Dry eye disease (also known as dry eye syndrome) is an eye condition that occurs when the eyes do not produce enough tears or when the quality of your tears is compromised.
Tears are crucial in keeping your eyes lubricated, comfortable, and protected. They help nourish the front surface of your eyes, wash away debris, and prevent infections. When you do not produce enough tears because of blockages, evaporation, or other causes, dry eye may become a serious chronic problem.
Dry eye complications are a common problem, even for those with otherwise healthy eyes, and are one of the most common reasons people visit the eye doctor. Dry eye can occur at any age and affects women more often than men.
In the past 20 years, dry eye has become a growing problem due to air travel, poor air quality, environmental allergies, and the increased use of computers and contact lenses.
Chronic dry eye syndrome can lead to serious long-term consequences. If left untreated, it can cause significant discomfort leading to scarring and increased infections that may result in vision loss.
What causes dry eye?
The most common causes and risk factors of dry eye include:
Age: tear production normally decreases with age; 75% of persons over 65 have dry eye
Contact lenses: It’s important to follow the direction of your prescribing physician when it comes to contact lens use.
Dry eye treatments fall into three categories that can be prescribed based on the severity of your symptoms and your response to your individualized treatment plan. They are lifestyle modifications, medications for the eye, and minimally invasive procedures.
Lifestyle modifications for dry eye.
Lifestyle modifications are the first line of treatment and include:
limiting your computer screen time
wearing sunglasses to protect your eyes from the wind while outside
taking a break from contact lens wear
being meticulous about makeup removal
placing warm compresses on your eyes to stimulate oil gland function
scrubbing the eyelid margins to remove debris at the eyelash root thoroughly
adding Omega-3 fatty acid supplements or flaxseed helps fight inflammation and provides essential fatty acids that aid the function of your eyelid oil glands.
Medications to treat dry eye
The underlying problem with dry eye is a persistent inflammation of the cornea and the inner lining of the eyelids. Some medications we recommend include preservative-free tears, gels, and ointments. Bedtime ointments are prescribed for more severe dry eyes and people whose eyelids don’t close at night.
Anti-inflammatory treatments, such as Restasis, Xiidra, Tacrolimus, and oral doxycycline, can also be good first-line treatments.
Oculocin eye drops
This advanced organic eye drop was developed in Europe and contains familiar natural ingredients like aloe vera, chamomile, and propolis, which have been used for centuries to treat inflammation and infection.
We’re pleased to have been asked to serve as Los Angeles County’s exclusive provider of Oculocin.
Autologous serum eye drops
Autologous serum eye drops are a treatment for severe dry eyes made from your own blood. Here's how it works: a small amount of your blood is taken, and the red and white blood cells are removed, leaving behind a serum. This serum is rich in nutrients and growth factors that can help to heal the surface of your eye and improve symptoms of dry eyes. The serum is then diluted with a sterile, preservative-free solution to make eye drops.
Because they're made from your own blood, these drops are generally well tolerated and can be very helpful for people with severe dry eyes. Note that ASEDs are not tear substitutes and are often used in conjunction with other treatments.
PRP Eye Drops
Platelet-rich plasma (PRP) eye drops are a biologically based treatment derived from a patient’s own blood. Similar to autologous serum eye drops, they focus on utilizing the regenerative properties of platelets. PRP eye drops are used to treat various ocular surface disorders, particularly those involving significant epithelial defects and inflammation, such as dry eye.
Advanced minimally invasive procedures for dry eye
If lifestyle changes and medications do not relieve dry eye symptoms, our doctors may recommend minimally invasive procedures to help manage the condition.
Our eye tear film consists of numerous components, any of which might be lacking. Unfortunately, no one solution works for everybody, which is why the Assil Gaur Eye Institute offers many possible approaches to solving dry eye issues. These treatments include:
DELIT and DELIT Plus for Dry Eye
DELIT (Dry Eye Light Intense Therapy) was coined at our Eye Institute and was developed by modifying an FDA-approved platform called Intense Pulsed Light (IPL) therapy, initially developed for cosmetic use. By superheating the area around your eyes, IPL kills germs, suppresses inflammation, and shrinks blood vessels that could be pressing on and blocking oil ducts.
BLEPHEX is a new in-office procedure for treating eyelid inflammation (known as blepharitis). The procedure eliminates the biofilm and bacterial toxins that cause eyelid inflammation and dry eye and improves the overall health of your eyelid.
TearCare is a wearable eyelid technology device that administers gentle heat directly to the meibomian glands to liquefy the meibum, express clogged oil glands, and stimulate tear production. The device allows your eyes to open and blink during the procedure, which typically takes less than 3 minutes.
Punctal plugs, also known as lacrimal plugs, are small medical devices inserted into the tear ducts (puncta) of the eye to block drainage. They are commonly used to treat dry eye syndrome and other conditions where tear conservation is beneficial.
The use of amniotic membrane (AM) for treating dry eye and other ocular surface disorders has gained prominence due to its unique biological properties. The amniotic membrane is the innermost layer of the placenta, consisting of a thick basement membrane and an avascular stromal matrix. It has been found to possess anti-inflammatory, anti-scarring, and anti-angiogenic properties, making it highly beneficial for ocular surface healing.
