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Health
If you suffer from dry eyes, you're not alone. Dry eye disease affects 30 million Americans and over 300 million people worldwide, says Ranjodh S. Boparai, MD, ophthalmic surgeon and CEO of CorneaCare. When left untreated, dry eyes can alter daily life and impact your emotional well-being. The good news is that quality eye drops for dry eyes can often offer immediate relief.
Eye drops, specifically artificial tears, work to alleviate dryness and irritation by softening, soothing, and protecting irritated tissue or attracting water to moisturize your eyes, according to Dr. Boparai. Some artificial tears may also have occlusive properties, creating a barrier to lock in moisture. They also supplement the tear film, the protective coating of tears that retains moisture on the eye and contributes to proper lid function, comfort, and clear vision, explains Raymond Douglas, MD, a Beverly Hills-based oculoplastic surgeon. Drops can also help clear the eyes of debris, allergens, and pathogens that may lead to inflammation.
Whether you’ve been diagnosed with dry eye disease or are looking for moisturizing drops to keep on hand, we've researched and consulted with experts to find the best over-the-counter (OTC) eye drops for dry eyes on the market. An ophthalmologist from our Medical Expert Board also reviewed this article for medical and scientific accuracy.
Editor's Take
As an Editor at Health, I spend long hours staring at a screen, which inevitably leads to dry, irritated eyes. After trying various options, the OCuSOFT Retaine MGD Ophthalmic Emulsion has been a game-changer. This product is specifically formulated for people with Meibomian Gland Dysfunction (MGD), a leading cause of dry eyes. Unlike regular artificial tears, it's an emulsion, a blend of oil and water that provides hydration and a protective layer over the eyes. It gives rich, soothing relief without blurring vision and offers long-lasting comfort, especially after a full day of screen time.
-Lauren Paige Richeson, Editor
Choosing the Right Eye Drops
There are several types of over-the-counter (OTC) eye drops for different dry eye needs. Here are the main types:
- Artificial Tears: For mild dry eyes, artificial tears can provide quick lubrication and moisture. They are available preservative-free for sensitive eyes and frequent use.
- Lubricating Gels and Ointments: For moderate to severe dry eyes, these thicker formulations are often used overnight for longer-lasting relief.
- Antihistamine Drops: For allergy-related dry eyes, these drops may relieve dryness caused by allergies and irritation.
Best Overall
Systane Complete PF Eye Drops
Why We Like It
Dr. Douglas recommends Systane Complete PF Drops as a reputable brand. These drops offer the whole package: They’re preservative-free, and the active ingredient is propylene glycol, which Douglas says is safe for ongoing use. They’re also safe for sensitive eyes. In addition to offering immediate relief with lubrication, the formula keeps tears from evaporating, providing long-lasting comfort. Unlike most preservative-free drops, which are packaged in individual vials, Complete PF comes in a multi-dose bottle with packaging that keeps the solution stable and sanitary.
Product Details:
- Active Ingredients: Propylene glycol
- Preservatives: No
- Symptoms treated: Dry eyes, sensitive eyes
- Dosage: 1 to 2 drops as needed
- Size: .34 fluid ounces
Best Budget
Refresh Tears Lubricant Eye Drops
Why We Like It
If you experience the occasional moderate dry eye, Refresh Tears Lubricant Eye Drops is a high-quality, affordable pick to have on hand, says Dr. Douglas. The formula is designed to emulate natural tears and offers temporary relief from dryness and sensitivity. It’s safe for use with contact lenses and won’t cause prolonged blurring after administration.
We also love the value of these eye drops. Not only are the bottles on the larger side, but you also get two per pack, making them a good choice for someone who uses eye drops frequently.
Product Details:
- Active Ingredients: Carboxymethylcellulose sodium
- Preservatives: Yes
- Symptoms treated: Dry eyes
- Dosage: 1 to 2 drops as needed
- Size: .5 fluid ounces
Best for Contact Lens Wearers
Biotrue Hydration Boost Dry Eye Drops
Why We Like It
Using two moisturizing ingredients—glycerin and hyaluronic acid—that mimic the compounds found in real tears, these drops lubricate by pulling moisture from the environment and delivering it to your eyes. The natural ingredients are gentle and perfect for anyone whose eyes are on the sensitive side.
Although we selected these drops for contact lens wearers, they’re safe for use with or without contacts. Added antioxidants protect eyes from environmental pollutants, and the drops also soothe eye strain caused by extended screen time.
