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Dry Eye


Are you experiencing dry, itchy, irritated eyes? You may have dry eye syndrome, a common yet frustrating condition that affects millions of people. 

Dr. Reena Patel and her dedicated eye care team at Wichita Vision Institute are here to answer your questions about dry eye and provide advanced treatment options to get you back to feeling comfortable and confident in your eye health and vision.

What is Dry Eye Syndrome?

Dry eye syndrome is a chronic condition that occurs when your eyes are not producing enough tears or the tears in your eyes do not last long enough and evaporate too quickly. These issues can happen due to a decrease in one or more of the three components of a healthy tear film: oil, water, and mucus.

Your tear film must contain adequate amounts of all three components to lubricate your eyes properly. When you have dry eye syndrome, your eyes are at higher risk for irritation and infection, resulting in uncomfortable symptoms that can significantly impact your vision and your daily life.


What are the Most Common Symptoms of Dry Eye Syndrome?

While the condition is called “dry eye,” actual dryness is just one of many symptoms. 

Other common symptoms of dry eye syndrome include:

If you are experiencing one or more of these symptoms, schedule an appointment with Dr. Patel at Wichita Vision Institute. 

These symptoms are not exclusive to dry eye syndrome and may indicate other eye conditions, so it is essential to have a comprehensive eye exam so that you can be properly diagnosed and establish a treatment plan if needed.

What Causes Dry Eye Syndrome?

Dry eye syndrome can be caused by decreased tears (aqueous deficiency) or tears which evaporate too fast (evaporative dryness).

Reduced tear production can be caused by:

  • The natural aging process
  • Not blinking often enough or fully while concentrating on screens or driving
  • Side effects from LASIK, PRK, RK or other eye procedures
  • Certain medications such as antihistamines, antidepressants, decongestants, anti-anxiety medications, beta-blockers, hormone replacement therapy, sleeping pills, heartburn medication, blood pressure medications, diuretics, and others.
  • Hormonal changes such as menopause
  • Autoimmune disorders such as diabetes, thyroid disease, lupus, rheumatoid arthritis, Sjögren’s syndrome, and others

If your dry eyes are linked to tears that evaporate too quickly (Evaporative Dry Eye) it may be caused by:

  • Blepharitis, an inflammation of the eyelids
  • Rosacea, an inflammatory skin condition
  • Meibomian gland dysfunction (MGD)
  • Environmental factors such as wind, smoke, or dry air
  • Wearing contact lenses for extended periods

How is Dry Eye Syndrome Diagnosed?

At Wichita Vision Institute, we utilize advanced diagnostic technology to accurately diagnose and assess your dry eye. 

LipiView

LipiView is an innovative technology that allows Dr. Patel to evaluate the lipid layer on your eyes, helping us understand the root cause of your dry eye. This system utilizes a specialized digital image to visualize and measure the lipid layer of your tear film, enabling us to determine if your dry eye is a result of poor oil production.

The LipiView examination takes a few minutes and is straightforward. You will look into a camera and blink normally while a special light, camera, and computer analyze your tear film.

 LipiView™ II Ocular Surface Interferometer

Our advanced LipiView II system works similarly to the original LipiView device but boasts additional features, including:

  • Real-time visualization of the lipid layer to evaluate the dynamic response of lipids to blinking
  • Video and analysis of blink dynamics
  • High-definition imaging with Dynamic Meibomian Imaging
  • Nanometer accuracy in measuring lipid layer thickness

This imaging allows us to learn how often you blink and how well you blink.

Antares 

Our Antares system is a fully featured, multi-functional corneal topographer with dedicated software designed to help in the detection and analysis of dry eye syndrome  as well as measure corneal curvature, elevation, and power of your cornea. The dry eye report allows us to measure ocular redness, meibomian gland analysis, tear meniscus analysis, and tear break up time. The Antares provides an overall evaluation of your ocular surface condition for a thorough diagnosis.

Osmolarity

The osmolarity device  takes a very tiny sample of your tears to measure the salt concentration of your tears. The drier your eyes are, the saltier your tear sample may be if you have tear production difficulties.

Advanced Treatment Options at Wichita Vision Institute

Depending on the type, cause, and severity of your dry eye syndrome, Dr. Patel at Wichita Vision Institute may recommend one or more treatments, including:

The first line of treatment for most dry eye patients is lifestyle changes.

