Dry Eye Evaluations

With today's dependence on digital screens, dry eye is more-common than ever.

Dry eye is a condition in which a person doesn't have enough quality tears to lubricate and nourish the eye. Tears are necessary for maintaining the health of the front surface of the eye and for providing clear vision. Dry eye is a common and often chronic problem, particularly in older adults.

With each blink of the eyelids, tears spread across the front surface of the eye, known as the cornea. Tears provide lubrication, reduce the risk of eye infection, wash away foreign matter in the eye and keep the surface of the eyes smooth and clear. Excess tears in the eyes flow into small drainage ducts in the inner corners of the eyelids, which drain into the back of the nose. Dry eyes can occur when tear production and drainage is not in balance.

Symptoms of dry eyes:

  • 1.

    Stinging, burning, or irritated eyes

  • 2.

    The feeling that something is in the eye

  • 3.

    Interimttently watery eyes

  • 4.

    Blurry vision in between blinks

  • 5.

    Difficulty driving at night

  • 6.

    Inability to wear contact lenses comfortably


Types of Dry Eye

Age Related

Common Blepharitis

Demodex Mites

Evaporative

Oil Gland Dysfunction

Inflammatory

Medication Induced

Disease Related

Contact Lens Related

    Steps involved in a special dry eye evaluation:

    1. Anterior segment exam to assess redness, corneal integrity, meibomian gland health, and tear quality.
    2. Medication analysis to uncover medicines that cause dry eyes.
    3. Traditional corneal staining and TBUT (tear break up time)
    4. Schirmer's tear testing to measure eye moisture
    5. Tear film analysis using a computerized measuring device.
    6. Meibography to photograph and measure the amount of moisture glands you have left.

    After this thorough evaluation, we will be in a position to determine the type of dry eye that you have as well as the specific treatment protocol that will help you the most.

    Dry Eye Therapies

    • Typical articial tears (preservative-free recommended)
    • Long-term anti-inflammatory prescription eye drops such as Restasis or Xiidra
    • Short-term anti-inflammatory prescription steroid eye drops
    • Short or long term doxycycline to reduce inflammation and improve tear quality
    • Punctal plugs to allow the tears you do make to stay on your eyes longer.
    • Meibomian gland expression to ensure your eyes' oil glands are not clogged
    • Lacrisert pellets for advanced dry eye
    • Blephex eyelid exfoliation
    • Warm compresses
    • Eyelid scrubs and daily cleaning regimen
    • Nighttime goggles
    • IPL for Dry Eye
    • Tears

    • Meds

    • Plugs

    • Expression

    • Blephex

    • Scrubs

    • Warmth

    • IPL


    Eye Emergency?

    If you have a true ocular emergency after hours please call 804-595-2020 and follow the prompts to contact a doctor. If the doctor cannot respond in a timely manner, please find the nearest emergency room.