When tears are too few or evaporate too quickly, the eye's surface is damaged. Treatment depends on the cause.
Most dry eye is the type where tears evaporate quickly, and a leading cause is meibomian gland dysfunction. Different causes call for different treatments.
Diagnostic · Dry eye testingOCULUS Keratograph 5MThe OCULUS Keratograph 5M images the meibomian glands and measures tear meniscus height, tear film breakup time, the lipid layer and redness.
Treatment · Meibomian glandLipiFlowLipiFlow applies heat to the inner eyelid and intermittent pressure to the outer eyelid, melting hardened secretions in the meibomian glands and helping them drain.
Treatment · Dry eye & eye areaIPL AQUA CELIPL AQUA CEL applies pulsed light around the cheekbones and temples to calm vascular inflammation and activate meibomian gland function.
Too few tears, too much evaporation or an imbalance in tear composition damages the eye's surface, causing stinging, irritation and a gritty feeling.
Eyeliner tattoos and similar can block the eyelid oil glands.
Lenses make the tear layer unstable.
Temporary dryness may occur after surgery.
Looking at computers and phones for long periods makes you blink less.
Tear production decreases with age.
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Three or more apply. An eye exam can tell you exactly where things stand.
Submit requestDry eye is divided into a type with too few tears and a type where tears evaporate too quickly, and most cases are the latter. The 20–25 meibomian glands along the eyelid margin release oil that keeps tears from evaporating; when these glands are blocked, meibomian gland dysfunction results.
Gentle heat melts hardened secretions in the meibomian glands to restore tear film balance.
Under a slit-lamp microscope, inflammation and oil that disrupt the tear layer are removed.
Pulsed light is applied around the cheekbones and temples to activate the meibomian glands. Treatment takes about 10 minutes.
Applies 42.5°C heat and gentle pressure to the inner eyelids. Both eyes are treated at the same time for 12 minutes.
Plugs close the tear ducts where tears drain, preserving tears. They last about 4 months and the procedure takes 3–5 minutes.
Much dry eye is caused by inflammation, so it is better to treat the inflammation first and improve tear quality before the procedure. Brief pain or bleeding may occur for 3–6 days afterward.
Uses wavelength filters to treat vascular inflammation and helps release hardened oil at the meibomian gland openings, treating a cause of dry eye.
A dedicated device that applies heat and pressure to the eyelids to melt hardened secretions in the meibomian glands and help restore their function.
Images the meibomian glands and measures tear meniscus height, tear break-up time, lipid layer and redness.
When the eye surface dries out, the irritation can trigger a reflex flood of tears. Having lots of tears doesn’t mean you don’t have dry eye.
Scratchy and stinging, as if sand got in.
Fine in the morning, but vision blurs in the afternoon after long screen time.
You keep needing to blink a few times before things look sharp.
Bright light dazzles your eyes, and the whites often turn red.
Dry eye comes in two types—too few tears, or tears that evaporate too fast—and treatment depends on the cause. So we look at several factors together.
We ask when and how often symptoms occur, and about your screen and contact lens habits.
We measure how many tears you produce and how quickly they dry after you open your eyes.
We check whether the oil glands are blocked and whether the lid margins are inflamed.
Based on the results, we choose what you need from warm compresses and gland expression, IPL, LipiFlow, and punctal occlusion.
| IPL Aquacel | LipiFlow | Punctal occlusion | |
|---|---|---|---|
| What it does | Uses pulsed light to restore meibomian gland function | Applies heat and pressure to the inner eyelids together | Plugs the tear ducts so tears stay on the eye longer |
| Time | About 10 minutes | 12 minutes, both eyes at once | 3–5 minutes |
| Suited to | Dry eye from a thin oil layer, or eyelid inflammation | Contact lens wearers, long hours at a computer, after cataract surgery | Chronic dry eye that returns soon after artificial tears |
We don't recommend punctal occlusion as a first treatment. We treat inflammation first to improve tear quality, then perform it.
Daily habits can't replace treatment, but they help keep symptoms from flaring up again.
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They help with mild dry eye, but care depends on the cause. If your eyes dry out again soon after artificial tears, it's worth checking your tear film and meibomian glands.
Yes. Looking at screens for long periods reduces blinking, so tears evaporate faster. Contact lenses and dry indoor air also play a role, so it can happen at any age.
It can. When the eye surface dries out, the irritation can trigger reflex tearing.
Dissolvable plugs dissolve after about 4 months. If they helped, the procedure can be repeated.
It treats the upper and lower lids at the same time, both eyes together, for 12 minutes.
It can make reading, driving and work increasingly uncomfortable, and severe dry eye left for a long time can damage the cornea. If symptoms keep coming back, get checked.
We first identify your type of dry eye, then choose the right treatment.
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