Diagnosing Dry Eye

What to expect on the initial evaluation:

History

A thorough history will be taken including a list of medications, questions on make-up use and habits, a survey of symptoms, and a history of any dry eye therapy that you have used or attempted in the past.

Symptoms of dry eye include:
  • A gritty sensation
  • A burning sensation
  • A feeling of a foreign body or sand in the eye
  • Blur or hazy vision
  • Excessively watery eyes
  • Dry eyes
  • Tired eyes
  • Red irritated eyes
  • Pain

Work up

  • Meibomian gland dysfunction plays a large role in the dry eye puzzle. Scanning the meibomian glands for structural changes and for functional changes allows us to address this piece of the puzzle. The Oculus Keratograph 5 allows us to image these glands on the top and bottom eyelids.
  • A Non-invasive tear break up time allows us to evaluate the tear film and when it breaks up without inputting substance in to disrupt the findings. This is a great way to see what the tear film is doing on its own and a great test to see on follow up evaluations.
  • Inflammadry is a test that allows us to evaluate for inflammation on the cornea. This is important to help us target your treatment directly to you.
  • An Evaluation of the front of the eye is completed with a slit lamp. We use two different dyes or “stains” with special filters to highlight any surface abnormalities. During this part of the evaluation we can also diagnose issues with your eyes that may arise while you are asleep.
     
  • Did you know that blinking is an essential part of keeping the front surface of your eyes well lubricated? We evaluate how well you blink.
     
We put all of this information together and set up a treatment plan specific to your needs!