Based on the results from your dry eye testing, the doctor will recommend the best course of action to help you alleviate your dry eye symptoms and causes. At Eyes of York, we offer a full-range of treatments for dry eye syndrome based on the severity of your symptoms.
E>Eye (Intense Regulated Pulsed Light)
Intense Pulse Light with the added enhancement of the patented Regulated flash technology, that provides long-lasting benefits with scientifically proven safe and effective results. The IRPL was the first Registered and Certified device for treating dry eye disease & MGD in 70 countries outside of the U.S. and is an FDA cleared medical device. The treatment is a simple, fast, and painless treatment that requires no downtime.
IRPL therapy is a treatment applied to the face which sends an intense but therapeutic heat source near the level of the meibomian glands to help dissolve the plugged secretions and restore function. This helps to stabilize the lipid layer by warming and the liquifying effect facilitating meibum expression. The effect is temporary but will last longer with repeat treatments. Meibomian glands that are not functioning properly can eventually lead to gland dropout (loss) or atrophy, which leads to long-term and severe dry eye symptoms. When meibomian glands don’t secrete oil onto the eye, tears evaporate too quickly. Leading to inflammation of the eye.
Patients choosing IRPL require four to five treatments the first year and then a yearly maintenance session is recommended for this chronic progressive disease to ensure the longest benefit. Recent data indicates that ninety percent of patients show improvement in their evaporative Dry Eye symptoms with regular IPL therapy.
IRPL therapy is proven to help restore and improve ocular surface health for optimal vision, improve visual comfort, and quality of life. IRPL also provides the aesthetic benefit of skin rejuvenation by the enhanced collagen synthesis and improved blood flow.
What to Expect During the Treatment?
- The treatment takes only a few minutes. Your head will be comfortably rested back on the headrest.
- Any facial products will be gently removed.
- We will place protective goggles over the eyes.
- Gel will be applied around the eyes and temple area.
- A series of five or more flashes will be applied around each eye.
- The flashes may appear bright and warm and with no discomfort.
LipiFlow Thermal Pulsation System
This is a revolutionary technology which also treats the most common type of Dry Eye: evaporative. In a clinical study, 79% of patients reported improved overall dry eye symptoms (ranging from 10% to 100% improvement) within four weeks of a single LipiFlow treatment. LipiFlow Thermal Pulsation technology applies therapeutic heat and gentle pressure to the inner eyelids releasing lipids from the meibomian glands. The positive effects of the LipiFlow treatment can last on average for one year. LipiFlow has the potential to help patient who have unsuccessful IPL treatments or who prefer less office visits and less treatment sessions.
What to Expect During a LipiFlow Treatment
You will be asked to either sit comfortably on a reclined chair or lie down.
- Several drops of LipiFlow ptmild anesthetic are put into the affected eye(s). Both eyes are usually treated simultaneously.
- LipiFlow disposable eyepieces with lid warmers are placed under your eyelids. There is a built in eye shield to protect you from injury during treatment.
- You will be asked to close your eyes around the eyelid device.
- The device will then be activated; you will feel minor eyelid pressure and a comfortable warming temperature on the eyelids.
- The eyelid pressure will have varied modes which may include a slow increase in pressure and pulsations for several stages for the full 12 minute treatment.
Level of Pain
Based on reported medical studies, the average level of pain/discomfort was minimal rating only 1.4 on a scale of 1-10. If a patient complains of too much pain during a treatment, an adjustment will be made to reduce the pressure or pause for a while. In the majority of cases, patients says the procedure feels like an eyelid massage and is quite relaxing.
Potential Side Effects
- Possibility of only minimal improvement on a patient’s dry eye condition and blocked glands
- Sometimes the glands can remain the same as before treatment
- Inflammation of the glands
- Blurred vision (transient for minutes only)
- Symptoms of dryness, burning sensation, and/or discharge
- Sensitivity to light
- Other eye medications may be needed to control flare ups in the future
Lacrifill
LACRIFILL Canalicular Gel is a cross-linked hyaluronic acid derivative and is FDA-cleared to temporarily block tear drainage by the occlusion of the canalicular system.
LACRIFILL Canalicular Gel allows patient’s eyes to be bathed by their own natural tears. It is customized for each individual patient and provides a full fill of the canalicular system. LACRIFILL Canalicular Gel is administered through a simple in-office procedure, which is reimbursed through an existing CPT code (68761). The results last for six months.
Punctal Plugs
Punctal plugs are small inserts that help maintain moisture in the eyes and prevent them from drying out. A doctor may recommend punctal plugs to treat dry eye, a condition that can cause symptoms like: itchy and dry eyes, burning eyes, and blurry vision.