Conjunctival Chalasis Removal
Conjunctival chalasis removal (also known as conjunctivoplasty or conjunctival resection), is a minimally invasive procedure aimed at treating conjunctivochalasis—a condition characterized by redundant, loose, and non-elastic conjunctival tissue that can interfere with tear distribution and cause symptoms of dry eye.
Chalazion Removal
Chalazion removal, or chalazion excision, is a minor surgical procedure to remove a chalazion, a cystic lump in the eyelid caused by the blockage of a meibomian gland. While chalazion removal is not a direct treatment for dry eye, a chalazion can significantly exacerbate dry eye symptoms and contribute to ocular surface irritation. Thus, addressing a chalazion that worsens dry eye symptoms can improve the symptoms of dry eye.
Epiphora surgery for dry eye addresses the issue of excessive tearing, or epiphora, which can occur paradoxically in some cases of dry eye syndrome. Epiphora often results from either an overproduction of tears or, more commonly in dry eye patients, a dysfunction in tear drainage due to various factors such as blocked tear ducts, punctal stenosis, or malposition of the eyelid.
Assil Gaur Eye Institute is your partner in treating and monitoring dry eye.
Sometimes, despite lifestyle modifications, people may notice that their eyes become drier over time, and techniques used to provide relief are no longer effective. That's why it's essential to have regular follow-up appointments with our dry eye specialists to monitor any changes in your symptoms and explore new treatment options that can address your situation.
There may be no single treatment to address your dry eye condition completely. Our dry eye care ophthalmologists and optometrists will work with you to find the underlying cause of your dry eye to provide the correct combination of therapies that best suit your symptoms.
Our dry eye center is conveniently located for patients throughout Southern California and the Los Angeles area in or near Beverly Hills, Santa Monica, West Los Angeles, West Hollywood, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, and Downtown Los Angeles.
Dry eyes FAQs
How is dry eye diagnosed?
Our ophthalmologist can perform several dry eye evaluations to diagnose dry eye and assess its effect on your eye health. They are Schirmer’s test, epithelial staining, and a detailed eye exam of the ocular surface and tear ducts.
Can dry eyes cause blurry vision?
Yes. When the eyes do not produce enough tears or the quality of tears is poor, the eye's surface can become dry and irritated, leading to a range of symptoms, including blurry vision.
What does dry eye feel like?
Dry eyes can cause a range of uncomfortable sensations. Some people with dry eyes may feel like they have sand or grit in their eyes. They may also experience stinging or burning sensations, itching, redness, and sensitivity to light.
Can dry eyes cause headaches?
Dry eyes can sometimes cause headaches, although it is not a common symptom. When the eyes are dry, they may be unable to focus correctly, leading to eyestrain and fatigue. This can cause tension headaches.
Can dry eyes cause blindness?
Dry eyes do not typically cause blindness, but they can lead to complications that can affect vision in severe cases.
How long does dry eye last?
Sometimes, dry eye may be temporary and resolved independently or with simple treatments such as artificial tears, taking breaks from digital screens, and avoiding dry or dusty environments.
In other cases, dry eye may be chronic and require ongoing treatment and management to relieve symptoms and prevent complications. Aging, hormonal changes, medication side effects, and certain medical conditions may cause chronic dry eye.
Can allergies cause dry eyes?
Allergies and dry eyes can go hand in hand. When the eyes are exposed to allergens, they can become red, itchy, and inflamed, and the tear film can become disrupted, leading to dryness and other symptoms similar to dry eyes. To determine the best treatment for your symptoms, an evaluation by an eye doctor is recommended.
Can dry eyes cause floaters?
Dry eyes typically do not cause floaters. Floaters are generally caused by changes in the vitreous, the clear, jelly-like substance that fills the center of the eye.
Can dehydration cause dry eyes?
Yes, dehydration can be a common cause of dry eyes. The body’s dehydration may not produce enough tears to keep the eyes moist and comfortable. This can lead to dry eye symptoms, such as redness, irritation, and blurred vision.
Can dry eye disease cause double vision?
Yes, dry eye disease can cause double vision. When the eyes are dry, the eye’s surface may become irregular or rough, which can cause light to scatter and create visual disturbances. This can include seeing double or experiencing blurred vision.
Can dry eyes cause vitreous detachment?
There is currently no evidence to suggest that dry eyes can cause vitreous detachment, which is a condition that occurs when the gel-like substance inside the eye (known as the vitreous) separates from the retina
Dr. May is an optometrist who has worked with Dr. Assil and the Assil Gaur Eye Institute for over a dozen years . He provides a broad range of care for patients including pre and post-surgical management, comprehensive eye exams, urgent care as well as dry eye consultation and therapy. He's also assisted in numerous FDA supervised clinical trials run at AGEI.
Look Who Trusts Their Eyes
to Assil Gaur Eye Institute...
LeBron James
Los Angeles Lakers
LeBron James is one of the NBA's greatest of all time. He absolutely depends on his vision to perform at the very highest level. That's why he's an AGEI LASIK surgery patient.
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Dr. May is terrific. He does a complete exam, listens to your needs and answers all your questions. Highly recommended him.Rick G.
Very patient and listen to what I was explaining about my eyes.
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