Dry Eye Treatments

Dry Eye Disease (DED)


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. Lipiflow Thermal Pulsation (more information below)

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.

Dry Eye Treatments

Dry Eye Treatments


  • TempSure Radiofrequency (RF):
    • 2-IN-1: Reduce wrinkles and treat dry eyes at the same time!
    • Uses subdermal heat to unclog meibomian glands & stimulate collagen and elastin production for smoother, healthier skin.
  • 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.
Book an Appointment Order Contact Lenses
Please fill all the fields and try again.
Thank you! Your message has been sent.