Dry Eye

Learning Center

Watch the videos below for more information about dry eye conditions and treatments

Antioxidants HydroEye supplements Punctal Plugs Tear Osmolarity Test Tear Breakup Time Test

Dry Eye Syndrome

Dry eye is a very common and often debilitating condition where you do not produce either enough tears or poor quality tears.
Dry eye can cause many symptoms, some of which do not seem related to dry eye. These include:

  • Reduced visual acuity (blurry vision)
  • Burning or gritty feeling in the eye
  • Excessive Tearing
  • Foreign Body Sensation
  • Contact Lens Intolerance

The tear film is made of three basic components, aqueous, oil, and mucin and any imbalance in these can lead to dry eye.

The first is the aqueous component, or the water part of tears that is made by the lacrimal glands. When people have auto-immune conditions like rheumatoid arthritis, fibromyalgia, Sjogrens syndrome or lupus, they are at particular risk for this type of dry eye. The basic treatment for aqueous deficiency includes use of artificial tears, Restasis prescription eye drops and punctual plugs.

The second common form of dry eye is caused by an abnormality of the oil component of tears due to chronic inflammation of the meibomian glands which line the base of the upper and lower lashes. The oil layer of tears keeps the tears from evaporating so that individuals who suffer from this form of dry eye often complain of burning and scratching. One of the most common underlying causes of this type of dry eye is hormonal imbalance, such as from menopause or from acne rosacea.
The mainstay of treatment of meibomian gland dysfunction includes the use of artificial tears, warm compresses, and sometimes topical and systemic antibiotics are needed as well. Finally, for patients suffering from a severe cases of meibomian gland plugging, Dr. Wohl can perform a Maskin procedure to open up closed or scarred punctas to help restore normal meibomian gland function.

Finally, the mucin layer of tears helps the tear layer spread out. Mucin is produced by the conjunctiva and the production of mucin is commonly disrupted by contact lens wear. Mucin deficiency often accompanies other types of tear film imbalance and can be helped by reducing contact lens wear and use of artificial tears.
All forms of dry eye can be associated with factors such as prolonged computer or reading, since the blink rate diminishes with concentrated use of the eyes, or sleeping with a ceiling fan.

Hydroeye is a very useful supplement made by Science Based Health and assists in all three of the main tear components. These can be purchased at the Wohl Eye Center and have benefited many patients at the Wohl Eye Center.

Dry Eye Clinical Trials

Dr. Wohl is proud to participate in many clinical trials for new medications to help people with dry eye. Currently we are participating in a clinical trial for individuals with meibomian gland dysfunction.
Please contact Peggy at 630-351-2030 for more information about this.
The doctors at Wohl Eye Center have vast experience in treating dry eye and can help guide you to the best treatments for your dry eye.

 

Dry Eye: Risk Factors

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Dry Eye: Testing

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