Dry Eye Therapy
The tear film is a complex structure of mucin, tears and oil that protects the surface of the eyes. When the tear film is compromised, it results in a variety of symptoms, most of which have been associated with Dry Eye and MGD (Meibomian Gland Dysfunction). Understanding the tear film is key to seeing the clear differences between tear deficiency issues and MGD, especially since MGD is more common and has greater long term impact on Dry Eye symptoms.
Understanding Dry Eye

Mucin Layer
The Sticky Foundation
The mucin (mucous) layer at the bottom of the tear film provides a “sticky” foundation and acts as a barrier to the eye surface.
Aqueous Layer
The Watery Center
The aqueous layer is the “juicy” center that is comprised of tears produced by the lacrimal glands.
Lipid Layer
The Oily Top
Finally, the top “oily” lipid layer of the tear film is made up of lipids or oils produced from the meibomian glands. The lipid layer is necessary for a stable tear film and keeps the aqueous layer from evaporating.
The Leading Cause of Dry Eye Symptoms: Blocked Glands in the Eyelids

Normal Gland Structure

Gland Shortening and Loss

Significant Gland Loss

Severe Gland Loss
Dry Eye Therapies
Lipiflow
Addressing the Root Cause of Most Dry Eye Cases
LipiFlow provides a precise application of simultaneous heat and massage to the inner and outer eyelids. This 12 minute treatment performed in your doctor’s office is designed to remove blockages from the Meibomian glands, allowing them to properly function and produce the oils that make up the top protective lipid layer of the tear film.
This is good news for the overwhelming majority of patients who suffer from Dry Eye symptoms caused by Meibomian Gland Dysfunction (MGD). Over time after treatment, the Meibomian glands may become blocked again due to infrequent blinking from modern lifestyles; thus, the oil in the glands tends to thicken and impedes proper oil production. If this occurs, repeat treatments may be required over the long-term.
If you suffer from Dry Eye symptoms, ask your eye care professional to check for MGD and find out more about treatment with LipiFlow.
OTHER TREATMENTS

PROKERA
Doctors use Prokera to protect, repair and promote healing of damaged eye surfaces.

Gland Expression
Clearing the Meibomian glands from waxy build-up can allow the Meibomian glands to begin working.

Punctal Plugs
Punctal plugs are inserted into the tear ducts, with a goal to holding tears on the eye.
Daily Maintenance for Dry Eye

Eye Drops
Ocular lubricants, both over-the-counter and prescription, are used to provide temporary relief from Dry Eye by adding fluid to the eye.

Warm Compress
Warm/Hot compress heat the eyelids from the front surface to provide temporary, short-term symptom relief.

Lid Scrubs
Eyelid scrubs remove debris from the eyelashes and lid margin.

Omega -3
Omega-3 oils have been known to suppress inflammation or irritation in some Dry Eye patients.