I have dry eye, what are my treatment options?

October 6, 2020 by Sam Ven2

I think I have dry eye, what are my treatment options?


Dry Eye Treatments at Price Vision GroupAt Price Vision Group, we have a comprehensive list of treatment options for dry eye (ocular surface disorder) depending on the level of severity. The first step is to identify the symptoms of dry eye.



What are the symptoms of dry eye?


People suffering from dry eye can experience a few or many of the following symptoms:

  • Stinging, burning, or a scratchy sensation
  • Aching, heavy, sore, or tired eyes
  • Blurry vision

It may be surprising but another common symptom of having dry eyes is the constant watering of your eyes. Your body’s natural response to low tear production or low-quality tears is to increase tear production.



I have several of the symptoms described, what’s the cause of my dry eye?


We have several ways to identify the root cause of your dry eye. We will first have you fill out a questionnaire to understand the symptoms you are experiencing as well as the steps you’ve taken to treat the symptoms.

Fluorescein dye used to check tear film stability for dry eyeAn analysis will be performed to assess the stability of your tear film. During this test, a dark orange dye called fluorescein is placed onto the surface of your eye. Your doctor will view your eye using a special light to monitor how quickly your tears evaporate.

We will perform a corneal topography scan to study the surface of your eye. This technology gives us a sense of the overall smoothness of the ocular surface by reflecting light off the cornea and back into a camera. Infrared imaging device used to look at meibomian glands for dry eye

A special infrared imaging device may be used to view how well your meibomian glands are functioning. Studies have shown that 70-80% of patients suffering from dry eye symptoms have “evaporative tear loss.” The meibomian glands are responsible for producing the oil layer of the tear film to prevent the tears from evaporating too quickly. Blocked glands will produce tears that have inadequate amounts of oil which leads to quickly evaporating tears. Meibomian gland dysfunction (MGD) is one of the most common causes of dry eye.

Depending on our findings, your dry eye condition will be placed into one of three categories of severity.



Category 1


If you’re in Category 1, we will typically recommend a warm compress placed over the eyes twice a day to help clear up the blockage in the meibomian glands. We might also prescribe artificial tears to help provide lubrication for the eyes.


Warm compress over eye to treat dry eye

Oasis artificial tears for dry eye treatment


Category 2


If you’re in Category 2, your dry eye might be caused by inflammation. In this case, we would recommend prescription medication eye drops such as Xiidra, Restasis or Cequa. These drops work to break the inflammatory cycle by influencing the immune system.


Treatment options for category 2 dry eye

If the diagnosis for your dry eye is evaporative tear loss, we might recommend Intense Pulsed Light (IPL) therapy to treat the obstructed meibomian glands. This technology uses quick bursts of light to change blood vessels near the surface of the skin around the eyes. IPL therapy has been shown to reduce the blockage and helps the eyes produce a better quality tear film.



Learn more about Intense Pulsed Light (IPL) therapy

Category 3


If you’re in Category 3, aggressive management is required as the integrity of the eye itself is at risk. An amniotic membrane may be placed on the eye as it is packed with anti-inflammatory, anti-scarring, and pro-growth to jump-start the healing process.

We may prescribe serum tears which are specialty tears developed from the patient’s blood. The patient reports to a lab, has their blood processed and then mixed with the typical components of artificial tears. Interestingly, our blood is enriched with many anti-inflammatory growth factors that help restore the normal functioning of the ocular surface.



2 comments

  • Gary wells

    February 26, 2021 at 7:24 pm

    I have been referred to a cornea specialist who is questioning the idea of “polishing” my cornea; then applying an amniotic membrane.

    Yesterday he said he is nervous about the polishing as it might not heal properly due to my severe dry eyes and rough eye surface. He’s considering just applying the membrane and placed me on Lotemax for next 30 days.

    What does the polishing accomplish vs the membrane? He’s been working with for over two months.

    Reply

    • Sam Ven

      March 1, 2021 at 10:10 am

      Thank you for your message, Gary. When the cornea specialist mentioned “polishing,” he is probably referring to Superficial Keratectomy (SK). The SK procedure removes the outer epithelial cells of the cornea and allows the healthy cells to regenerate. It is true that dry eye can cause issues w/ healing and sometimes just application of amniotic is a treatment option without SK. If you’re looking for a second opinion, we’re happy to get you scheduled for an appointment. Here is a video of one of our patients talking about how SK with IPL helped treat his dry eye issues. https://youtu.be/FhXwzgdIuFU

      Reply

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