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A growing body of published research suggests eczema and dry eyes are not two separate conditions. They may be two symptoms of the same underlying problem, a deficiency in specific fatty acids that both the skin barrier and the tear film depend on.

SSS
Skin Science Society
Updated June 2026 · 8 min read

If you have eczema, you have probably spent years managing your skin. Creams, ointments, dietary changes, maybe prescription treatments. What you may not know is that research now points to a connection between eczema and dry eye disease that most doctors are not discussing with their patients.

The connection is not a coincidence. It is a shared mechanism. And understanding it may change how you think about both conditions, whether you have one or both of them.

Common questions people ask when they first hear about this

"If this connection is real, why has my doctor never mentioned it?"

Specialisation. The dermatologist treats the skin. The ophthalmologist treats the eyes. The research connecting them sits in nutritional biochemistry, which receives very little time in most medical training. The studies exist. They just have not made it into standard clinical practice yet.

"I have tried fish oil and evening primrose already. They did not help."

That actually makes sense once you understand the mechanism. Both of those address the wrong pathway or only part of the right one. Keep reading and it will become clear why they fell short.

"I have eczema but my eyes are fine. Does this still apply to me?"

It may. Research shows 25 to 40 percent of people with eczema develop eye complications over time, often years after the skin symptoms began. The same underlying deficiency drives both. Understanding it now is relevant whether you have one condition or both.

Why So Many People With Eczema Eventually Develop Dry Eyes

This is the part most dermatologists and eye doctors are not connecting. Your skin barrier and the surface of your eye both depend on the same two specific fatty acids to stay sealed, hydrated, and calm. The skin uses them to build the oil layer that locks moisture in. The eye uses them to build the lipid film that stops tears evaporating too quickly.

When your body does not produce enough of these fatty acids, both barriers start to fail. The skin loses moisture and itches. The eyes dry out and become irritated. It is not two separate problems happening at the same time by coincidence. It is one deficiency showing up in two places.

This is also why the two conditions often do not appear at the same time. Eczema typically shows up first, sometimes years or even decades earlier. The eye symptoms creep in later, usually in the late 30s, once the cumulative deficiency has worn the tear film thin enough that it can no longer compensate. If you have eczema now and your eyes are fine, this does not mean the deficiency is not there. It may mean the tear film has not yet reached its tipping point.

One Deficiency — Two Conditions
🧴
Skin
Barrier fails, moisture escapes, itch
🔬
GLA + SDA
Same fatty acids build both barriers
👁️
Eyes
Lipid film thins, tears evaporate, dryness
The dermatologist treats the skin. The eye doctor treats the eyes. Nobody has been treating the shared deficiency underneath both.
40%
of eczema patients develop eye complications including dry eye
38
average age of eye symptom onset, often years after skin symptoms began
2
specialists treating what research shows is one shared condition

If you have eczema and dry eyes, this shared deficiency is the most evidence-supported explanation research has found. If you have eczema but not dry eyes, this is still worth understanding because the same deficiency driving your skin symptoms may affect your eyes in the future.

If you know about Dupixent, this will make sense

You may already be aware that Dupixent, one of the most effective medications for moderate to severe eczema, causes dry eyes and eye inflammation in roughly 25 to 30 percent of the people who take it. That is not a rare side effect. It is one of the most commonly reported.

Think about what that tells you. A drug designed to treat eczema causes eye problems in a quarter of users. That is not a coincidence. It is clinical evidence that the skin and the eyes are connected at a deeper level than most doctors are discussing with their patients. Dupixent suppresses immune pathways that help the skin, but those same pathways also maintain the surface of the eye. Fix the skin, disrupt the eyes. The connection is real and documented.

If you are on Dupixent and your eyes have worsened since starting it, this is worth paying attention to. The fatty acid mechanism explained below may explain why, and more importantly, what can be done about it alongside your existing treatment.

What GLA And SDA Actually Are And Why They Matter

GLA and SDA are fatty acids your body is supposed to produce automatically from the fats in your food. GLA builds the oil seal in your skin barrier and on the surface of your eye. It also converts to something called Prostaglandin E1, which calms the nerve endings that drive the itch signal. SDA calms the inflammatory response when the barrier is challenged.

In most people, a specific enzyme handles this conversion and everything works fine. In many people with eczema, that enzyme does not work efficiently. The result is a barrier that cannot hold moisture, a tear film that evaporates too quickly, and an itch signal that stays elevated.

And here is the part that makes this worse. When the barrier has gaps because GLA production is low, it is not just moisture that escapes. Bacteria, irritants, and allergens get in through those same gaps. Once they penetrate the barrier, they trigger a secondary inflammatory and itch response on top of the one already being driven by the GLA deficiency. This is why steroid creams and antibacterial treatments help temporarily. They fight the bacteria and calm the surface inflammation that enters through the gaps. But the gaps remain. New bacteria get in. The cycle repeats.

