Latest In Dry Eye Treatment

Dry Eye Questionnaire - English

Dry Eye Questionnaire - Arabic 

Breakthrough innovation in Dry eye treatment

We are happy to announce that we have launched realistic, Non-invasive evaporative dry eye treatment very first in gulf region in our Hospital. 

                       

Let us learn about dry eye before go for treatment     

             Dry eye occurs when the eye does not produce tears properly, or when the tears are not of the correct consistency and evaporate too quickly.

In addition, inflammation of the surface of the eye may occur along with dry eye. If left untreated, this condition can lead to pain, ulcers, or scars on the cornea, and some loss of vision. However, permanent loss of vision from dry eye is uncommon.

Dry eye can make it more difficult to perform some activities, such as using a computer or reading for an extended period of time, and it can decrease tolerance for dry environments, such as the air inside an airplane.

Other names for dry eye include dry eye syndrome, keratoconjunctivitis sicca (KCS), dysfunctional tear syndrome, lacrimal keratoconjunctivitis, evaporative tear deficiency, aqueous tear deficiency, and LASIK-induced neurotrophic epitheliopathy (LNE).

 

Types

1) Aqueous tear-deficient dry eye is a disorder in which the lacrimal glands fail to produce enough of the watery component of tears to maintain a healthy eye surface.

2) Evaporative dry eye may result from inflammation of the meibomian glands, also located in the eyelids. These glands make the lipid or oily part of tears that slows evaporation and keeps the tears stable.

    Dry eye can be associated with:

  • inflammation of the surface of the eye, the lacrimal gland, or the conjunctiva;
  • any disease process that alters the components of the tears;
  • an increase in the surface of the eye, as in thyroid disease when the eye protrudes forward;
  • cosmetic surgery, if the eyelids are opened too widely.

 
Symptoms:

  • stinging or burning of the eye;
  • a sandy or gritty feeling as if something is in the eye;
  • episodes of excess tears following very dry eye periods;
  • a stringy discharge from the eye;
  • pain and redness of the eye;
  • episodes of blurred vision;
  • heavy eyelids;
  • inability to cry when emotionally stressed;
  • uncomfortable contact lenses;
  • decreased tolerance of reading, working on the computer, or any activity that requires sustained visual attention;
  • eye fatigue.

 
Causes and Risk Factors

  • Dry eye can be a side effect of some medications, including antihistamines, nasal decongestants, tranquilizers, certain blood pressure medicines, Parkinson's medications, birth control pills and anti-depressants.
  • Skin disease on or around the eyelids can result in dry eye.
  • Diseases of the glands in the eyelids, such as meibomian gland dysfunction, can cause dry eye.
  • Dry eye can occur in women who are pregnant.
  • Women who are on hormone replacement therapy may experience dry eye symptoms. Women taking only estrogen are 70 percent more likely to experience dry eye, whereas those taking estrogen and progesterone have a 30 percent increased risk of developing dry eye.
  • Dry eye can also develop after the refractive surgery known as LASIK. These symptoms generally last three to six months, but may last longer in some cases.
  • Dry eye can result from chemical and thermal burns that scar the membrane lining the eyelids and covering the eye.
  • Allergies can be associated with dry eye.
  • Infrequent blinking, associated with staring at computer or video screens, may also lead to dry eye symptoms.
  • Both excessive and insufficient dosages of vitamins can contribute to dry eye.
  • Homeopathic remedies may have an adverse impact on a dry eye condition.
  • Loss of sensation in the cornea from long-term contact lens wear can lead to dry eye.
  • Dry eye can be associated with immune system disorders such as Sjögren's syndrome, lupus, and rheumatoid arthritis. Sjögren's leads to inflammation and dryness of the mouth, eyes, and other mucous membranes. It can also affect other organs, including the kidneys, lungs and blood vessels.
  • Dry eye can be a symptom of chronic inflammation of the conjunctiva, the membrane lining the eyelid and covering the front part of the eye, or the lacrimal gland. Chronic conjunctivitis can be caused by certain eye diseases, infection, exposure to irritants such as chemical fumes and tobacco smoke, or drafts from air conditioning or heating.
  • If the surface area of the eye is increased, as in thyroid disease when the eye protrudes forward or after cosmetic surgery if the eyelids are opened too widely, dry eye can result.
  • Dry eye may occur from exposure keratitis, in which the eyelids do not close completely during sleep.

