Dry Eyes?

Relief is in Sight

As a certified Dry Eye Center of Excellence, we provide the most current information

to our patients about dry eye diagnosis, management, and treatment. 

 

We utilize the latest treatments pertinent

to helping our dry eye patients. 

Dry Eye Disease- Causes & Symptoms

There are more than 30 million people in the United States with dry eye disease every year. Dry eye occurs when the eye does not produce tears properly, or when tears are not of the correct consistency and evaporate too quickly.Some of the most common causes of dry eye include medications, environmental factors, inflammation, contact lens wear, age, or hormonal changes for women. 

The symptoms of Dry Eye Disease (DED) can be a problem for all ages, but it is more common as we get older. It occurs when your tears are not sufficient to keep the front surface of the eye, your cornea, well lubricated. The cornea needs constant lubrication by tears to stay healthy.

  • Stinging and Itching

  • Excessive Tearing

  • Burning Sensation

  • Inflammation And Redness

  • Sandy/Gritty Feeling

  • Sensitivity To Light 

Our philosophy is that diagnosis always comes before determining treatment.
We offer careful, in-depth diagnosis and treatment programs to improve symptoms and quality of life.

Treatment Options

Dry Eye Disease is generally a condition that is not cured (depending on the cause), but it can be managed. Treatment options usually fall in four categories: increasing the amount of tears kept in the eyes, decreasing tear evaporation, treating inflammation and/or addressing eyelid function.

Mild dry eye symptoms are usually addressed with artificial tears to lubricate the cornea. There are many over-the-counter drops and ointments designed to replenish natural tears. Ointments are best for night use because they will blur your vision. We suggest that you try different brands of tears to see which one is best for your eyes. We do want to warn you against choosing an eye drop that ‘takes the red out.’ These eye drops tend to irritate the eyes even more. Also, because some people are allergic to drops with preservatives, we recommend single-use drops.

Some additional treatment options include:

MiBoFlo Dry Eye
  • MiBoFlo-  MiBo ThermoFlo®- Bellevue Vision Clinic was one of the first eye care providers in Bellevue to offer patients a breakthrough treatment protocol for Dry Eye Syndrome, including the new MiBo ThermoFlo. The MiBo is a heat treatment therapy that loosens hardened oils in the meibomian glands allowing instant relief for patients with mild, moderate, and severe dry eye disease. Also known as MiBoFlo, is a therapeutic device providing an alternative therapy for dry eyes. It uses a proprietary thermoelectric heat pump to help maximize liquefaction of meibum, thus improving the preservation and function of the evaporative component of the tear film. This therapy is aimed at improving function of the meibomian component of the tear film. The thermo control operates within a plus or minus 3% variance to maintain an effective treatment temperature of 108 degrees. The MiBoFlo has an adjustable timer allowing for the versatility to treat various levels of dry eye.​  

Blephex for blepharitis
  • BlephEx® addresses the chronic inflammatory disease of the eyelids also known has blepharitis, which affects the tear glands and causes eye irritation and dry eye. BlephEx® treatment precisely and safely cleans and exfoliates your eyelids and lashes, which will almost immediately improve your symptoms.  Watch BlephEx® Treatment Video below and linked here.  

Punctal Plugs
  • Punctal Plugs  When eye drops are not able to offer relief of dry eye symptoms, another option is the use of punctal plugs. They are tiny devices that are inserted into the tear ducts in order to retain the tears in the eye, thereby increasing the moisture and tear film. They are very easy and painless to insert and can be done during a routine office visit. Also, they are easily removed if necessary.

Scleral Lenses
  • Scleral Lenses  Some people find that they can improve their eye comfort with the use of scleral lenses. Scleral lenses are oversized gas permeable contact lenses that basically trap fluids behind the lens to add moisture to the eye. Many times this lens is used in conjunction with other dry eye treatments.

  • Bruder Eye Hydrating Compress The Bruder Eye Hydrating Compress is a heated compress that is placed over your resting eyes for several minutes. The compress is placed in a clean microwave for no longer than 20 to 30 seconds. The moist heat works to improve oil gland production to expel bacteria, stabilize tear film and slow tear evaporation. Those with a mild to moderate dry eye condition find this natural treatment to be soothing and helpful. These masks can be purchased in our office (and soon, online from our website).

  • Vitamin Therapy-- Omega 3 Fish Oil  We recommend that patients take Nordic Naturals Omega3 fish oils. This full spectrum fish oil is a liquid product that, because of the level of freshness, is virtually tasteless. Nordic Natural owes its potency and superior freshness to meticulous handling from the catch of wild cod to its delivery to you. This liquid form is especially popular with patients that have problems swallowing the seven+ large capsules that would be needed to provide the dosage required to improve dry eyes, as well as offer many other benefits for the entire body. Just two teaspoons daily provides 2000 mg of EPA/DHA, and it can be taken straight or it can be combined with juices, smoothies and other food products.

  • Lid Scrubs  Lid hygiene is very important in the management of Dry Eye Disease (DED) so lid scrubs are often recommended. By using lid scrubs, patients are able to better remove debris and bacteria, and stimulate meibomian gland secretions; all of which help with DED. There are many brands available over the counter so it’s important to try a few out to see which type works best for you.

  • Hypchlorous Acid (HOCL) Spray  Hypochlorous acid (HOCL) is one of the chemicals that is naturally produced by your own white blood cells to kill germs. This ointment is used to kill bacteria and fungi while still being gentle enough to be soothing to the eye. Daily use has shown to help dry eye patients as well as those with blepharitis and meibomitis within 2 weeks of use.

  • Eyelid Function Surgery (Blepharoplasty) As we age, many times our skin will sag, especially around the eyelids. This may cause the lids to not close properly and allow for the evaporation of the tears. Our close partnership and coordination of care with Oculofacial Surgeon, Dr. Kristin Tarbet, can evaluate your eyes to see if Blepharoplasty surgery is the answer to your dry eye discomfort.

  • Amniotic Membrane Tissue (Bio-Tissue)  Today’s patients are benefiting from research and an expanded set of tools for treating difficult conditions. The use of amniotic membrane tissue is a good example of that. The innate healing properties of the tissue make it ideal for tissue regeneration and are especially helpful in the treatment of corneal diseases and degeneration. The amniotic membrane contains specialized proteins and growth factors that diminish inflammation, prevent drying, aid tear stability and accelerate healing. Some of the eye conditions that we treat with the tissue are chemical burns, pterygiums, conjunctivochalasis, corneal defects, and dry eyes, just to name a few.  Many ointments and treatments don't resolve the issues of certain conditions, but BIO-TISSUE treatment has proven very effective. Watch BioTissue® Treatment Video below and linked here.  

The only way to know which treatments are right for you is to make an appointment for a dry eye evaluation.  

BlephEx® Treatment Video
BioTissue® Treatment Video

CONTACT INFORMATION        

13401 NE Bel Red Rd, Ste A4  Bellevue, WA 98005

Office (425)747-2020       Fax (425)747-2099

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