We at the Dry Eye and Blepharitis Treatment Center at An Eye To The Future work with each patient to determine the best eye treatment. We offer several treatment methods to help patients resolve severe dry eye syndrome and help control the symptoms of Blepharitis

What services do we offer?

Our office is always getting the latest technologies to treat these conditions. Treatment and diagnostic options include:
  • Lubricants design specifically for type of Dry Eye or Blepharitis
  • Pharmaceuticals such as Restasis among many topical and oral agents aid in both these conditions
    • The FDA approved the prescription eye drop Restasis for the treatment of chronic dry eye. It is currently the only prescription eye drop that helps your eyes increase their own tear production with continued use.
  • Omega 3 oil vitamins
    • There is growing evidence that increasing the oral intake of fish oil and omega-3 via diet or supplement is very helpful to those suffering with dry eye.
  • Punctal Occlusion is a technique in which tears can be kept in the eye longer with the aid of small devices
  • BlephEx lid cleaning: This is a brand new approach that cleans the lids and opens the glands often occluded causing dry eye and blepharitis. WE are proud to have been one of the first to institute this into our practice.
  • Dr. Silberberg has a journal article published in Primary Care Optometry on the use BlephEx.

    From the article: “The BlephEx treatment instrument is used to precisely and carefully spin a medical grade micro-sponge along the edge of the eyelids and lashes, removing scurf and debris and exfoliating your eyelids,” he told Primary Care Optometry News. “This also results in opening the clogged meibomian glands.
    “The treatment considerably decreases the demand of time and expense on the patient’s part while providing instant relief,” Silberberg continued. “Some lid hygiene is recommended in tandem with this treatment. I present it as an option to every patient who is symptomatic or has obvious signs of these conditions. Often it can be done the same day in the office.”
    BlephEx is safe for use on patients of any age, Silberberg told PCON, and is effective, painless and easy to use.

TEARLAB OSMOLARITY SYSTEM

The TearLab Osmolarity System is the first objective and quantitative test for diagnosing and managing Dry Eye patients.
  • Fast and accurate results in seconds using only 50 nanoliters (nL) of tear film to diagnose Dry Eye Disease
  • Enables discussion with patients around a number improving compliance
  • Incorporating osmolarity into the standard of care gives the best indication of early stage disease.

The TearLab Osmolarity System is intended to measure the osmolarity of human tears to aid in the diagnosis of dry eye disease in patients suspected of having dry eye disease, in conjunction with other methods of clinical evaluation. TearLab is for professional in vitro diagnostic use only.Hyperosmolarity has been described in the literature as a primary marker of tear film integrity. When the quantity or quality of secreted tears is compromised (known as aqueous deficient or evaporative Dry Eye Disease), increased rates of evaporation lead to a more concentrated tear film (increased osmolarity) that places stress on the corneal epithelium and conjunctiva.

What is Dry Eye ?

dry eye image Dry Eye Syndrome is a term used to describe the reduction in your eyes' ability to naturally produce tears. Estimates are over 50 million Americans who suffer from dry eyes. Your tears are made up of three different layers: a mucous layer to help the tears cover the surface of the eye, an aqueous layer that provides moisture, and an oil layer to help prevent evaporation. Dry eye syndrome occurs when one or more of these layers break down and are imbalanced, or when your eyes simply do not produce enough tears, dry spots may appear on the surface of the cornea (the clear front surface of the eye).

Dry eyes are common among older people or those who use computers, contact lenses, or certain medications such as allergy medicines. People who are exposed to excess amounts of sun, wind, dust or smoke will often suffer from dry eye syndrome as well.

Signs and Symptoms

When tears do not adequately lubricate the eye a person may experience:
  • Pain
  • Light sensitivity
  • A gritty sensation
  • A feeling of a foreign body or sand in the eye
  • Itching
  • Redness
  • Blurring of vision

What is Blepharitis?

Blepharitis: A very common eye disorder, blepharitis is a condition affecting the eyelids and eyelashes. Causes can range from a bacterial infection (staphylococcal blepharitis) to allergies, lice and/or abnormal fat production in the eyelids (seborrheic blepharitis).

Signs and Symptoms

The swelling and inflammation at the edges of the eyelids can cause one or more of the following symptoms:
  • dandruff-like flaking
  • crusty layer of dried discharge
  • swelling and puffiness redness (bloodshot eyes and eyelids)
  • irritation (discomfort)
  • burning
  • grainy/coarse sensation under the eyelid (foreign body sensation)

Prevention

Everyday steps that you can take to prevent blepharitis include removing all eye makeup before bedtime and not applying eyeliner on the back edges of the eyelids behind the eyelashes.

Bleph EX

Bleph Ex is a handheld instrument for in-office treatment of blepharitis and dry eye caused by clogged meibomian glands. This is a brand new approach that cleans the lids and opens the glands often occluded causing dry eye and blepharitis. WE are proud to have been one of the first to institute this into our practice.
The procedure lasts about 6 -8 minutes and is well tolerated. Most patients simply report a tickling sensation. A numbing drop is usually placed in each eye prior to treatment for increased comfort.
After the procedure, the patient is instructed on how to maintain their clean eyelids with regular nightly lid hygiene. Since home treatments are only semi-effective, the procedure is typically repeated at 4-6 month intervals.

Learn more about the BlephEx® procedure at the Bleph EX site

Bleph Ex image