Understanding Dry Eye

Many who live in the Santa Clarita and Antelope Valleys are familiar with the common symptoms of dry eye disease such as redness, irritation, and chronically feeling like something is in the eyes. Other common symptoms, although classic, are not usually associated with having dry eye disease. These symptoms include excess tearing and fluctuating vision. Excess tearing is commonly reflex tearing associated with the irritation caused by dryness. Fluctuating vision is also a hallmark for dry eye disease.

The tear film that coats the front part of the eye is the most important layer for good vision. This tear film is composed of multiple components but the most important component is the oily layer that is produced by glands in the eyelids. Over the years, some or many of these glands can die off and other glands can become obstructed. This leads to an abnormally thin and unstable tear film causing blurred or fluctuating vision and other symptoms of eye irritation. Fortunately there are many things we can now do to improve the function of these eyelid glands and improve your vision quality and the comfort of your eyes.

Dry Eye Symptoms

Redness
Irritation
Burning sensation
Excess tearing
Fluctuating vision

What Causes Dry Eye?

Age - Dry eye is a part of the natural aging process. The majority of people over age 65 experience some symptoms of dry eye.
Gender - Women are more likely to develop dry eyes due to hormonal changes caused by pregnancy, the use of oral contraceptives, and menopause.
Medications - Certain medicines, including antihistamines, decongestants, blood pressure medications and antidepressants, can reduce the amount of tears produced in the eyes.
Medical Conditions - Persons with rheumatoid arthritis, diabetes and thyroid problems are more likely to have symptoms of dry eyes. Also, problems with inflammation of the eyelids (blepharitis), inflammation of the surfaces of the eye, or the inward or outward turning of eyelids can cause dry eyes to develop.
Environmental Conditions - Exposure to smoke, wind, and dry climates can increase tear evaporation. Failure to blink regularly, such as when staring at a computer screen for long periods of time, can also contribute to drying of the eyes.
Other Factors - Longterm use of contact lenses can be a factor. Refractive eye surgeries, such as LASIK, can cause decreased tear production and dry eyes.

Dry Eye and MGD

Understanding MGD

Many commonly attribute their eye discomfort to dry eye, when a leading cause of the burning, scratching and redness is Meibomian Gland Dysfunction or MGD.
MGD occurs when there is a compromise to the function and/or structure of the Meibomian glands. These glands, located in the eyelids, produce the protective oily (lipid) layer of the tear film. This oil helps protect the surface of the eye from disease and prevents the watery part of the tears from evaporating when your eyes are open. Without these oils, the eyes become more susceptible to the negative effects that dry climates, air conditioning, computer use, reading and other daily activities can have on the long-term health of our eyes.


Treating MGD with LipiFlow®

LipiFlow® is a treatment performed in your doctor’s office designed to remove blockages from the Meibomian glands, allowing them to properly function and produce the oils that make up the top protective lipid layer of the tear film. LipiFlow® is supported by more than 30 patents with studies demonstrating its safe and effective results.(1) It is designed to minimize patient discomfort during a 12-minute treatment that gently massages the eyelids.

LipiFlow® Activators are single-use sterile devices that safely and comfortably deliver a combination of heat to the inner lids and simultaneous therapeutic motion to the outer lids, removing blockages from the Meibomian glands.1 The Activators are contoured to avoid contact with the cornea, protecting the delicate structures of the eye.

Once the gland blockages are removed, the glands can resume normal oil or lipid production. This oil is essential for a healthy tear film, providing stable vision and ocular comfort. As normal gland function recovers, maximum results are usually experienced 6-8 weeks after treatment.

LipiFlow

LipiFlow® Safety Information

INDICATIONS FOR USE

The LipiFlow® System is intended for the application of localized heat and pressure therapy in adult patients with chronic cystic conditions of the eyelids, including Meibomian Gland Dysfunction (MGD), also known as Evaporative Dry Eye or Lipid Deficiency Dry Eye.