 

Treatment

Depending on the causes of dry eye, your doctor may use various approaches to relieve the symptoms.


1.  
Lacrimal glands dysfunction

Dry eye can be managed as an on-going condition. The first priority is to determine if a disease is the underlying cause of the dry eye (such as Sjögren's syndrome or lacrimal and meibomian gland dysfunction). If it is, then the underlying disease needs to be treated.

In most cases, however, you must lubricate your eyes with artificial tears containing methylcellulose or polyvinyl alcohol. By placing these drops in your eyes every day, they supplement your own tears and make your eyes more comfortable. Although this course of self-care must continue throughout the rest of your life, it resolves the discomfort of dry eyes and helps avoid further problems, including possible vision loss.

If contact lens wear is the problem, your doctor may recommend another type of lens or reducing the number of hours you wear your lenses. In the case of severe dry eye, your eye care professional may advise you not to wear contact lenses at all.

Another option is to plug the drainage holes, small circular openings at the inner corners of the eyelids where tears drain from the eye into the nose. Lacrimal plugs, also called punctal plugs, can be inserted painlessly by an eye care professional. The patient usually does not feel them. These plugs are made of silicone or collagen, are reversible, and are a temporary measure. In severe cases, permanent plugs may be considered.

 

2.   Evaporative Dry EYE

Recognizing the symptoms of Evaporative Dry Eye

A leading, but commonly overlooked, cause of dry eye is meibomian gland dysfunction due to internal obstruction. It is usually not accompanied by obvious inflammation or other signs.

Physicians often suspect dry eye based on frequently reported symptoms, including dryness, discomfort and irritation, tiredness, sensitivity to light and grittiness. This is especially true in the presence of other symptoms such as pain or foreign body sensation, ocular fatigue, tearing or mucus discharge, transient blurring, symptoms that worsen later in the day, and contact lens intolerance.

 

Patient and Physician perspectives

The perspective of patients impacted by moderate-to-severe symptoms of dry eye differs from that of their physicians. For sufferers it is a high-involvement, lifestyle-impairing chronic disease with marginal or inadequate treatment.

  

 

The Science of Treating Meibomian Gland Dysfunction and Evaporative Dry Eye

LipiFlow utilizes innovative engineering technology to deliver precisely controlled and directed heat and intermittent pressure to the obstructed meibomian glands.

The LipiFlow Thermal Pulsation System is a significant technological shift in dry eye treatment. It applies novel engineering solutions to the long-accepted basic science of gland expression, effectively relieving obstruction of the meibomian glands and allowing the body’s natural production of lipids to resume.

  • For the first time, thermodynamic energy is delicately applied directly to the relevant inner lid surfaces to directly treat the meibomian glands simultaneously, while protecting the cornea.
  • Additionally, the mechanism required to deliver this energy is completely contained in the disposable eyepiece attached to the LipiFlow Control System.



 
Safety consideration for treating Evaporative Dry Eye

The LipiFlow has been designed with consideration of the requirements for both effectiveness and safety.

The Disposable is a sterile, single-use, biocompatible component for the treatment of Meibomian Gland Dysfunction, and features a combined eye cup and lid warmer.

The eye cup contacts the outer eyelid and contains a soft, flexible bladder that intermittently inflates in a controlled pressure profile to provide precise levels of pressure to the eyelids.

The lid warmer contacts the inner eyelid surface and provides controlled, outward directional warmth. It is shaped to vault above the cornea to prevent corneal contact, and rests on the conjunctiva of the eye, similar to a scleral lens. The lid warmer has an integrated insulator to shield the eye from thermal transfer, and redundant temperature sensors to ensure accurate control of the temperature at the eyelid surface.

 
Providing real relief for Evaporative Dry Eye

TearScience Thermal Pulsation System treats the root cause of Meibomian Gland Dysfunction.

The science behind our technology is based on more than 25 years of clinical research and anatomical findings in lipid deficient evaporative dry eye.

TearScience has developed, tested and obtained regulatory clearance for the (LipiView) Ocular Surface Interferometer, which enables ophthalmic professionals to capture digital images of the tear film.

The LipiFlow Thermal Pulsation System provides the physician with a clinically-tested method to apply directed heat and pressure to the obstructed meibomian glands, improving gland function and reducing dry eye symptoms.