This study aimed to evaluate the diagnostic tests and management approaches for dry eye disease (DED) among eye care practitioners in Saudi Arabia. A cross-sectional, questionnaire-based survey was sent to 200 practitioners, with 88 responses, resulting in a 44% response rate. Of the respondents, 68.2% were optometrists and 31.8% were ophthalmologists. The fluorescein tear break-up time (TBUT) and Schirmer test were the most commonly used diagnostic methods due to their simplicity and accessibility, while assessing the meibomian glands was less frequent. The main causes of DED identified were environmental factors and meibomian gland dysfunction. The most commonly reported symptoms included dry eyes, tearing, and itching. The preferred management options were aqueous-based artificial tears (46.3%) and lipid-based artificial tears (40.1%), with minimal use of advanced therapies. These findings underscore the reliance on conventional diagnostic and treatment methods and highlight the need for standardized protocols and broader adoption of modern diagnostic technologies to improve DED care in Saudi Arabia.