HRT causing dry eye to be worse?

according to my research HRT therapy can cause dry eye syndrome. I have not experienced this personally.
https://pubmed.ncbi.nlm.nih.gov/11694152/
Have you spoken with your doctor about it? Perhaps a change could be made to a medication less drying to the eyes.
Warm wishes. Sharon Moore Patient Leader

Thanks Sharon. I've researched a fair bit myself and there is some suggestion that it can cause dry eye but also some evidence that in some cases it helps (as dry eye can be a menopause symptom anyway). I can't find any information on specific kinds of HRT though and which kinds might be more likely to cause it. My GP is uninformed and unconvinced of my theory and my corneal consult says that it can be explored as a last resort if nothing else works. I've had antibiotics, vitamin A night cream, artificial tears, steroid drops and punctal plugs so far but not helped at all. Next and last step (I thinkI'mexpensive

Sharon Moore thank you, I hadn’t thought to ask my pharmacist!

, After HRT, I also suffered from the same due to changes in estrogen levels that caused dry eye. I consulted with my doctor through telehealth Ongo Care and got prescription medications that increase my tear production, It relieved me with over-the-counter artificial tears that help lubricate and moisturize the eye. My doctor told me that the hormone changes during menopause are associated with vision changes and ocular disease. The hormone therapy can restore your estrogen levels, But in my case, it was worst. Some studies have shown that dry eyes improve with HRT, but others have shown that HRT makes dry eye symptoms more severe.