Over-the-counter artificial tears are an excellent way to lubricate the eyes and reduce dry eye symptoms. They are available in different varieties for patients with sensitive eyes and can be used as needed or regularly. Preservative free artificial tears are tear substitutes that have no preservatives which can help moisten your eyes and may be used as often as you feel they are helping. Artificial tears with preservatives can be used but only on a limited basis because the preservatives can cause further irritation to your eye surface.

Applying a warm, damp washcloth over your closed eyelids for short periods can help release meibomian gland blockages. This often soothes inflammation and dryness while allowing for proper tear film production. 

If you spend prolonged periods looking at screens, follow the 20-20-20 rule: look away from your screen every 20 minutes at an object 20 feet away for 20 seconds. This gives your eyes a break and reduces eye strain.

You can reduce symptoms of dry eye by making environmental modifications, such as using a humidifier in dry areas, avoiding smoky or windy environments, staying well-hydrated by drinking plenty of water, and incorporating certain omega-3 fatty acids into your diet.

Prescription and Over-the-Counter Medications

We also offer a range of prescription eye drops and over-the-counter medications to help manage your dry eye symptoms as part of a comprehensive treatment plan. Common prescription eye drops include Restasis, Cyclosporine, Vevye, Cequa, Xiidra, Miebo, Tyrvaya, Tryptyr and others.

Treatments:

Punctal plugs are tiny devices placed in the tear ducts of your lower eyelid to prevent tears from draining away too quickly, keeping your eyes better lubricated. These plugs can be temporary or permanent, depending on your needs.

AmnioGraft is a biologic ocular transplantation graft used to treat eye surface conditions like dry eye syndrome and ocular chemical burns. This treatment is particularly effective for tear deficiency dry eye & mechanical dry eye 

Wichita Vision Institute offers OCuSOFT Thermal 1-Touch as a complimentary treatment for your dry eye visit. This device applies heat and gentle pressure to the eyelids for 10 minutes, releasing lipids from the meibomian glands causing eyes to feel less dry and less irritation. 

Unlike traditional warm compresses, this technology provides instant targeted heat with a constant temperature, making it ideal for treating meibomian gland dysfunction, dry eye syndrome, blepharitis, styes, or chalazia.

The LipiFlow system combines heat and gentle pressure to remove meibomian gland blockages in the eyelids. Using shell-shaped applicators over the front and back of the eyelids, this comfortable treatment applies heat along with massage to improve meibomian gland function.

TearCare is a specialized dry eye treatment for people with evaporative dry eye or meibomian gland dysfunction. This wearable eyelid technology administers gentle heat directly to the meibomian glands during treatment, liquefying solid oil clogs and stimulating tear production. 

After the heat therapy, Dr. Patel uses special tools and a microscope lamp to help release the oils in the glands. This personalized, in-office treatment takes about fifteen minutes and can provide improvement in dry eye symptoms within weeks.

We offer dry eye patients IPL treatment with the Lumenis M22 IPL system, which features advanced OptiLight technology that utilizes precisely calibrated light pulses to reduce inflammation in the meibomian glands and enhance tear production.

Red light LLLT uses red LED lights to safely increase the temperature of the eyelids, stimulating the meibomian glands to release oil that hydrates the eyes and reduces symptoms. This completely non-invasive, pain-free treatment takes 15 minutes with no recovery time or side effects. 

Blue light LLLT uses blue LED lights to safely kill bacteria on the eyelids which helps treat blepharitis and treat styes or chalazia.

Patients often notice improvements in dry eye symptoms within hours of their first treatment.

For more severe dry eye cases, OptiPlus by Lumenis combines OptiLight IPL with radiofrequency technology to treat multiple symptoms and causes simultaneously. While OptiLight reduces inflammation in the meibomian glands, the RF technology gently heats the tissue around your eyes to release blockages caused by oil buildup. 

An added benefit is that RF heat stimulates collagen production, which can help reduce fine lines and wrinkles around the eyes.

Do you think you may have dry eye syndrome? Schedule an appointment with Wichita Vision Institute today to discover which treatment options are right for you.

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2552 N Maize Ct. Suite 200
Wichita, KS 67205

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