye is often related to age, as well as medical conditions such as pregnancy, menopause, rheumatoid arthritis, Bell’s palsy, rosacea, and vitamin A deficiency. Environmental factors including smoke, allergens, dust, and dry conditions may contribute to dryness. The treatment goal is to keep the eye lubricated with artificial tears and ointment. If this is not sufficient, patients may require plugging of the lacrimal puncta, or permanent closure of the lacrimal ducts, or further medications. Patients with severe dry eyes may not be candidates for eyelid surgery.