It’s time for a revolutionary approach for Dry Eye treatment.
If you’ve been suffering with this painful condition- or think you may have it – we can determine the cause of your symptoms and apply therapy appropriate to your specific needs that may make your daily discomfort a thing of the past. We also offer the new LipiFlow® thermal® pulsation treatment, if you suffer from evaporative Dry Eye you can now get this treatment in our office. With just one treatment, you may experience sustained relief.
LipiFlow® is designed to provide relief, so you can get on with your life.
Evaporative Dry Eye can be a thing of the past with LipiFlow®
Contact Seema Eye Care Centre for more information on Dry Eye treatment with Lipiflow
How do we determine if you are suffering from Dry Eye?
In our Dry Eye Clinic we will conduct a series of evaluations and determine the likely cause of your Dry Eye symptoms.
First, you will complete a Dry Eye lifestyle questionnaire – this brief assessment allows us to understand how your eyes feel on a daily basis. (Feel free to print out our online copy, complete the questionnaire, and bring it to your next appointment.)
If the questionnaire indicates symptoms beyond mild, we will proceed with LipiFlow® – This technology allows the physician to evaluate the lipid (oil) layer on your eye.
Here’s how it works:
LipiFlow® takes extremely detailed images of your eye’s tear film.
The procedure is non-invasive, can be preformed in our office, and takes less than five minutes. If you’ve ever had a comprehensive eye exam, LipiFlow® will feel similar. The tear film can be clearly seen as an array of colors that are reflected when a light source is directed toward the front surface of the eye. Readings are instantly calculated and displayed on the LipiFlow® monitor.
Typically, our physician will perform a Meibomain gland evaluation.
LipiFlow® is an imaging device that is intended for use by a physician in adult patients to capture images of the tear film. The following conditions may affect the assessment of a patient’s tear film using the LipiFlow®
- Use of ophthalmic drops such as artificial tear lubricants, ointments and medications. Patients should not use oil-based ophthalmic drops (e.g., Soothe®, Restasis®) for at least 12 hours prior to LipiView® assessment. Patients should not use ointments for at least 24 hours prior to LipiFlow® use.
- Soft or rigid contact lens wear – patients should remove contact lenses at least 4 hours prior to device use.
- Use of oil-based facial cosmetics around the eye.
- Eye rubbing.
- Recent swimming in a chlorinated pool. Patients should not swim for at least 12 hours prior to LipiView® use.
- Any ocular surface condition that affects the stability of the tear film. These conditions include disease, dystrophy, trauma, scarring, surgery, or abnormality.
Following these evaluations, we will then determine whether or not you have Evaporative Dry Eye or Meibomian Glad Dysfunction and if you are a candidate for LipiFlow®.
If you’ve been unable to receive long-lasting relief from the over-the-counter or prescription remedies you’ve tried, it may be because they haven’t been targeting the primary cause of your condition – the blockage of your Meibornian glands located in your eyelids. Perhaps you’ve tried things like eye drops and warm compresses, which many find inconvenient and only offer short-term relief.
The LipiFlow® Thermal Pulsation System, by TearScience®, is a significant technological shift managing Evaporative Dry Eye. With a single procedure, applying a combination of directed heat and pulsatile pressure, many find a single treatment effective in relieving the blockage of their Meilbomian glands. The LipiFlow® System is intended for the application of localized heat and pressure therapy in adult patients with Evaporative Dry Eye. Opening the blocked glands may allow your body to resume its natural production of tear film oil.
NO OTHR DRY EYE THERAPIES DO WHAT THE PULSATION SYSTEM CAN!
LipiFlow® treatment is clinically proven with sustained results. In a clinical study about 79% of patients reported an improvement in overall dry symptoms after a single LipiFlow® treatment. Depending on the severity of your specific condition and your response to treatment, you may need to repeat the LipiFlow® treatment periodically as your symptoms return over time.
With LipiFlow® – and regular checks and ongoing care to monitor your progress – let us help you experience Dry Eye relief like never before.
Goodbye Evaporative Dry Eye. Get started today!
If you’re ready to kick Evaporative Dry Eye, all it takes is a phone call to get started. Make an evaluation appointment with our Dry Eye Clinic and determine if you’re a candidate for LipiFlow®.
What actually happens during a LipiFlow® treatment?
The LipiFlow® Activator (a disposable eyepiece) is inserted under your lower and upper eyelid and is shaped to prevent contact with your cornea. Once in place, you simply recline in the treatment chair and experience the 12-minute procedure. In a clinical study, 32% of patients reported no discomfort and 48% of patients noted awareness of pressure without pain during the LipiFlow® treatment. The average total Meilbomian gland score for patients who received a single LipiFlow® treatment more than doubled from 6.3 + 3.5 glands at the baseline to 16.7 + 8.7 glands at 4 weeks. As previously mentioned, 79% of patients treated with LipiFlow® in the clinical study reported an improvement in overall Dry Eye symptoms.
