Why Do My Eyes Hurt When I Wake Up?

Why it hurts most at the moment you wake

By morning the surface has been drying for hours without a blink to refresh it. The first few blinks after you open your eyes are doing a lot of work at once, and that is often when the discomfort peaks. It usually eases as the day gets going and your tear film recovers, which is exactly the pattern that makes people dismiss it.

Dryness that is worst first thing points somewhere quite specific. It is different from dryness that builds through an afternoon at a screen, and worth mentioning to an eye doctor in those words.

The bedroom is part of the problem

Air moving across your face while you sleep speeds up evaporation from an already vulnerable surface. A ceiling fan, a floor fan, an air conditioning vent, a heating vent, any of them aimed anywhere near the bed will do it. So will a room that is simply dry.

This is the easiest thing on the list to change, and worth trying before anything else. Point the airflow away from your face rather than switching it off, and consider adding humidity if the room is dry. Our nighttime dry eye routine sets out the order to work through.

What to put in your eyes before bed

A watery daytime drop is not built for eight hours. A gel or an ointment is thicker and stays on the surface far longer, which is the point at night.

The two differ in a way that matters, and our nighttime gels and ointments guide compares them properly. An ointment is the thicker of the pair and lasts longest, but it blurs vision more. A gel is a middle ground for when an ointment feels like too much, blurring less but not lasting as long. Both go in right before sleep. If you use an ointment, put it in after your last screen of the night rather than before, because the blur is immediate and it is not something you want to read through.

Keeping a preservative-free drop on the bedside table is the other half of this. It handles the dryness that is already there when you wake, rather than trying to prevent it.

When the lids are the problem

If your eyes do not fully close at night, no drop will hold out until morning on its own, because the surface is exposed the whole time. Two things help. A hydrating sleep mask sits over the eyes and holds moisture around them while shielding them from drying air. Lid seals hold the lids closed directly.

Incomplete eyelid closure during sleep has a name, nocturnal lagophthalmos, and an eye doctor can check for it. This is the single most useful thing to ask about if your mornings are consistently rough, because it changes what the right answer looks like.

If you use a CPAP

Air leaking from a CPAP mask, often around the nose bridge, can blow across the eyes all night and dry them out by morning. If you use one and wake with sore eyes, that leak is the first thing to look at.

Do not loosen or stop your CPAP to fix your eyes. Treat the eyes directly and take the leak to your sleep provider, who can look at the fit or a different mask. Our CPAP dry eye routine goes through it step by step.

What to do first

Work in this order, because it goes from easiest to most involved. Move the airflow away from your face. Add a thicker gel or ointment at bedtime. Put a preservative-free drop by the bed. If mornings are still rough after a couple of weeks of that, the question becomes whether your lids are closing, and that needs an eye doctor rather than another product.

When to get it checked

Book an eye exam if the pain is severe, if it affects one eye more than the other, if your vision is changing, or if your eyes are stuck shut or visibly inflamed on waking. Book one too if consistent morning dryness is not improving with the steps above, because morning dryness can point to incomplete lid closure or to meibomian gland dysfunction, and both are things a doctor can identify rather than things you can work out at home.

You can find an eye doctor near you through our network of more than 5,000 providers.