Product Details:
- Active Ingredients: Glycerin, hyaluronic acid
- Preservatives: No
- Symptoms treated: Dry eyes, dry contacts
- Dosage: 1 to 2 drops as needed
- Size: .33 fluid ounces
Best for Overnight Dry Eyes
Optase HyloNight Eye Ointment
Why We Like It
When it comes to overnight dry eyes, thicker eye ointments deliver where thinner eye drops fall short. Optase HyloNight Eye Ointment contains petrolatum and lanolin, which protect the eye and help it retain moisture through the night.
Unlike other eye ointments that can cause irritation to sensitive eyelid skin, this one is gentle and safe for nightly use. Just keep in mind the formula may contain peanut oil, so look elsewhere if you have allergies.
Product Details:
- Active Ingredients: White petrolatum, lanolin, light mineral oil
- Preservatives: No
- Symptoms treated: Dry eyes
- Dosage: ¼ inch of ointment to inner lower lid nightly
- Size: .18 fluid ounces
Best for Post-Lasik Surgery
Blink Tears Lubricating Eye Drops
Why We Like It
Dr. Douglas recommends Blink Tears as a go-to for dry eyes in general, which makes them especially ideal for remedying discomfort post-Lasik surgery. It’s important to note, though, that your doctor may prescribe antibiotic or steroid drops for immediate use after surgery, per the Omaha/Lincoln Eye & Laser Institute. Any drops you use after that should be approved by your doctor.
With that being said, Lasik patients tend to use their fair share of drops during recovery, and these won’t break the bank if you go through a few bottles.
Product Details:
- Active Ingredients: Polyethylene glycol
- Preservatives: Yes
- Symptoms treated: Dry eyes
- Dosage: 1 to 2 drops as needed
- Size: .5 fluid ounces
Best Preservative-Free
CorneaCare Recover Eye Drops
Why We Like It
The active ingredients in these drops are two-fold. The drops contain hyaluronic acid and glycerin to help the eyes naturally create and retain moisture, as well as the emollient povidone, which prevents irritation and reduces stress and strain.
The bottle’s nozzle features a patented one-way valve technology that allows tears to flow out while preventing germs from getting in, keeping the solution sterile for up to 90 days. The formula is also contact lens-safe.
Product Details:
- Active Ingredients: Hyaluronic acid, glycerin, povidone
- Preservatives: No
- Symptoms treated: Dry eyes, dry contacts, irritated eyes
- Dosage: 1 drop in each eye three to four times daily
- Size: .33 fluid ounces
Best for Long-Lasting Relief
TheraTears Extra Dry Eye Therapy
Why We Like It
Using five vital electrolytes found in natural tears, these drops restore salt imbalance, which can cause dry, irritated eyes. At one full fluid ounce, the bottle will last, and the preservatives in the formula allow you to keep it on hand for a while.
The formula was clinically proven to relieve dry eyes without burning or stinging upon application, making it a good selection for sensitive eyes. However, it’s unclear whether the drops are safe for contact lens wearers, so ask your doctor before using if you wear contacts.
Product Details:
- Active Ingredients: Sodium carboxymethylcellulose
- Preservatives: Yes
- Symptoms treated: Dry eyes, irritated eyes
- Dosage: 1 to 2 drops as needed
- Size: 1 fluid ounce
Best for Multiple-Use Eye Drops
Similasan Complete Eye Relief
Why We Like It
If you’re conscious about using natural ingredients, these drops fit the bill. The Swiss homeopathic formula soothes irritation with the herbaceous flower extract eyebright. It also contains hydrating ingredients glycerin and aloe vera, which makes them great to keep on hand for any bothersome eye issues that may come up.
The drops contain what the brand describes as “gentle” preservatives, so they’re not entirely preservative-free. However, the formula expires 90 days after opening, so the drops have a somewhat limited shelf life if you only use them occasionally.
Product Details:
- Active Ingredients: Eyebright (Euphrasia officinalis), belladonna, mercurius sublimatus
- Preservatives: Yes
- Symptoms treated: Dry eyes, irritated eyes, redness, burning, watering, grittiness
- Dosage: 2 to 3 drops as needed
- Size: .33 fluid ounces
Best for Allergies
ALCON Zaditor Antihistamine Eye Drops
Why We Like It
Dr. Douglas warns that many eyedrops formulated for redness and allergy relief contain decongestants like etrahydrozoline and naphazoline, which constrict the blood vessels in your eye, resulting in a white appearance. However, when those ingredients are used continuously, the eye blood vessels may respond by over-dilating, Dr. Douglas says, resulting in a condition called the rebound hyperemia effect.
Fortunately, this allergy-targeted formula from Systane doesn’t contain either of those ingredients and provides up to 12 hours of itch and redness relief. They’re also not safe for contact lens wearers.