Why is LipiFlow® superior to other Dry Eye Therapies?
If you’re a moderate to severe Evaporative Dry Eye sufferer, life can seem like a constant battle to alleviate symptoms. Those drops and warm compresses become a regular ritual. You’ve tried blinking exercises and lid scrubs. And you avoid wearing contact lenses and extended sessions in from of the computer.
- The first and only treatment that addresses the cause of Evaporative Dry Eye at the source, allowing your eyelid glands to produce the oils required for a healthy tear film. Other treatments – warm compresses and drops – just give you temporary symptomatic relief.
- The only treatment that can give you sustained relief through improved gland function. Other treatments require daily, and some times even hourly attention to keep your Evaporated Dry Eye under control.
- A powerful step in managing Dry Eye disease, providing symptom relief and helping stop the cycle of Dry Eye deterioration and worsening symptoms.
Where can I find detailed safety information about LipiFlow®?
SEE BELOW FOR PATIENT SAFETY INFORMATION
Get immediate, lasting Dry Eye relief – Start Now!
Are you ready to experience the relief of LipiFlow®? Get started by downloading and filling out the Download Adobe PDF form Dry Eye Condition Self Examination Form. Bring it to your next appointment and we will discuss results with you.
PATIENT SAFETY INFORMATION
The LipiFlow® System is used by your doctor for the application of localized heat and pressure therapy in adult patients wit chronic cystic conditions of the eyelids, including Meibomain Gland Dysfunction (MGD), also known as Evaporative Dry Eye or lipid deficiency dry eye.
The LipiFlow® System is a prescription device. Federal law restricts the device to sale by or on the order of a licensed doctor. You are not a candidate for LipiFlow® if you have experienced any of the following conditions within the last 3 months: eye surgery; eye injury; Herpes of the eye or eyelid; or history of chronic eye infection, eye inflammation, eyelid irregularity or eye surface irregularity.
Tell your doctor if you have a history of eye allergies, eyelid inflammation, systemic disease that causes dry eye, or are taking medications known to cause dryness. The device may not fit all eyes, such as small eyelids anatomy. In addition, the treatment procedure may loosen previously inserted punctual plugs, which may worsen dye eye symptoms.
Possible adverse events that may occur as a result of the treatment procedure include, but are not limited to the onset of or increase in: eyelid or eye pain requiring discontinuation of the treatment procedure; redness and/or swelling of the eyelid or eye surface; irritation of the eye surface; inflammation of the glands in the eyelid, stye in the eyelid, slight worsening of eyelid gland blockage, and eye symptoms of dryness, redness, burning sensation, eye fatigue, hazy or blurred vision, and sensitivity to light. Potential serious adverse events that are not anticipated because the device is designed to prevent occurrence include: thermal injury of the eye or eyelid, physical pressure-induced injury to the eyelid, and eye surface infection.
The LipiFlow® Ocular Surface interferometer is an eye imaging device used by your doctor in adult patients to take digital pictures or images of the tears on the surface of the eye, known as the tear film, called specular (interferometric) observations. Using the LipiFlow® Interferometer is a prescription device. Federal law restricts the device to sell by or on the order of a licensed doctor.
Prior to taking images of your tear film, advise your doctor if you have used eye drops recently; worn contact lenses; used oil-based cosmetics around your eye; rubbed your eye; recently swam in a chlorinated pool; or are aware of any condition that affects your eye surface and the stability of your tears. These conditions may affect the imaging assessment of your tear film.
Learn More About LipiFlow®
What is Dry Eye Syndrome
Dry Eye Syndrome is a growing epidemic that has eye care professionals around the world concerned. Both optometrists and ophthalmologists are working together to evaluate and treat patients that suffer from this very distracting eye problem. Dry eye syndrome is similar to what it sounds like but constitutes a lack of lubrication or moisture in the eyes related to the tear film and production of natural tears. This syndrome can be caused by a wide variety of factors including the natural aging process, over the counter cold medicines, contact lens wear and environmental factors.
If you suffer from a scratchy, dry or a burning sensation you may be experiencing dry eye. In order to properly diagnose this problem you should come into our office for a visit with one of our dry eye specialists. At your visit we will conduct a test to determine the severity of the dryness. This test is called a Schirmer test.
