6 min read•Last updated: February 2026
Dry Eyes & Vision Changes During Perimenopause
Eye dryness and vision changes are common but often overlooked perimenopause symptoms. Learn how hormones affect your eyes and what you can do about it.
Why Perimenopause Affects Your Eyes
Declining estrogen levels affect the glands that produce tears and oils that keep your eyes lubricated. This can lead to dry, irritated eyes and changes in vision. About 35% of perimenopausal women experience these symptoms.
Common Eye Symptoms
- Dry, gritty, or burning sensation in eyes
- Excessive tearing (paradoxically, dry eyes can cause watering)
- Blurred vision or difficulty focusing
- Light sensitivity
- Eye fatigue, especially with screen use
Natural Relief Strategies
Proven Approaches:
- Omega-3 fatty acids: 1000-2000mg daily can improve tear quality
- Artificial tears: Use preservative-free drops throughout the day
- Warm compresses: Apply to eyes for 5-10 minutes daily
- 20-20-20 rule: Every 20 minutes, look 20 feet away for 20 seconds
- Humidifier: Add moisture to dry indoor air
- Stay hydrated: Drink 8-10 glasses of water daily
When to See an Eye Doctor
Seek professional care if you experience:
- •Sudden vision changes or loss
- •Eye pain or severe discomfort
- •Persistent redness or discharge
- •Symptoms that don't improve with over-the-counter treatments