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How Does Concourse Optometry Treat Dry Eyes?

Dry eye disease is often managed rather than cured. However, research and technology have given us significant improvements. Importantly, these can make a big difference to your quality of life.

After your dry eye evaluation, we will guide you through the appropriate treatment plan.

A close up of the eye with different types of vision.

A diagram of inflammation in the mgd process.

Dry Eye Treatments

Heat therapy with ThermaMedex EverTears eye pads, eyelid debridement, and manual meibomian gland expression. This treatment will heat the meibum to the correct temperature for expression. The debridement removes skin that may be growing over the gland orifices to allow optimum oil flow. The manual expression is done with a mastroda paddle to allow for a thorough expression.
Blepharitis treatment with ZEST, heat therapy with ThermaMedex EverTears eye pads, eyelid debridement, and manual meibomian gland expression. This treatment will involve a thorough cleaning of the eyelid margin with Zocular’s okra gel, and it will heat the meibum to the correct temperature for expression. The debridement removes skin that may be growing over the gland orifices to allow for optimum oil flow. The manual expression is done with a mastroda paddle to allow for a thorough expression.
Intense Pulse Light Therapy (IPL) This treatment is designed to apply light therapy to the cascade of blood vessels (located along your cheeks/flanks of your nose), feeding inflammatory mediators to the meibomian glands along the eyelid margin. This treatment photo-disinfects bacteria and Demodex, desaturates meibum for expression, decreases inflammation in the treated areas, and increases mitochondrial activity in the glands for remaining meibomian gland preservation. It also stimulates collagen deposition in the periorbital skin. Four sessions are needed for four consecutive months to restore the meibomian gland function. Maintenance after the four consecutive sessions usually occurs every 6 months to a year. If there is severe blepharitis, a ZEST eyelid treatment may be recommended prior to the first IPL session.
Punctal occlusion This treatment can bring great relief to patients with advanced aqueous deficient dry eye. The puncta are four tiny openings found in the inside corner of the eyelids toward the nose (one in each lid). These openings lead to unseen ducts responsible for draining tears into our nose and throat. Those suffering from severe aqueous deficiency often benefit by having their punctal openings painlessly occluded (blocked) to improve tear retention. Punctual occlusion options include a temporary “plug” (1 week up to 3 months) made of dissolvable collagen or synthetic materials or semi-permanent “plugs” made of silicone or hydrogel. These semi-permanent plugs are explantable if the need arises to remove them.

Trust Us with Your Visual Needs

At Concourse Optometry, we are committed to uncovering all of your visual needs and finding the best solutions.

Schedule a medical Dry Eye Evaluation Now