Eye Care

Dry Eye

exhausted senior man with grey hair touching eyes while holding glasses

What is

Dry Eye Disease

Dry eye disease occurs when the tear quality and quantity becomes abnormal. The causes of dry eye include aqueous deficiency and evaporative dry eye. Aqueous deficiency occurs when there is an inadequate number of tears being produced. Evaporative dry eye occurs when there is an inadequate amount of the oily lipid layer in the tears therefore evaporation takes place at a quicker pace. Many patients have a combination of both aqueous deficiency and evaporative dry eye.
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Our Treatments & Prevention Options

Prevention of dry eye is key, and this is why at Vaughan Vision Centre, our team goes beyond and above to assist and educate our patients at each visit so to prevent dry eye.  When a patient receives a diagnosis of dry eye, we strive to provide effective treatment options to help reduce symptoms. 

  • Restasis
  • Punctal plugs
  • Steroid drops
  • Artificial tears prescribed for your condition
  • Omega 3 Fatty Acids
  • Meibomian Gland Expression
  • Soft, Scleral Lenses and EyePrintPRO™
  • Autologous Serum
  • Lipiflow®
  • IPL
  • Lid cleaning and debridement
  • Amniotic membrane grafts
  • Xiidra (beside Restasis)
  • Bruder mask

LipiFlow® uses heat and a massaging pressure on the inner eyelids to remove blockages from the meibomian glands. LipiFlow® is a quick 12 minute procedure that is conveniently performed in clinic. The treatment uses activators that generate a rhythm of intense heat using Vectored Thermal Pulsation. This combination of heat and massage allows for the natural oils of the tear film to be restored. After a LipiFlow® treatment, 4/5 of patients should see improvement in their dry eye.

Meibomian gland loss. Lipiflow has been shown to prevent meibomian gland loss.

Lipiflow Applicator

IPL (Intense Pulsed Light)
IPL (Intense Pulsed Light) is an innovative approach to minimizing symptoms of the most common cause of dry eye, Meibomian Gland Dysfunction (MGD).  It has been widely used for facial rosacea.  IPL utilizes flashes of light to:

  • Liquefy hardened oils clogging the meibomian glands
  • Improve collagen tightening in the skin
  • Treat inflammation in the eyelids
  • Reduce inflammatory mediators in the eye
  • Treat chalazions
  • Treat demodex

At Vaughan Vision Centre, your doctor will discuss if IPL is beneficial for you and if so, the length and timing of treatments will be determined. 
Lid Cleaning and Debridement

Most dry eye is caused by problems on the eyelid margin.  Dirt, debris, and oil residue can cause the eyes to become irritated throughout the day.  Our doctors perform a ZEST in-office cleaning and debridement of the eyelids to reduce inflammation around the eyes.  We use Zocular products which contain unique okra-infused components that gently remove debris and dirt from the eyelids.   Zocular products are also used to maintain the lids to prevent the inflammation from returning.

Amniotic Membrane Grafts
Amniotic membrane grafts are an effective treatment for severe dry eye.  The grafts promote:
  • Regrowth of damaged epithelial cells on the surface of the eye
  • Reduce inflammation in the eye
  • Protect the surface of the cornea and conjunctiva
  • Nourish the surface of the eye
  • Protect the surface of the eye from infection

We offer ProKera and BioDOptix amniotic grafts to help our patients with severe dry eye disease.
Autologous Serum

Autologous serum eye drops are drops created by a patient’s own plasma. They contain nourishing growth factors, proteints, lipids and antioxidants to help patients with very dry eyes. 

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Cleanse with Blephaclean and Blephagel

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Preservative-Free artificial Tears

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Bruder Moist Heat Compress

Common symptoms of dry eye disease

  • Burning or Scratching
  • Foreign body sensation
  • Watery eyes
  • Frequent eye infections
  • Difficulty opening eyes in the morning
  • Blurred vision
  • Red eyes
  • Heavy Eyes

Meibomian Gland Dysfunction (MGD)

Most evaporative dry eye patients suffer from meibomian gland dysfunction. MGD affects 86% of patients with dry eye and occurs because of dysfunction or obstruction to the meibomian glands (the oily secreting gland).  Oil is essential to tear production because it helps keep the tears from evaporating too fast and exposing the eye to foreign agents.  If left untreated the eye becomes very dry, irritated and can lead to more serious conditions.  

Factors that worsen MGD include:

  • Computer use
  • Environmental triggers (Dry environment, dusty environment)
  • Aging 
  • Hormonal Changes 
  • Health Conditions 
  • Medications (antihistamines, antidepressants, certain blood pressure medications, birth control) 
  • Smoking

Request an appointment today.