The creams are not wrong. They are addressing a real problem. But they are addressing the secondary problem, not the primary one. The primary problem is that the barrier has gaps because it does not have the fatty acids it needs to seal itself. Fix the seal and far less gets in. The secondary itch and inflammation reduce because the entry point has been closed.

📄 Journal of Lipid Research, 2010 — 1,144 people studied

Genetic variants in the FADS gene cluster significantly reduce GLA production from dietary fats. Some people are born producing less of the fatty acid their skin and eyes depend on, no matter how well they eat.

Schaeffer et al. J Lipid Res. 2010;51(7):1871-1880.
📄 Clinical and Experimental Allergy, 2010 — Randomised Controlled Trial

Supplementation with pre-formed GLA and SDA significantly reduced the prevalence of atopic dermatitis compared to placebo in a double-blind trial.

Linnamaa et al. Clin Exp Allergy. 2010;40(8):1247-1256.
📄 Cornea, 2003 — Randomised Controlled Trial

GLA supplementation significantly reduced ocular surface inflammation and improved dry eye symptoms versus placebo. The mechanism: restoration of the lipid layer stability in the tear film.

Barabino et al. Cornea. 2003;22(2):97-101. University of Genoa.

The same fatty acids. Two separate conditions. Two separate clinical trials. Both showing meaningful improvement.

Dr

"Once you understand that the skin barrier and the tear film are both built from the same fatty acids, the connection between eczema and dry eyes stops being a coincidence and starts being a mechanism. And a mechanism can be addressed."

Dr. Rachel Chen
General Practice Physician, 12 years
73%
of Calm Skin Capsule customers reported significant itch reduction within the first 4 weeks

Why The Formulation Has Eight Ingredients, Not Two

If the only problem were a missing seal, GLA and SDA alone would be enough. But after years of a deficient barrier, the damage goes deeper. Scratch wounds have accumulated. Collagen has been degraded by chronic inflammation. The ceramide structure of the barrier has worn thin. The overnight repair cycle has been running on depleted resources.

GLA and SDA address the root cause. The other six ingredients repair the damage those years of deficiency left behind.

GLA and SDA stop the leak. The other six ingredients repair the water damage.

What Customers Report Changing

What changes and why

Itching at night, scratch marks in the morning
Sleeping through without new marks
GLA → Prostaglandin E1 calms the itch nerve signal. B6 produces melatonin. SDA calms inflammation.
Eye drops in every bag, on every desk
Barely needing them most days
GLA restores the lipid film over the tear surface. Tears stop evaporating as quickly.
Cream wearing off every few hours
Down to once or twice on most days
GLA rebuilds the oil seal. Vitamin C restores ceramide. Anthocyanins support hyaluronic acid.
Avoiding short sleeves
Wearing them more often. Depends on the day, but more often than not
Anthocyanins support collagen and elastin. Vitamin E promotes regeneration.
Thinking about skin and eyes every few hours
Reaching the end of the day having not thought about either
Eight ingredients addressing one shared root cause.
An honest note

This is not overnight relief. If you are itching right now, keep using your cream. If your eyes are dry right now, keep using your drops. Those work on the surface and they work fast.

What this addresses is the reason you keep needing them. Most people notice the itch settling at night first, typically within two weeks. Eyes usually improve by weeks 4 to 6. The full barrier rebuild takes 8 to 12 weeks.

So What Would The Right Solution Actually Need To Do

Now that you understand the mechanism, the answer becomes obvious. Whatever you take would need to do five things at once:

What the ideal formulation would need to deliver

Provide GLA already formed, so it bypasses the enzyme that is not working properly
Provide SDA alongside it, to calm the inflammatory response that GLA alone cannot address
Support both barriers, the skin and the tear film, since the same deficiency drives both
Include the co-factors that repair years of accumulated barrier damage, not just stop the leak
Come from a natural plant source, with no synthetic hormones or ingredients that could interfere with existing treatments

The problem is finding something that does all five. Evening primrose has GLA but no SDA. Fish oil has neither. Most omega supplements address the wrong pathway entirely. And almost none of them include the vitamins and antioxidants needed to repair the damage that years of barrier deficiency have already caused.

We looked for a formulation that met every point on that list. One capsule that delivered pre-formed GLA and SDA together, from a single natural plant source, alongside the co-factors for barrier repair, itch reduction, and overnight recovery.

The formulation built around this research

The highest natural concentration of GLA and SDA in a single plant source. Eight ingredients. Each one chosen for a specific role in barrier repair.

Calm Skin Capsule
by Earth on Skin · Manufactured in the USA
Built For Both Conditions

Calm Skin Capsule

One capsule a day. Pre-formed GLA and SDA from a natural plant source, alongside six co-factors for barrier repair, itch reduction, hydration, and overnight recovery. Designed specifically for the person whose eczema and dry eyes share a common root.

