Objectives: This present study was to evaluate the prevalence and severity of dry eye with respect to age in premenopausal and postmenopausal women.
 Methods: Visual acuity was assessed on Snellen’s chart and anterior segment evaluation was done with slit lamp biomicroscope. Ocular surface Disease Index (OSDI) questionnaire was completed and grading done. Dry eye evaluation was done with Schirmer I, by placing a special filter paper in the lower fornix and Tear film Break-Up time was done by an impregnated fluorescein strip moistened with saline which was instilled into the lower fornix.
 Results: 64(32%), 42(21%) and 35(17.5%) women were belonged in age group of 61-70 years, > 7o years and 51-60 years respectively. dry eye was seen in 6(6%) premenopausal and 47(47%) in postmenopausal women. Higher prevalence of dry eye 29(45.31%) was seen in age 61-70 years. 11(26.19%) prevalence was seen in age > 70 years. Premenopausal women had mainly 6(100%) mild dry eye. 22(46.81%) Postmenopausal women had 22(46.81%), 14(29.79%) and 11(23.40%) mild, moderate and severe grade of dry eye respectively.
 Conclusions: Dry eye was commonly seen in older age postmenopausal women. Premenopausal women had mainly mild dry eye. Postmenopausal women had commonly mild to moderate grade of dry eye. Hence, early detection of dry eye is important to arrest the progression of dry eye as well as to prevent the complications that can reduce corneal transparency and reduce vision. Environmental and behavioural modifications such as taking breaks while reading, keeping the computer monitors at eye level, use of UV protective glasses and humidification of the environment can be tried.
 Keywords: Dry eye, premenopausal, postmenopausal, age group