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Advanced Dry Eye Treatment

What is Dry Eye Syndrome?

Dry EyeDry eye related discomfort is one of the most frequent complaints heard by eye doctors. The symptoms of dry eyes are varied and the list below is by no means all inclusive, however patients that suffer from dry eyes usually experience a number of the following symptoms.

Dry eye syndrome, often referred to as keratitis sicca or keratoconjunctivitis sicca, is caused by insufficient and/or poor quality tears. There are three main components to human tears. Most human tears are produced by the lacrimal gland. The oily component of tears is produced by the meibomian glands and the third component, the goblet cells, keeps all of the components mixed up. When one of the parts of this mixture becomes unbalanced, dry eye syndrome can occur. There are numerous reasons as to why these glands may not be doing their part.

Insufficient tear production and/or poor tear quality are the most common causes of dry eye syndrome. Inflammation of the lacrimal gland is the most common cause of insufficient tear volume. Meibomian gland dysfunction, inflammation of the glands at the eyelid margin, contributes to poor tear quality.

Medications can also cause ocular dryness. Hormonal changes also contribute to insufficient and poor quality tears. 


Meibomian Gland Dysfuction

Meibomian gland dysfuntion, also associated with an eyelid condition called blepharitis, is the abnormality of the meibomian glands, which doesn't allow them to secrete enough oil into the tears. This causes tears to evaporate more quickly than normal and is a direct cause of dry eye. At Solomon Eye Associates, we are proud to annouce the latest technology: the Meibox Imaging device, which is revolutionizing the diagnosis and treatment of dry eye. The Meibox is able to provide higher resolution images of the miebomian glands. The device allows for easy integration and adaption into our practice's technology, making the process for you smoother than ever before. With this new tehcnology, we are able to effectively and efficiently treat yet another facet of dry eye.

Treatment Options for Dry Eye Syndrome

Allergan TruTear™

TruTear™ is a handheld stimulator that is used to temporarily induce the production of tears by being insterted into the nasal cavity. This is a technological breakthrough for patients who suffer from dry eye symptoms. as it is a non-invasive, effective method of temporarily increasing tear production without the need for drugs or surgery. Click here to read more FAQs on the TruTear™ technology! 


The eyeXpress® is a Class 1 (exempt), FDA cleared, therapeutic device that has opened up a new affordable way to treat dry eye and eye fatigue. Through the patented goggle system, the device provides uniform, constant, regulated, heat to the entire surface of the upper and lower lids. The eyeXpress® increases the tear film and aids in the eye hydrating itself. Providing a regulated temperature. The eyeXpress® softens the meibum and aids in meibomian gland expression and offers relief to the patient.


Artificial Tears

Artificial tears containing active ingredients such as carboxymethylcellulose, hydroxypropyl methylcellulose, glycerin, castor oil, polyethyline glycol or polyvinyl alcohol are used in mild cases of dry eyes. Not all artificial tear brands work the same or work in all patients. More severe cases require additional treatment. If you find yourself using your artificial tears three or more times a day you should use a preservative free tear. Most patients find that artificial tears do help, however the affect is only temporary, lasting only 10-15 minutes. Most of these patients will experience significant relief with punctal occlusion.

Punctal Occlusion

The puncta is the small opening found on the edge of the upper and lower eyelids next to the nose. Tears drain out of the eye through the puncta into the nose - this is why your nose runs when you cry. If you aren't producing enough tears then you don't want the tears that you are producing to be drained away.

Punctal occlusion is painless and performed in the office, taking only a couple of minutes.

For more information on dry eye and how it can be treated, contact us at Solomon Eye Physicians and Surgeons today!