Dry eye syndrome is a common condition characterized by a lack of sufficient lubrication and moisture on the surface of the eye. This occurs when the eyes fail to produce an adequate amount of tears or when tears evaporate too quickly. Symptoms of dry eye syndrome may include persistent dryness, irritation, redness, a gritty sensation, and blurred vision. It can make wearing contact lenses uncomfortable and be accompanied by cosmetic issues on your face, such as rosecea. Factors such as aging, environmental conditions, certain medications, and underlying health issues can contribute to the development of dry eye syndrome. Fortunately, at Nikoumanesh Eye Care we offer cutting edge treatments to end your suffering.
Dry eye disease can manifest with a variety of symptoms, which may vary in severity from person to person. Common symptoms of dry eye disease include:
The aqueous layer makes up the bulk of your tear film, however your lacrimal gland may not be functioning properly enough to supply adequate water.
The oily component of your tear film Is critical to protect your tears from evaporating between blinks, however your oil glands may be clogged. Of those with dry eye, 86% have an oil gland dysfunction.
All dry eye is rooted in inflammation, but some have significant inflammation, potentially driven by systemic disease and lifestyle contributors.
The eyelid margin and eyelash follicles often harbor bacteria, biofilm, and even mites. Toxins are released into the tear film, causing additional inflammation and irritation.
If your lids do not fully seal during sleep, your eyes will dry out during the night. Additionally, if you do not blink fully or frequently enough due to structural issues or habit, the eyes will dry and burn.
Lighting and air quality influence the comfort of your eyes, especially with device use. Many will blink less frequently and less completely when using a device, causing the eyes to dry with exposure.
Autoimmune disease, Sjogren’s Disease, metabolic disease, stress, lack of sleep, and poor diet drive inflammation in the body and contribute to your ocular surface issues.
You may have ocular allergies, even in the absence of systemic symptoms. Ocular hypersensitivities can cause your eyes to be red, watery, itchy or filmy.
If you already know that you have dry eye or if you are diagnosed at your regular eye exam, the next step is to schedule a Dry Eye Evaluation. During that exam, we will perform several of the following diagnostics to determine the extent of your dry eye disease and to tailor a treatment plan to your needs.
We utilize the Firefly WDR slit lamp to examine multiple factors which may contribute to your dry eye. Those include meibography, tear breakup time, tear meniscus height, and lipid layer thickness. These are all captured in an easy to consume diagnostic report.
Of those with dry eyes, 86% have a problem with their meibomian glands. These glands are responsible for depositing oil into the tear film. If your tears lack oil, they will evaporate too quickly and cause you to feel dry. We will capture HD images of the glands to assess any atrophy, and we will clean and express the glands to see if they are clogged.
MMP9 is a specific inflammatory marker. Inflammadry detects the presence of elevated levels of MMP9, or inflammation, in the tears.
We test the particle concentration of the tears. Levels are elevated (high salt content) when there is not enough water and / or oil to dilute the tears. This hyperosmolarity drives inflammation.
We place special dyes in the eye to highlight damaged cells on the cornea, conjunctiva, and lid margin. This aids in diagnosis and helps you visualize the current status of your ocular surface.
We can order diagnostic allergy tests of the most common environmental/airborne allergens, along with select animals and foods. This allows us to rule in or rule out allergies as the cause of the ocular symptoms.
We offer Optlight by Lumenis IPL Treatment. Optilight is the first FDA approved IPL treatment for MGD, the leading cause of dry eye. Optilight attacks the inflammation which leads to oil gland damage and dry eye.
NuLids provides relief for dry, red, itchy, swollen eyes by targeting the meibomian glands in the eyelids. We offer an easy in-office treatment as well as a device to use at home between treatments.
Radio Frequency treatment helps to liquefy and express the meibomian gland secretions, improving the quality of the lipid layer of the tear film. This reduces tear evaporation and helps maintain ocular surface moisture. We typically include this treatment in conjunction with IPL.
Rinsada uses high pressure saline targeted underneath the eyelid and in the deep recess called the fornix where normal rinsing can not reach. Rinsada resets the ocular surface of the inflammation, pollutants and allergens it harbors.
Lacrifill is the next generation of punctal plugs, which help keep more tears in the eyes. This exciting new technology is made exclusively of hyaluranic acid and water, both of which are naturally occurring in the body. This produces more gentle, longer lasting, customized plugs for your eyes.
There are several new pharmaceuticals on the market which help reduce inflammation, increase tear production, and calm symptoms. We will prescribe the one which is best suited for your case.
These drops are custom made from a serum based upon your own blood plasma.
External Heat is an effective way of motivating meibomian oil glands. We will recommend utilizing different masks depending on your diagnosis and usage.
Nearly all people with dry eye symptoms can benefit by cleaning their lids daily. We will recommend the best and most gentle cleaning wipes for your eyes.
Dry Eye patients can benefit from medical grade omega-3s, as studies show they decrease inflammation and improve gland oil secretions. We recommend only high-quality medical grade omegas, which removes alcohol, as that alcohol causes fish burps and GI issues.
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