Dry Eye Disease Diagnosis
Your Visual Acuity will be assessed using the Snellen eye chart which measures how well each eye can see. A detailed history of your eye comfort will be obtained. During an examination at the Slit Lamp Microscope, our doctors will evaluate your ocular surface and surrounding tissues. Successful treatment of dry eye disease is dependant on correctly diagnosing the underlying cause and level of severity of the disease.
AT EFEI, WE TAKE A COMPREHENSIVE APPROACH TO TREATING THIS DEBILITATING DISEASE. WE NOT ONLY LOOK AT THE AMOUNT OF TEARS PRODUCED, BUT AT THE OVERALL HEALTH OF TEARS AND THE WAY THEY LUBRICATE THE EYE.
A filter-paper strip is placed under the lower eyelid to measure the amount of tears that are produced in a given time frame.
LISSAMINE GREEN AND FLUORESCEIN DYES
These special dyes are used to show dry areas of the eye and identify underlying inflammation. They also help to access tear film quality and stability.
Lid disease is a major contributor to unhealthy tears. If lid disease is present, it must be managed first in order to successfully treat dry eye symptoms. Examples of lid disease are: Blepharitis, Meibomitis, and Lagophthalmos (incomplete lid closure).
DRY EYE DISEASE TREATMENT OPTIONS
Treatment is based on the cause and severity of the disease ad is customized on a patient by patient basis. Treatment is targeted at supplementing the tears, conserving the tears, preventing evaporation of tears, and increasing production of tears.
Artificial Tears lubricate the eyes and help replace the natural moisture layer of the tear film. They are available without a prescription in several different variations; preserved (in a bottle) – not recommended more than 4x a day, non-preserved (in a vial) – can be used as often as necessary and ointments – used mainly at night and which may cause temporary blurred vision. Artificial tears lubricate the eye, but they lack the complex mixture of proteins, mucins, and other factors found in normal health tears and are useful for temporary relief.
Punctal plugs conserve your own tears and make artificial tears last longer on the eye so that they do not drain out of the eye through small channels into the nasal cavity.
Eye IOUX is a new treatment done in the office that helps un-plug glands in the eyelid that produce part of your natural tears.
Prescription meds such as: anti-inflammatories, Restasis
Liposome Spray-effective in patients with eyelid infections/dry eye simultaneously
Above all – dry eye should not interfere with your lifestyle. Don’t suffer from chronic dry eye one more day!