We will use state of the art diagnostics to identify each root cause for your dry eye symptoms. If you have been unable to obtain relief from other remedies, it may be because they have not targeted the primary cause of your condition. Consider having an initial dry eye evaluation at our office. When calling for an appointment, please identify the symptoms you are having and state that you would like to be seen for an initial dry eye evaluation. Diagnostic visits may or may not be partially or completely covered by insurance plans. Patients with dry eye will receive the advantage of our 30 years of specialization in this area and the developments resulting from our extensive research programs.
Important tests for dry eye, which were developed through a partnership with Tearscience, Inc., include:
Meibography - Enables critical analysis of the structural integrity of the lipid producing glands of the lid.
Lipiview Ocular Surface Interferometer - Captures detailed digital images of the lipid content of the tears and quantifies the blinking reflex.
Meibomian Gland Evaluator - Measures the function of the glands during normal blinking.
Light Test - Diagnoses whether the lids are properly sealing to prevent exposure desiccation overnight.
Evaporative Stress Test - Tests for neuropathic pain and corneal hyperalgesia
Diagnostic Gland Expression - Examines the quality of the meibomian secretions and helps to establish a course of treatment.
Other diagnostic tests include the use of vital dyes, tear osmolarity testing (TearLab), and testing for inflammatory markers (Inflammadry), as well as testing for Sjogren's syndrome and conjunctival chalasis.
Our philosophy is that successful treatment of dry eye is predicated on a management plan rooted in a thorough evaluation of each factor that can contribute to dry eye disease. We offer state of the art treatments for dry eye including:
LipiFlow Thermal Pulsation System - Treats evaporative dry eye disease, using precisely controlled heat and gentle pressure applied to the eyelids, to unblock obstructed Meibomian glands during a 12 minute, in-office procedure. LipiFlow allows Meibomian glands to resume there natural production of lipids needed for a healthy tear film.
While there are multiple choices available for treating MGD, LipiFlow is the only FDA-cleared device for removing gland blockages and restoring gland function. Through advances in the application of Vectored Thermal Pulsation technology, the LipiFlow treatment utilizes a patented algorithm of heat applied to the inner eyelids and massage to remove the obstructions in your meibomian glands.
Scleral Contact Lenses - Provide a fluid reservoir over the ocular surface which can promote healing of the ocular tissues and protect the surface of the eye from desiccation.
EyePrint Pro is an optically clear prosthetic scleral device designed to match the exact contours of the individual eye.
Custom Moisture Chamber Spectacles - Can provide relief from severe symptoms by enabling a high humidity micro-environment. These are also available in personalized prescriptions.
Comprehensive Eyelid Cleaning - Similar to a dental procedure, the lashes, lid margin, eyebrows, and skin of the lids are thoroughly cleaned to control Demodex infestation and blepharitis. We use the BlephEx and NuLids devices for a thorough treatment. Ideal to schedule between lash extension applications.
Serum/amniotic fluid drops- Biologic therapies consist of either serum drops derived from your own blood, or tear supplements derived from amniotic fluid. These compounds can be customized and contain growth factors that can promote ocular surface healing and cellular repair, normalization of corneal nerves, and reduction of inflammation.
Amniotic membrane bandage contact lenses- these biologic devices promote more rapid healing of severely compromised ocular surfaces, non-healing defects, and severe dry eye. They come in cryopreserved and dehydrated tissue options.
These treatments are used in concert with more traditional methods of dry eye management including anti-inflammatory medications, lubricants, ointments, punctal occlusion therapy and home care regimens.