DRY EYE

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DRY EYE


Dry eye disease is a major and increasing eye health problem that often affects quality of life, causing interference with reading, computer use, driving, and contact lens wear. Symptoms of dry eye include burning, scratchiness, grittiness, foreign body sensation, tearing, redness, blurred vision, sensitivity to light, and discomfort (from mild discomfort to severe pain).

For over thirty years, Korb & Associates has played a major role in dry eye research, leading to an understanding of the cause of dry eyes, diagnosis and methods of treatment. The research began in the 1980’s with collaboration with Dr. Antonio Henriquez of Barcelona, Spain, resulting in a publication, Meibomian Gland Dysfunction (MGD), a term now used throughout the world and the subject of thousands of scientific articles. The meibomian glands are located in the eyelids and secrete an oily substance called lipid through openings along the lid margins. This lipid material provides the outermost layer of the tear film, giving it good quality and preventing the tear layer from evaporating quickly. Meibomian Gland Dysfunction (MGD) occurs when there is a blockage of the opening of the glands, preventing the secretion of the lipids. In addition to creating the symptoms of dry eye, MGD may also result in inflammation and chronic infections. The Tear Film and Ocular Surface Society, a prestigious international organization whose mission is devoted to advancing research and a better understanding of the tear film and dry eye, reported in 2008 that MGD, as originally described and named by Korb & Henriquez, is the most common form of dry eye. While there are many causes for dry eye, MGD which is the cause of the evaporative dry eye, is found in 86% of all dry eye patients.

Treatment regimes for dry eye are based on thorough diagnostic workups, frequently requiring multiple exams of several hours’ duration which may be needed to understand the nature and complexity of the condition. Treatments are varied and may include conventional methods and medications or custom procedures developed by our group.

If you have been unable to obtain relief from either over-the-counter or prescription remedies you have tried, it may be because they have not targeted the primary cause of your condition. To determine the cause, you should consider having an initial dry eye evaluation at our office. When calling for an appointment, please identify the symptoms you are having and state that you would like to be seen for an initial dry eye evaluation. Diagnostic visits may or may not be partially or completely covered by insurance plans. Patients with dry eye will receive the advantage of our 30 years of specialization in this area and the developments resulting from our extensive research programs.


DRY EYE IS THE WRONG DIAGNOSIS FOR MILLIONS

DRY EYE DIAGNOSTICS


Important tests for dry eye, which were developed through a partnership with Tearscience, Inc., include:

  • Meibography – Enables critical analysis of the structural integrity of the lipid producing glands of the lid.
  • Lipiview Ocular Surface Interferometer – Captures detailed digital images of the lipid content of the tears and quantifies the blinking reflex.
  • Meibomian Gland Evaluator – Measures the function of the glands during normal blinking.
  • Light Test – Diagnoses whether the lids are properly sealing to prevent exposure desiccation.
  • Evaporative Stress Test – Diagnoses whether improvement in symptoms occurs when evaporation of the tears is reduced.
  • Diagnostic Gland Expression – Examines the quality of the meibomian secretions and helps to establish a course of treatment.

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DRY EYE INTERVENTIONS


Dry Eye Interventions

Our philosophy is that successful treatment of dry eye is predicated on a management plan rooted in a thorough evaluation of each factor that can contribute to dry eye disease. We offer state of the art treatments for dry eye including:

  • LipiFlow Thermal Pulsation System – Treats evaporative dry eye disease, using precisely controlled heat and gentle pressure applied to the eyelids, to unblock obstructed Meibomian glands during a 12 minute, in-office procedure. LipiFlow allows Meibomian glands to resume there natural production of lipid needed for a healthy tear film.
  • Lid Margin Debridement – Removes material from the lid margin, enabling secretions from the Meibomian glands to spread across the ocular surface.
  • Scleral Contact Lenses – Provide a fluid reservoir over the ocular surface which can promote healing of the ocular tissues and protect the surface of the eye from desiccation.
  • Custom Moisture Chamber Spectacles – Can provide relief from severe symptoms by enabling a high humidity microenvironment. These are also available in custom prescriptions.

These treatments are used in concert with more traditional methods of dry eye management including medications, drops, ointments and punctal occlusion therapy.


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DRY EYE PRODUCTS


Doctor Korb is the inventor of two commonly used dry eye products: Systane Balance™ and Soothe XP™.The following products are recommended by our doctors and are available for purchase in our office.

Gels

  • Systane Gel™ (Alcon)
  • Refresh PM™ (Allergan)
  • Genteal Gel™ (Novartis)
  • Total Lid Care Naturale™

Note: These products do not contain preservatives or lanolin.

Other

  • Onyix™ sleeping mask
  • Panoptyx™ dry eye glasses
  • Avenova™ cleanser
  • Warm compress towels
  • Custom microenvironent prescription glasses and sleeping masks

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