CONTRAINDICATIONS

Do not use the LipiFlow® System in patients with the following conditions. Use of the device in patients with these conditions may cause injury. Safety and effectiveness of the device have not been studied in patients with these conditions.

• Ocular surgery within prior 3 months, including intraocular, oculo-plastic, corneal or refractive surgery procedure
• Ocular injury within prior 3 months
• Ocular Herpes of eye or eyelid within prior 3 months
• Active ocular infection
• Active ocular inflammation or history of chronic, recurrent ocular inflammation within prior 3 months
• Eyelid abnormalities that affect lid function
• Ocular surface abnormality that may compromise corneal integrity

PRECAUTIONS

The Activator or Activator II (Disposable) may not fit all eyes, such as small eyes (eyes with small palpebral fornices).
Use of the LipiFlow® System in patients with the following conditions may result in reduced treatment effectiveness because the conditions may cause ocular symptoms unrelated to cystic meibomian glands. Safety and effectiveness of the device have not been studied in patients with these conditions.

• Moderate to severe (Grade 2-4) eye allergy (allergic vernal, or giant papillary conjunctivitis)
• Severe (Grade 3 or 4) eyelid inflammation. Patients with severe eyelid inflammation should be treated medically prior to device use.
• Systemic disease conditions that cause dry eye
• Taking medications known to cause dryness
• Esthetic eyelid and eyelash procedures

In addition, the treatment procedure may loosen previously inserted punctal plugs, which may worsen the patient’s dry eye symptoms.

POTENTIAL ADVERSE EFFECTS

Potential adverse effects that may occur as a result of the procedure include, but are not limited to the onset or increase in: eyelid/eye pain requiring discontinuation of treatment procedure; eyelid irritation or inflammation [e.g., swelling (edema), bruising, blood blister, skin irritation (dermatitis), stye (hordeolum or chalazion)]; ocular surface irritation or inflammation [e.g., scratch on the eye surface (corneal abrasion), eye swelling (conjunctival edema) or eye redness (conjunctival injection or hyperemia)]; and ocular symptoms (e.g., burning, stinging, tearing, itching, discharge, redness, foreign body sensation, visual disturbance, sensitivity to light).

Potential serious adverse events (defined as permanent impairment or damage to a body structure or function or necessitates medical or surgical treatment to preclude permanent impairment or damage to a body structure or function) that are not anticipated because of the device mitigations to prevent occurrence include: thermal injury to the eyelid or eye, including conjunctiva, cornea or lens; physical pressure-induced injury to the eyelid; and ocular surface (corneal) infection.

Glaucoma Frequently Asked Questions

Who’s at the most risk for glaucoma?

Anyone can get glaucoma. However, if you’re over age 50, diabetic, have high blood-pressure or have a family member with glaucoma, you are at higher risk for glaucoma than others.

Is there any way to prevent glaucoma?

Most types of glaucoma cannot be prevented.

What are the signs and symptoms of glaucoma?

There are usually no signs that you’re developing glaucoma until vision loss occurs. This is why it’s so important to have regular eye exams. If diagnosed early, glaucoma can be treated before it progresses to loss of vision.

Is glaucoma curable?

Sometimes glaucoma can be cured. In most cases glaucoma is treatable to prevent further damage to the eye.

Glaucoma Frequently Asked Questions

Who’s at the most risk for glaucoma?

Anyone can get glaucoma. However, if you’re over age 50, diabetic, have high blood-pressure or have a family member with glaucoma, you are at higher risk for glaucoma than others.

Is there any way to prevent glaucoma?

Most types of glaucoma cannot be prevented.

What are the signs and symptoms of glaucoma?

There are usually no signs that you’re developing glaucoma until vision loss occurs. This is why it’s so important to have regular eye exams. If diagnosed early, glaucoma can be treated before it progresses to loss of vision.

Is glaucoma curable?

Sometimes glaucoma can be cured. In most cases glaucoma is treatable to prevent further damage to the eye.

If You Have Any Questions Call Us At +1-661-259-3937