🖼️
Product Image
🧱
Seal both barriers and calm the itch
GLA rebuilds the skin's oil seal and the eye's lipid film. Converts to Prostaglandin E1, calming the itch nerve signal. SDA calms reactivity in both locations.
💧
Support deep hydration
Vitamin C rebuilds ceramide in the barrier. Anthocyanins support collagen, elastin, and hyaluronic acid (NIH confirmed).
🌿
Calm inflammation
B6 supports inflammatory regulation and produces melatonin for better sleep. SDA calms barrier reactivity.
🛡️
Power overnight repair
Vitamin E protects and regenerates. B5 accelerates new cells. B1 provides repair energy.

What to expect:

1
First 2 weeks
Nighttime itch begins to settle. Fewer scratch marks in the morning. The itch nerve signal is calming as GLA converts to Prostaglandin E1.
73%
reported significant itch reduction within the first 4 weeks
2
Weeks 3–6
Skin holds moisture longer. Eyes feel less irritated in the mornings. You start reaching for cream and drops less often.
91%
reached for cream less often after 8 weeks
3
Weeks 6–12
Skin stays comfortable most of the day. Eyes are calmer. You stop organising your life around both conditions.
87%
reported softer, less tight skin by week 8
PEER-REVIEWED
The Published Research

Each study is peer-reviewed, publicly available, and linked for verification.

Journal of Lipid Research — 2010
1,144 participants
📄Screenshot
Finding

FADS gene variants reduce GLA production. Genetic, not diet-related.

Schaeffer et al. PubMed →
Clin Exp Allergy — 2010
RCT · Double-blind
📄Screenshot
Finding

GLA + SDA supplementation significantly reduced atopic dermatitis vs placebo.

Linnamaa et al. Clin Exp Allergy. 2010;40(8):1247-1256.
Cornea — 2003
RCT · Dry Eye
📄Screenshot
Finding

GLA supplementation significantly reduced ocular inflammation and improved dry eye symptoms vs placebo.

Barabino et al. PubMed →

Real Results

Real customers, real timeframes. Results vary, but the direction is consistent.

Before
After 90 Days
📷Before
📷After
Hannah, 33 — Eczema & dry eye90 days
Before
After 60 Days
📷Before
📷After
Sarah, 34 — Eczema, nighttime itch60 days
Before
After 90 Days
📷Before
📷After
Emma, 41 — Eczema & dry eye, Dupixent user90 days

Individual results vary. Photos from real customers. Not a guarantee of specific outcomes.

4.8
★★★★★
Rated 4.8 out of 5 based on verified customer reviews
87%
reported softer, less tight skin within 8 weeks
73%
significant itch reduction within 4 weeks
91%
reached for cream less often
★★★★★

"My dermatologist treats my skin. My eye doctor treats my eyes. Neither of them ever connected the two. I understood more from reading this page than from years of appointments. Six weeks in, the nighttime itch is mostly gone and my eyes are genuinely more comfortable in the mornings."

Sarah T., 34
Verified Customer · Eczema & Dry Eye, 11 years
★★★★★

"I have been on Dupixent for eight months. My skin improved a lot. My eyes got significantly worse. My dermatologist had no answer. After two months on Calm Skin Capsule alongside Dupixent, my eyes are more comfortable than they were before I started the biologic."

Priya M., 36
Verified Customer · Dupixent & Dry Eye
★★★★★

"The capsules are a bit big if I am being picky but worth it. I came for the eczema and honestly didn't expect my eyes to improve. But they did. I barely use drops anymore. The skin is not perfect but the constant itch is gone and I stopped carrying cream everywhere."

Emma L., 41
Verified Customer · Eczema & Dry Eye, 7 years
🔒 90-Day Money-Back Guarantee

The barrier takes time to rebuild, which is why the guarantee is 90 days. If your skin is not calmer, less itchy, and holding moisture better, full refund. No questions, even if the bottle is empty. That kind of confidence from a company, more brands should do that.

Try Calm Skin Capsule →

🔒 90-day guarantee · Free shipping · Manufactured in the USA

References

Schaeffer L et al. FADS gene cluster variants. J Lipid Res. 2010;51(7):1871-1880.

Linnamaa P et al. GLA+SDA in atopic dermatitis — RCT. Clin Exp Allergy. 2010;40(8):1247-1256.

Barabino S et al. GLA and dry eye — RCT. Cornea. 2003;22(2):97-101.

Horrobin DF. Fatty acid metabolism in eczema. Am J Clin Nutr. 2000;71(1):367S-372S.

Bielory L et al. AKC prevalence 25-40% in atopic dermatitis. Curr Pain Headache Rep. 2005.

Dupixent prescribing information. Ocular adverse events reported in 8-25% of clinical trial participants.

Studies referenced were used to develop Calm Skin Capsule. All citations are peer-reviewed and publicly available.

Sponsored content produced by Skin Science Society in partnership with Earth on Skin. Not an independent news article. Calm Skin Capsule is a food supplement. These statements have not been evaluated by the FDA. Not intended to diagnose, treat, cure or prevent any disease. Results may vary. Consult your doctor before use if pregnant, breastfeeding or taking prescription medication.

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