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L&K Dry Eye Clinic

Welcome to L&K Dry Eye Clinic

Dry eye is the common condition in which the tears cannot provide adequate lubrication for the eye due to poor quality or quantity of tears. This can cause mild irritation to severe pain and can affect vision.

There is a layer of tears that coat the front surface of the eye, known as the tear film. This tear film is made up of three layers including a sticky mucin layer which adheres the tear layer to the eye, an aqueous or water layer, and a lipid or oily layer that stops the tears from evaporating.

If there is any imbalance to these layers, this can cause increased evaporation of the tears and dryness. There are many contributing factors that can influence or cause dry eyes including: Environmental, medication can influence the production of tears, health conditions such as Sjogren’s Syndome, Stevens-Johnson syndrome, Rosacea and Hyperthyroidism, anatomical incl. ectropion, pterygium, floppy eye lid syndrome, contact lens wear, hormonal changes, blepharitis and Demodex mite.

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Signs and Symptoms

Irritating & Grittiness

Burning & Stinging

Episodes of Blurry Vision

Watery

Redness

Sore eyes, heavy eyes

How can we help

Dry eye assessment

Dry eye assessment involves a range of tests which allows us to determine the severity and type of dry eye. This involves assessment of the tear film, the production of tears, quality and quantity as well as other anatomical features including blink and lid position, meibomian gland, eye lid and ocular surface health.

Treatment options vary based on the severity and type of dry eye disease. These include:

Other treatment plans may include Omega 3 supplements, or referral for lid abnormalities and other anatomical causes.

Demodex Blepharitis

Demodex folliculorum are mites that live on the face, eyelids and eyelashes. They feed on dead skin cells, oils and hormones that build up in these places. Infestation with demodex is common and usually harmless, however large numbers of these mites can cause significant eye symptoms, such as dryness, itching, burning, redness, irritation, foreign body sensation and fluctuating vision.

As symptoms of demodex are similar to that of dry eye, it is easy to assume that dry eye is the cause of the problem. However, using dry eye therapy alone to treat demodex will only offer temporary relief. Treatment for demodex infestations include both at home treatments and in store options.

Intense Pulse Light

Intense Pulse Light treatments uses a machine that delivers a specific wavelength (nm) of light in a short pulse which is applied in a systematic way to enhance the flow of meibum (oil) from the Meibomian glands along our eye lids. This requires a series of treatments and ultimately reduces the rate of deterioration of the glands. This meibum is important in preventing evaporation of the tear film.

Study showed improvement to tear film quality and reduction in symptoms
77% improvement in Meibomian gland dysfunction in at least one eye
89% improvement in dry eye symptoms when IPL was used in combination with manual Meibomian expression