Dry Eye is a condition that occurs when there is insufficient tear production to adequately lubricate the surface of the eye. It can be a chronic, troublesome experience for many people. Several things can cause ocular dryness. It can occur both with and without contact lens use. Dryness often becomes more problematic with increasing age. It is often associated with hormonal changes that occur during menopause, but can also be a side effect of commonly used medications, such as antidepressants, antihistamines and the birth control pill. Additionally specific medical conditions and/or environmental factors can also contribute to dryness. A detailed ocular health assessment, concentrating more so on the external elements of the eye, assist the doctor in reaching the appropriate diagnosis and treatment approach for each individual patient. This better assists the doctor in recommending the best short term and long term care in order to provide maximal comfort for each patient.