Detailed answer

During menopause, hormonal changes can affect the oil glands in the eyes, leading to decreased tear production and dryness. This can result in symptoms such as itchiness, redness, and a gritty sensation in the eyes. Additionally, declining estrogen levels during menopause can affect the thickness and quality of the tear film, further contributing to dryness. It is important for women experiencing these symptoms to consult with a healthcare professional or an eye specialist to determine the best course of treatment, which may include artificial tears, lubricating eye drops, or hormone replacement therapy if appropriate.