Dry Eyes in Squamish, Powell River & West Vancouver

What Is Dry Eye Disease


DED is a common, and often chronic, eye condition resulting from insufficient or poor quality tears that are needed to protect & nourish the front surface of the eye and provide clear vision.

Layers of the Tear-Film

  • Lipid Layer: Protects tears from rapid evaporation.
  • Aqueous Layer: Lubricates, nourishes, & fights infection.
  • Mucin Layer: Adheres tears to the eye surface.


  • Redness
  • Gritty/sandy or burning sensation
  • Blurry vision
  • Excessive tearing
  • Light sensitivity
  • Eyestrain & increased fatigue
  • Contact lens discomfort

Risk Factors

  • Lengthy Reading or Screen Time
  • Contact Lens Overwear
  • Dehydration
  • Environment (Dry, Windy, Smoke)
  • Medications: Diuretics, Beta-blockers, HRT,Antihistamines, Antidepressants
  • Health Conditions: Diabetes, Thyroid, Arthritis, Sjogren's Syndrome, etc.

Meibomian Gland Dysfonction (MGD)


MGD is the leading cause of DED (86% of cases). It occurs when the meibomian glands (oil ducts in the eyelids) are clogged and not secreting enough meibum to form the protective lipid layer of the tear-film. This leads to rapid tear evaporation & bacteria accumulation, exposing the eye surface to inflammatory damage and infection.

MGD is commonly associated with:

  • Styes (a blocked oil gland that becomes infected)
  • Blepharitis (bacteria overgrowth on eyelids & lashes)
  • Keratitis (corneal damage from inflammation)

If left untreated, increasing loss of meibomian glands will cause MGD & dry eye symptoms to worsen.

MGD Treatment

  1. Warm Compression
    • Heat Mask, LipiFlow, Ilux, Radiofrequency
  2. Lid Hygiene
    • Tea-tree oil wipes, Hypochlorous acid spray, BlephEx
  3. Omega-3 (DHA + EPA)
    • 1000-2000 mg per day
    • Re-esterified form (better bioavailability)
  4. In-Office Treatments (see below)
    • Lipiflow Thermal Pulsation (more information below)
    • Radiofrequency (RF)
    • Intense Pulsed Light (IPL)
    • ILux
    • BlephEx
    • Punctal Plugs

Dry Eye Testing

Left: Fluorescein dye showing damaged cornea. Black areas resemble broken-up tears (arrow). Right: Cornea without dye.

Tear Film Osmolarity

  • Measures the salt concentration of your tears.
  • Higher osmolarity is associated with poor quality tears that dry up quickly & cause inflammation.
  • Used to monitor DED & assess effectiveness of current treatment.
Tear Film Osmolarity

Tear Break Up Time (TBUT)

  • Measures how quickly your tears evaporate.
  • A fast TBUT (< 8 secs) indicates lipid layer deficiency & highly suggestive of MGD.

Meibomian Gland Imaging & Function

  • Grading of gland loss
  • Grading of meibum quality & expressibility

Vital Dye Testing

  • Routinely performed for the diagnosis of corneal & conjunctival disorders.
  • Temporarily stains damaged tissue.
  • Also used to assess tear volume & stability.


  • Tests for MMP-9, a specific marker of eye surface inflammation.
  • Used to help differentiate other causes of eye redness & discomfort.

Discover Our Dry Eye Treatments Today.


  • Radiofrequency (RF):
    • Uses subdermal heat to unclog meibomian glands & stimulate collagen and elastin production for smoother, healthier skin.
    • Delivers bipolar radiofrequency energy to small ocular zones allowing for precise and uniform volumetric deep heating
    • Safe non-drug alternative for millions of dry eye and MGD patients
  • Intense Pulsed Light (IPL):
    • Treats a variety of vascular and pigmented lesions
    • Energy is absorbed and converted into heat which selectively coagulates the lesions, fading them in the weeks following the treatment
    • IPL treats inflammatory dry eye, ocular rosacea and meibomian gland dysfunction
  • LipiFlow:
    • A 12 min procedure specifically designed to clear blockages from meibomian glands & improve flow of healthy oils onto the eye.
    • Proven to improve the health of meibomian glands & dry eye symptoms in majority of patients.
  • Ilux:
    • A safe, quick & effective way to unclog meibomian glands.
    • Applies warmth & pressure to the eyelids.
  • BlephEx:
    • Microexfoliation for cleaner, healthier eyelids.
    • Gently removes Demodex mites, dead skin & other debris on the lid margins & eyelashes.
  • Punctal Plug Insertion:
    • Helps to increase moisture on the eye by slowing down the drainage of tears.
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Optomeyes, West Vancouver, Squamish and Powell River British-Columbia.
204 - 1555 Marine Dr West Vancouver British-Columbia, V7V 1H9
Tel: 604-922-0413

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We will only use your personal information in accordance with this Privacy Policy unless otherwise required by applicable law. We take steps to ensure that the personal information that we collect about you is adequate, relevant, not excessive, and used for limited purposes. Privacy laws in Canada generally define "Personal Information" as any information about an identifiable individual, which includes information that can be used on its own or with other information to identify, contact, or locate a single person.

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We collect and use several types of information from and about you, including:

How we collect the information

Information You Provide to Us

The information we collect directly from you may include:

Information We Collect While You Interact With Us Through Cookies and Other Automatic Data Collection Technologies
Information We Collect About You From Third Parties

How we use your information

We use your information, including your Personal Information, to manage our business and to maintain and develop commercial relationships with you. We will collect, use, and disclose such information only to the extent that is necessary for those purposes.

We use information that we collect about you or that you provide to us, including any Personal Information:

How we share your information

We will not rent or sell your information to third parties without your consent. We only share your data as specifically provided in this Privacy Policy.

Other Disclosures

In addition to any disclosure you may have consented to or permitted under the terms of this Privacy Policy, we may transfer your data, including Personal Information to third parties in the following limited circumstances:

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How we store and secure your information

Information Security

We are committed to protecting the confidentiality, integrity, availability and privacy of your Personal Information. We have put appropriate physical, technological and procedural security measures in place designed to help prevent your Personal Information from being lost, used, modified or accessed in an unauthorized way, or improperly disclosed. Examples of such measures include restricted access to offices, training of personnel, using passwords and well-defined internal policies and practices. We also use encryption technology and Secure Socket Layers ("SSL") in all areas of the Website where your personal account information is required.

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We will retain your Personal Information for as long as it is needed:

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We may retain non-personal information that has been sufficiently aggregated or anonymized for a longer period.

Once the retention period is over, we will dispose of your Personal Information as provided for in our internal data retention and disposal policy.

Where We Store Information

We use facilities operated by "Amazon Web Services" and located in Canada as our information storage and processing infrastructure. Our service providers can also, from time to time, store your Personal Information in accordance with purposes outlined in this Privacy Policy.

How to contact us

If you have any questions about this Privacy Policy, you can contact us at 604-922-0413.