Basement Membrane Dystrophy: This condition occurs in 10 to 20 percent of the population and could cause symptoms (itching, burning, etc.) similar to dry eye. Dry eye makes symptoms worse. Pain upon awakening in the morning is hallmark but many patients also have symptoms throughout the day. Treatment includes standard dry eye therapies plus application of a lubricating ointment at bedtime. Superficial keratectomy (surgical "scraping" of the cornea) may be necessary to remove the damaged surface and allow a new surface to form.