Medically reviewed by Dr. Bijan Cohenmehr, OD Last reviewed
Dry Eye in Children & Teens
The blinking generation, not blinking enough.
Dry eye used to be an adult’s diagnosis. Screen hours, allergy seasons, early contact lens wear and lid-margin disease have changed that — and children rarely say “my tear film is unstable.” They rub, blink hard, and quit reading early. Here is what to watch and what we do.
- The tells
- Rubbing, hard blinking, red rims
- The drivers
- Screens, allergy, lenses, lids
- The exam
- Gentle, gland-aware, kid-paced
- The fix
- Habits + targeted treatment
What parents actually see
Kids don’t report symptoms. They show them.
- Rubbing eyes through homework or after school
- Exaggerated, squeezing blinks: the reset move of an unstable tear film
- Red lid margins, crusty lashes, morning stickiness
- Watery eyes in wind: reflex tears over a dry surface
- Shrinking reading stamina; screens pulled ever closer
- New contact lens wearers who quietly quit wearing them
Hard blinking and rubbing in an allergy-season child is the classic combination. In a keratoconus-risk family, the rubbing matters twice.
The plan
Gentle work-up, family-sized fixes.
- 01
Look at the lids first
Blepharitis and gland congestion drive most pediatric dryness; the slit lamp tells quickly and needs no drops.
- 02
Sort allergy from dryness
Itch points to allergy, burn points to tear film. Most kids carry some of both, and the treatments differ.
- 03
Fix the day
Blink breaks, screen distance, outdoor time and a humidifier beat any single drop at this age.
- 04
Treat what remains
Preservative-free tears, lid hygiene, allergy drops when earned, and gland care in the stubborn minority.
Why it matters
Comfortable eyes read more.
- Dry, tired eyes shrink homework stamina and screen tolerance
- Allergy-driven rubbing is a keratoconus risk factor in the vulnerable
- Teen contact lens dropouts are usually fixable tear-film problems
- Every pediatric exam here screens the lids and tear film
Dry eye in kids near you
12222 Wilshire Blvd, on the Santa Monica border.
Also consider
Next step
A rubbing, blinking, book-avoiding kid?
One gentle visit with an eye doctor in Los Angeles sorts allergy from dryness and sets a family-sized plan.
