Advanced List of Dry Eye Treatment Options (Last Updated: Feb 2023)

The world of ocular surface disease (OSD) is complex, multi-factorial, chronic and progressive. Thankfully, the last decade has brought us a variety of new research and treatment options to provide relief for patients. With a thorough understanding of OSD, a properly trained and experienced dry eye specialist can customized an ideal therapeutic protocol. At Beverly Hills Optometry: advanced Dry Eye Center, a majority of our patients respond well to this initial plan but some may need adjustments along the journey to success. Below I layout a comprehensive list of non-surgical treatment options that are currently available.

• In-office Treatments:
  1. Advanced Thermal Expression/Pulsation: TearCare, Lipiflow, iLux 2, Miboflo
  2. Lumenis OptiLight Intense Pulse Light (IPL)
  3. MicroBlepharoExfoliation (MBE): BlephEx or ZEST
  4. Prokera Cryo-Preserved Amniotic Membrane - insurance coverage
  5. Meibomian Gland Probing or Maskin Probing
  6. Punctal Plugs – insurance coverage
  7. Scleral Lenses
  8. iLightPro Low Level Light Therapy (LLLT) 
  9. Lumenis NuEra Radio Frequency (RF) Thermal Treatment
• At-Home Treatment Devices:
  1. NuLids
  2. iTear100 Neuro-stimulation
  3. Quantum (The Q)
• At-Home Advanced Therapy Topical Eye Drops/Creams:
  1. RegenerEyes (Pro vs Lite), Autologous Serum Tears (Vital Tears), Platelet Rich Plasma (PRP), Testosterone Cream
• Pharmaceuticals:
  1. Prescription Eye Drops: Restasis, Cequa, Xiidra, Klarity-C
  2. Nasal Spray: Tyrvaya
  3. Oxervate – Neurotrophic Keratitis
  4. Oral and topicals Antibiotic/Steroids: Doxycyline 40mg (Oracea), Eysuvis, Flarex, Lotemax, Klarity-L
• Eye Care Products:
  1. Eyelid Hygiene: Optase Wipes, Avenova, Zocushield Gel, Ocusoft wipes/foams
  2. Medical Grade Nutritional Dry Eye Supplements: MaxiTear, PRN DE3, HydroEye, Nordic Naturals ProOmega
  3. Warm compress vs moisture chamber googles
  4. Preservative-free Artificial Tears (PFATs): Optase MGD, Retaine MGD, Oasis Tears, Systane Hydration PF, iVizia
  5. Nighttime relief: HyloNight Ointment, EyeSeal 4.0, SleepTiteSleepRite
  6. SkinCare/Cosmetics: Eyes Are the Story, Epionce, Oculaire, Twenty/Twenty Beauty, BeautyCounter
  7. Lumify OTC (Eye Whitening)
• Lifestyle Consideration:
  1. Anti-inflammatory diet, elimination diet, food allergies/sensitives
  2. Moderate exercise (ie yoga, walking, weight-lifting, swimming, tennis),
  3. Consistent sleep pattern,
  4. Stress management (mindnessfulness meditation),
  5. Managing systemic conditions,
  6. Certain systemic medications side effects,
  7. Control digital device overuse, blink exercises, 20/20/20 rule
  8. Proper contact lenses habits,
  9. Application/removal of cosmetics and avoid toxic ingredients
• Blood Workup: 
  • Consider full lab workup to rule out systemic conditions: Thyroid Panel (TSH/T3/T4/TSI), Auto-immune (ANA/RF/HLA-B27), Lipid Panel, Vitamin Deficiencies (A & D), CBC, CMP, CRP, ESR.

At Beverly Hills Optometry, we are here to serve you and to help you see better, feel better and look better. For a virtual or in-person advanced dry eye consultation, schedule a visit with our office today.