Dry eye related discomfort is one of the most common complaints heard by eye doctors. The symptoms of dry eyes vary depending on the individual case, however patients that suffer from dry eyes usually experience a number of the following symptoms:
- Blurred Vision
- Foreign body sensation
- Burning sensation
- Sandy/gritty sensation
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 may contribute to insufficient and/or poor quality tears.
Treatment Options for Dry Eye Syndrome in Cleveland, Ohio.
There are roughly 30 million people in the United States and over 300 million worldwide who have been diagnosed with dry eye. Most have learned to live with eye discomfort and have become dependent on drops or other treatment methods that only offer temporary relief. This has been due to a lack of understanding that the root cause of most dry eye (86%) is now known to be a chronic and progressive condition, Meibomian Gland Dysfunction or MGD.
MGD occurs when there is a compromise to the function and/or structure of the meibomian glands in the eyelids that produce the protective oily layer of the tear film. These glands can become blocked over time and can no longer produce oils needed for healthy tears. This blockage results in rapid evaporation of your tears and can lead to irritation, discomfort and if not treated, gland dropout.
A series of evaluations will be performed to determine if you have MGD. This can include a LipiView® tear film and gland imaging and a meibomian gland evaluation. Knowing what is causing your Dry Eye will help your doctor determine the best treatment option.
Now, with the breakthrough LipiFlow® technology, it’s possible to directly treat the root cause of MGD.
While there are multiple choices available for treating MGD, LipiFlow is the only FDA-cleared device for removing gland blockages and restoring gland function. Through advances in the application of Vectored Thermal Pulsation (VTPTM) technology, the LipiFlow treatment utilizes a patented algorithm of heat applied to the inner eyelids and massage to remove the obstructions in your meibomian glands.
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.
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.
Are you tired of living with dry eye? Request an appointment with the dry eye specialists at the Cleveland Eye Clinic, today!