Dry Eye Treatment

Dry Eye Treatment Calgary

Solutions for Dry Eyes

Our clinic offers dry eye treatment and specialized services for patients needing dry eye treatment in Calgary through our dedicated Centre for Dry Eye & Corneal Disease. Dry Eye is an inflammatory disease, and eye drops often only provide temporary relief of symptoms. We now have treatments such as IPL (Intense Pulsed Light), RF (Radio-frequency), BlephEx™ and iLUX®, all of which have proven effective in treating the root causes of dry eye disease. Our doctors have special interest in the treatment of Dry Eyes and we have invested in the latest diagnostic and treatment technologies to ensure we have the best tools to treat the disease. We customize treatments that are clinically proven to give you long term relief of your dry eye symptoms.

Symptoms of Dry Eye Disease

Dry Eye Disease is a chronic inflammatory condition is best managed when diagnosed and treated early. Symptoms can include:

  • Burning, grittiness, foreign body sensation
  • Redness, itching, desire to constantly rub the eyes
  • Excessive watering and tears overflowing onto cheeks
  • Feeling of wanting to close the eyes for relief
  • Inability to tolerate contact lenses

Causes of Dry Eye Disease

Our tear film and blinking mechanics are a highly complex system that must function in harmony to lubricate, protect, and maintain the health of your eyes. This complex tear film consists of a matrix of mucus that binds water to the surface of the eye, moisture for nutrition, protection and lubrication, and a thin protective oily layer to prevent evaporation. The eyelids function to distribute this complex layer effectively. To do their job, they must have smooth and healthy margins and be relatively free of bacteria and pro-inflammatory biofilm. Dysfunction of any of these components can result not only in dry eye symptoms, but also long term structural damage to the surface of the eye and the eyelids.

  • The average blink rate drops from 12-15 times per minute, to 3-4 times per minute when using a computer. This leads to increased tear evaporation
  • Tear production is affected by many medications, including antidepressants, over-the-counter allergy pills, and even birth control pills.
  • Alcohol and caffeine make dry eyes worse, as does inadequate water intake and poor diet
  • The majority of Dry Eye symptoms are due to underlying eyelid disease (Meibomian Gland Dysfunction) which results in poor quality tear production
  • Our dry climate encourages the growth of eyelid mites (Demodex folliculorum) that harbour bacteria.

All of the above result in increased inflammation, causing dry, red and itchy eyes. If the inflammation is chronic, tissue damage can occur, leading to long term scarring and poor blinking mechanics.

Diagnostic Testing for Dry Eye Disease

There is no one-size-fits-all treatment for dry eyes. Dry Eye Disease is multifactorial and effective treatment requires a complete panel of diagnostic tests to determine the root cause of your dry eyes. This allows us to customize the most effective treatment plan.

  • Meibography – infrared imaging of the eyelids to assess the structure of the oil glands

  • Tear osmolarity – sampling the tears to see how dilute or concentrated they are
  • SM Tube – measuring the tear production volume
  • NIKBUT – measuring the stability of the tear film and how quickly they break up
  • Biomicroscopy – looking for signs of chronic inflammation, blockage of glands, structural changes, mites or bacteria, and numerous other pathologies.

These clinical tests will allow us to accurately pinpoint the root causes of the inflammation that need to be treated. We then tailor evidence based treatments that will provide the best outcomes.

Dry Eye Treatment

We will create a customized dry eye treatment plan for you to follow. This may include in-office treatments as outlined in the next section, and/or any of the following:

  • Medication including antibiotics, anti-inflammatories, and/or topical drugs such as cyclosporine (Restasis™, Cequa™) or lifitegrast (Xiidra™).
  • Autologous serum or platelet-rich plasma drops – made from your own blood, these contain biological compounds to reduce inflammation and promote healing
  • Moisture goggles or tight fitting glasses to provide a moisture barrier that prevents tear evaporation
  • Unpreserved lubricant eye drops or gels specific to your type of dry eye
  • At-home eyelid hygiene regimen including warm compresses, lid massage, lid wipes and antibacterial sprays. This is often discussed alongside proper makeup application/removal practices
  • Blinking exercises, discussion of proper breaks when reading/using computer for long periods, environmental modification
  • Nutrition counseling, including high quality triglyceride (re-esterified) omega-3 supplementation
  • A change in contact lens modality, material, and/or solution care system

We will then schedule follow up at regular intervals to monitor your treatment effectiveness.

In-office Dry Eye Treatments

We offer the latest technology in clinically proven in-office treatments for dry eye. Your customized treatment plan may include any of the following:

Blephex – Treatment for Demodex and Biofilm

BlephEx™ is an in-office procedure used to remove demodex mites and bacteria from the eyelash base, and hardened tissue from the eyelid margin. This effectively removes much of the source of inflammation and restores a healthy eyelid margin that more effectively produces and distributes good quality tears.

iLUX – Treatment for blocked Eyelid Glands

iLUX® is a dry eye procedure that clears the inflammatory material from plugged oil-producing glands in the eyelids, stimulating proper oil production and restoring a healthy tear film with less tear evaporation.

Radio Frequency (RF) – Treatment to improve Meibomian Gland function

Radio Frequency is a dry eye procedure that requires 3-4 initial treatments using subdermal heat to clear obstructed glands and stimulate collagen and elastin production. This improves the longer term function and health of the oil-producing eyelid glands, ultimately restoring a healthy tear film with less tear evaporation. As a side benefit, it also reduces fine lines and eyelid wrinkles!

 

Intense Pulsed Light (IPL) – Treatment for Ocular Rosacea

Intense Pulsed Light is a well studied dry eye treatment that uses high intensity light to shrink inflamed blood vessels in and around the eyelids and face. By directly treating the source of the inflammation, this treatment provides long lasting and effective relief from dry eyes. Requiring 3-4 sessions, this procedure is extremely effective for facial and ocular rosacea and is also used in our aesthetics clinic to improve skin tone and reduce uneven skin pigmentation.

Punctal Plugs – Treatment for Low Tear Volume

Punctal Plugs are small devices that are placed painlessly into the eyes’ tear drainage ducts and designed to reduce the rate of tear drainage from the eyes’ surface. This keeps the surface of the eyes more moist and well lubricated, thereby reducing the frequency at which artificial tear drops need to be instilled. They are available in a 3 or 6 month dissolving format, or a semi-permanent silicone plastic format designed to last many years.

BostonSight SCLERAL Lenses – Treatment for Severe Dry Eyes

BostonSight Scleral lenses are large diameter rigid gas permeable contact lenses that provide a moisture barrier on the cornea, protecting it from dehydrating. Scleral lenses act to bathe the eye in moisture all day and are used when other therapies fail or if contact lenses are desired for vision correction in the presence of dry eye disease.

At your follow-up visit(s), your treatment plan will be modified based on improvement of signs and symptoms. Although there may be a cost associated with any in-office treatments, they are often health spending account eligible. We also offer discounted packages to keep your treatments affordable. Our goal is to treat the underlying cause of your Dry Eye Disease to keep your eyes healthy and comfortable over the long term.