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Dry Eye
THERAPY

Did you know
1 IN 3 CANADIANS ARE IMPACTED BY DRY EYE DISEASE?

Thorough dry eye examination

What is
DRY EYE DISEASE?

Dry Eye Disease is a common condition that occurs due to a lack of moisture on the surface of our eyes. It can be temporary or chronic and caused by a variety of factors that include minimal tear production, poor overall tear quality and rapid evaporation. Our goal is to properly diagnose and treat Dry Eye Disease before it causes damage to the eye’s surface.

What are the
SYMPTOMS?

If you experience Dry Eye Syndrome, your eyes may sting or feel scratchy. There are certain temporary environmental situations where you may have felt this, such as on a plane or staring at a screen for long periods of time. For this, relief may be as simple as eye drops or environmental changes.

If you experience the following symptoms more regularly however, we recommend booking an eye assessment:

  • Dryness or itching
  • Scratching or burning
  • Watery eyes
  • Redness
  • Mucus
  • Light sensitivity or blurred vision
  • Difficulty with contact lenses or nighttime driving
Thorough dry eye examination

Advanced
DIAGNOSTIC TESTING

Dry eye speed questionnaire

Our Dry Eye Speed Questionnaire helps our doctors better understand the frequency and/or severity of a patient’s dry eye symptoms. It can also track the overall progress of those undergoing treatment for Dry Eye Disease.

Keratograph 5M

The Keratograph 5m machine is used to perform a variety of tests prior to the appointment with the doctor.

First, we examine the overall tear film stability through Tear Break-up Time measurements or TBUT. Patients who are diagnosed with dry eyes often have unstable tear film. This means that their tears break up faster than normal (in under 10 seconds) on the surface of the eye. The Keratograph instrument also allows us to measure the tear meniscus height and capture high-resolution images of the meibomian glands and corneal surface. A low meniscus height indicates lower overall tear volume, which can cause dry eye symptoms.

Diagnostic dye and lissamine green staining

These tests use a yellow or green dye along with a blue or white light to detect damage that may have occurred on the surface of the eye. A piece of blotting paper containing dye is touched to the eye and the patient is asked to blink. This spreads the dye on the tear film and when the blue or white light is directed at the eye, irregularities or damage to the cornea may be uncovered.

TearLab

TearLab is a hand-held instrument that can be used to measure a patient’s tear osmolarity levels, indicating the overall salt concentration found within tears. Patients that receive a score of >300 often have an imbalance of salt and water within their tears, which can be a strong indication of Dry Eye Disease.

We apply the latest diagnostic testing and techniques
right from our clinic 

Customized techniques and
TREATMENT PLANS

General health, medications and environmental factors are all considerations in managing and treating Dry Eye Disease. Our doctors have extensive training and are passionate about staying on top of the newest and best treatments available. We evaluate our patients thoroughly and then design specific treatment plans for each individual.

Intense pulsed light

Intense Pulsed Light, or IPL, is an innovative treatment that helps to break down thicker oils within the meibomian glands to reduce inflammation. IPL can also increase mitochondrial regulation to help our glands produce better quality oils, as well as remove bacteria and large dilated blood vessels on the surface of the skin.

Radio frequency

Radio Frequency, or RF, helps to reduce the overall thickness of oil found within your meibomian glands. It can also help increase oil production while creating tighter skin on your face.

Meibomian gland expression

This test allows us to see if your oil-secreting meibomian glands within the eyelids are clogged. These oils help prevent tear evaporation, which can lead to irritation and inflammation on the surface of the eye. Meibomian gland expression is often completed after IPL and RF treatments, but can also be performed on its own.

Drops

Steroid eye drops are prescription medications that help treat the signs and symptoms of Dry Eye Disease. These options can be filled at your local pharmacy with a referral and can take up to 3 months to take effect.

We also carry a wide variety of preservative and phosphate-free lubricating drops. These drops are often used 2-4 times per day and help to stabilize the lipid layer, allowing for higher tear retention to improve overall comfort throughout the day. These drops can be purchased in our clinic or online.

Finally, plasma-rich platelet drops, or PRP, are made from your own blood, which contains platelets that are rich in healing growth factors, cytokines, albumin and several natural vitamins. These factors help reduce inflammation on the surface of your eyes, which can help treat dry eye symptoms. Patients are referred to a separate clinic for PRP treatments.

Lid cleansers

Good quality lid cleansers can be applied directly onto the eyelids/eyelashes and are helpful in reducing demodex bacteria and inflammation. We carry a wide variety of options and often recommend our patients to use these cleansers between 1-2 times per day.

Environmental factors and diet

We believe in treating eye conditions holistically. There are diet and environmental factors that can also help with dry eye, including using humidifiers, eating carrots, orange peppers and green leafy vegetables and avoiding inflammatory items like gluten and dairy. Learn more

Omega 3s, or “healthy fats”, are also an important part of our diet and treating Dry Eye Disease. They are found in fish, nuts and avocados, but we generally don’t consume enough of these foods throughout the day. It’s also more common to have Omega 6 and 9, or “bad fats”, in our diets, which can lead to further inflammation and dry eye symptoms. Omega 3 supplements can help thin oils that are clogged in the lid margins of your meibomian glands, while also decreasing overall inflammation. .