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:
- Advanced Thermal Expression/Pulsation: TearCare, Lipiflow, iLux 2, Miboflo
- Lumenis OptiLight Intense Pulse Light (IPL)
- MicroBlepharoExfoliation (MBE): BlephEx or ZEST
- Prokera Cryo-Preserved Amniotic Membrane - insurance coverage
- Meibomian Gland Probing or Maskin Probing
- Punctal Plugs – insurance coverage
- Scleral Lenses
- iLightPro Low Level Light Therapy (LLLT)
- Lumenis NuEra Radio Frequency (RF) Thermal Treatment
- At-Home Treatment Devices:
- NuLids
- iTear100 Neuro-stimulation
- Quantum (The Q)
- At-Home Advanced Therapy Topical Eye Drops/Creams:
- RegenerEyes (Pro vs Lite), Autologous Serum Tears (Vital Tears), Platelet Rich Plasma (PRP), Testosterone Cream
- Pharmaceuticals:
- Prescription Eye Drops: Restasis, Cequa, Xiidra, Klarity-C
- Nasal Spray: Tyrvaya
- Oxervate – Neurotrophic Keratitis
- Oral and topicals Antibiotic/Steroids: Doxycyline 40mg (Oracea), Eysuvis, Flarex, Lotemax, Klarity-L
- Eye Care Products:
- Eyelid Hygiene: Optase Wipes, Avenova, Zocushield Gel, Ocusoft wipes/foams
- Medical Grade Nutritional Dry Eye Supplements: MaxiTear, PRN DE3, HydroEye, Nordic Naturals ProOmega
- Warm compress vs moisture chamber googles
- Preservative-free Artificial Tears (PFATs): Optase MGD, Retaine MGD, Oasis Tears, Systane Hydration PF, iVizia
- Nighttime relief: HyloNight Ointment, EyeSeal 4.0, SleepTiteSleepRite
- SkinCare/Cosmetics: Eyes Are the Story, Epionce, Oculaire, Twenty/Twenty Beauty, BeautyCounter
- Lumify OTC (Eye Whitening)
- Lifestyle Consideration:
- Anti-inflammatory diet, elimination diet, food allergies/sensitives
- Moderate exercise (ie yoga, walking, weight-lifting, swimming, tennis),
- Consistent sleep pattern,
- Stress management (mindnessfulness meditation),
- Managing systemic conditions,
- Certain systemic medications side effects,
- Control digital device overuse, blink exercises, 20/20/20 rule
- Proper contact lenses habits,
- 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.
Author
Dr Kambiz Silani
Chief Clinical Director