Understanding The Tear Film
It is important to understand the importance of the tear film and how this relates to the dry eye disorder. The tear film is made up of three unique layers: an oily layer, a watery layer, and a mucin layer. Small glands at the perimeter of the eyelid, called meibomian glands, produce the outer, oily layer of the tear film. The main purpose of this oily layer is to smooth the tear surface and decrease evaporation of tears. The middle, watery layer is the largest of the three layers, and it makes up most of what we ordinarily think of as tears. This watery layer is produced by small glands scattered through the conjunctiva, the delicate membrane lining the inside of eyelid and covering the eyeball, and by the major tear gland, the large lacrimal gland. The innermost layer consists of mucus produced by goblet cells in the conjunctiva. This layer allows the watery layer to spread evenly over the surface of the eye and helps the eye to remain quite moist. Without mucus, tears would not stick to the eye.
There are two main forms of the disease: evaporative and aqueous deficient.
Evaporative Dry Eye, which account for 86%1 of all dry eye cases is caused by blockages in the Meibomian glands located in your eyelids.
This condition of the obstructed glands is known as Meibomian Gland Dysfunction. These glands are responsible for creating the lipid (oil) layer of the tears. When the glands are not working as they should, you don’t have enough tear film oil. And your tears – which lubricate your eyes and keep them comfortable – evaporate too quickly. An insufficient oil layer can cause your tears to evaporate 4x-16x faster.
Aqueous Deficient Dry Eye occurs when the lacrimal glands do not create a sufficient amount of aqueous (water) to keep the eyes moist.
1 Limp MA, et al. Distribution of aqueous deficient and Evaporative Dry Eye in a clinical-based patient population. Cornea. In press.
What are some of the risk factors for Evaporative Dry Eye?
Hormonal changes in women during menopause – particularly decreasing levels of estrogen – can cause thickening of the oils secreted by the Meibomian glands, which results in blockages.
Decreased estrogen levels may enhance conditions under which staphylococcal bacteria can proliferate in the Meibomian glands. The result is a decreased oil secretion rate. Additional factors that may cause or exacerbate Meibomian Gland Dysfunction include age, contact lens use and hygiene, cosmetic use, and illnesses, particularly diabetes.
How Dry Eye can negatively impact your vision – and your life
The symptoms of Dry Eye can be uncomfortable – and a big burden. Basic visual tasks, such as reading, using a computer, driving or watching television may become difficult. Wearing contact lenses may be impossible. And, you might find that symptoms worsen later in the day, keeping you from enjoying the activities you want to do.
Underlying the considerable discomfort is a real physical condition that needs treatment to stop the cycle of Dry Eye Deterioration and worsening symptoms. Dry Eye is a chronic disease – and without proper management, the deterioration may look like this:
- Increased evaporation of tears
- Unstable tear film
- Damage to the eye surface
- Further discomfort
- Inflammation and cell damage
- Fluctuation and decrease in vision
What Causes Dry Eye
The causes of dry eye syndrome are still being understood and researched by the medical community, but certain elements are known to cause dry eye. Various systemic diseases such as lupus, rheumatoid arthritis, or Sjogren’s Syndrome can cause dry eyes. Additionally and previously mentioned are environmental factors. Some prescription medications and over the counter medications cause dry eyes as well as contact lenses usage. Some of the medications that cause dry eye are commonly known as Antihistamines. Antihistamines, anti-depressants, and some blood pressure medications can contribute to dry eye problems. If you are a smoker and consume alcohol you have increased risk at developing dry eye syndrome.
Symptoms of Dry eye:
If you suffer from any of these symptoms from time to time you may benefit from a visit to our Dry Eye clinic:
- Discomfort and irritation
- Grittiness or feeling of a foreign body in the eye
- Burning or stinging sensation
- Vision disturbance
- Sensitivity to light
Dry eye can be a difficult problem to completely cure but there has been some recent development is treating the harsh side effects of this eye condition. Some of the recent treatment methods include:
- Restasis – a prescription medication (must consult an eye doctor prior to starting the treatment of this drug. This drug might be used as a last resort if other treatment options have been exhausted.
- Nutraceuticals or dry eye vitamins – New formulations have been created that show significant help in treating dry eye. These vitamins are also excellent sources of other essential minerals. In most cases regular or consistent usage is required to maintain results. Dry Eye Drops – New solutions in over the counter dry drops can be effective in the short term. Some of these drops include Allergan’s refresh tears, Soothes new eye drop and Thera Tears. Artificial tears are available without prescription and may be used as often as necessary.
- Flax seed oil tablets or oil – Flax seed has proven to be not only good for dry eye but good for the body in general. Several studies have been undertaken that show significant evidence that taking flax seed oil can drastically minimize the effects of dry eye syndrome. It is said that ingesting the oil is better than taking pills due to the method of which it is absorbed into your system. A suggested method of using the oil is to mix it with Italian salad dressing.
- Punctal plugs – Many eye doctors will insert small plugs that help with natural tear flow. Some plugs are even naturally dissolving.
- LipiFlow – We also offer the new LipiFlow thermal thermal pulsation treatment, if you suffer from evaporative Dry Eye you can now get this treatment in our office. With just one treatment, you may experience sustained relief.