Product Details:
- Active Ingredients: Ketotifen fumarate
- Preservatives: Yes
- Symptoms treated: Irritated, itchy eyes and redness
- Dosage: 1 drop in each eye every 12 hours
- Size: .17 fluid ounces
Best Gel-Based Eye Drops
GenTeal Tears Lubricant Eye Gel
Why We Like It
The thought of applying a thicker gel on your eye may sound intimidating, but GenTeal’s formula liquifies after a few blinks, leaving you with a restored protective tear film and a hydrated eye with minimal feelings of gloopiness, blurred vision, or discomfort. The gel is especially helpful for soothing irritation caused by wind or sun exposure.
Keep in mind that as with most eye gels, this one might make your vision blurry for a few minutes, but after that, the long-lasting relief is hard to beat. The gel is also free of preservatives.
Product Details:
- Active Ingredients: Hypromellose
- Preservatives: No
- Symptoms treated: Dry eyes
- Dosage: 1 to 2 drops as needed
- Size: .34 fluid ounces
Best for Severe Dryness
Ocusoft RETAINE MGD Ophthalmic Emulsion Eye Drops
Why We Like It
This oil-based solution from Retaine helps restore moisture to the eyes’ lipid layer while also stabilizing the tear film, which is why Dr. Douglas recommends them for severe dryness. In other words, the drops not only provide immediate relief but instead keep tears from evaporating, which prevents future dryness and irritation.
The formula comes in sterile, single-use vials that minimize reaction risk. The drops are preservative-free, and even though they yield amazing results for severe dryness, they’re also easy on sensitive eyes.
Product Details:
- Active Ingredients: Mineral oil, light mineral oil
- Preservatives: No
- Symptoms treated: Dry eyes, irritated eyes
- Dosage: 1 to 2 drops as needed
- Size: .34 fluid ounces
How We Selected
To find the best eye drops for dry eyes, we consulted several eye care experts, including an allergist, ophthalmic surgeon, and oculoplastic surgeon. We asked what to look for in eye drops for dry eyes, including ingredients, shelf life, and various applications. Based on their recommendations, we also researched high-quality eye drops to narrow down the top formulas for dryness and irritation.
Our Experts
Experts we spoke to include:
- Ranjodh S. Boparai, M.D., ophthalmic surgeon and CEO of CorneaCare
- Raymond Douglas, M.D., a Beverly Hills-based oculoplastic surgeon
- Mitchell Grayson, M.D., allergist and spokesperson for the Asthma and Allergy Foundation of America
What to Know About Eye Drops
Active Ingredients
Over-the-counter (OTC) eye drops for dry eyes contain various active ingredients designed to hydrate and lubricate. The most common ones, which Dr. Douglas says are all safe for ongoing usage, are:
- Humectants: Attract and retain moisture (Glycerin, Propylene Glycol, Hyaluronic Acid)
- Lubricants: Provide a protective barrier (Carboxymethylcellulose, Hydroxypropyl Methylcellulose)
- Electrolytes: Support overall eye health (Sodium Chloride, Potassium Chloride)
- Emollients: Prevent tear evaporation (Mineral Oil, White Petrolatum)
- Polymers: Improve viscosity (Polyvinyl Alcohol, Povidone)
- Osmoprotectants: Protect cells from damage (Erythritol, L-Carnitine)
Preservatives
Some eye drops contain preservatives such as benzalkonium chloride (BAK) to extend shelf life. Short-term exposure to BAK is safe, but long-term use can harm the eye's surface. If you use eye drops frequently, it's best to choose a preservative-free formula.
Prescription vs. OTC Eye Drops
Prescription eye drops differ from OTC drops because they are clinically studied and approved by the Food and Drug Administration (FDA) and typically contain more medication. However, Dr. Grayson emphasizes that these qualities do not necessarily make prescription drops superior.
The two main types of prescription eye drops for dry eyes are cyclosporine and lifitegrast. These eye drops can help keep inflammation in check and promote tear production, according to Dr. Boparai. For best results, it's recommended to use prescription eye drops in conjunction with eyelid hygiene, preservative-free artificial tears, and lifestyle modifications.
Who We Are
Kayla Blanton is a writer for Health.com with a bachelor's degree in journalism and a specialization in public health and women, gender, and sexuality studies. She's covered health, nutrition, lifestyle, and beauty at various outlets for five years.
Loren Brutsch, an editor at Health.com, suffers from dry eyes and has tried multiple products recommended on this list. She personally recommends the best overall pick, Systane Complete PF drops, for immediate relief.