Dry Eye

Dry Eye Syndrome is a common and often frustrating condition that affects millions of people. At Pendleton Eye Center, we are dedicated to providing comprehensive care and effective treatments for those suffering from this condition.

Our expert, Ashley Butler, O.D., leads the way in offering personalized treatment plans to ensure our patients find relief and improve their quality of life.  She has extensive experience in diagnosing and treating Dry Eye and can create a personalized plan to address your unique needs.

Diagnosing Dry Eye 

  1. Patient History and Symptoms: The initial step involves discussing the patient’s symptoms and medical history. Common symptoms include dryness, irritation, redness, a gritty sensation, and blurred vision. Factors like prolonged screen use, contact lens wear, medications, and environmental conditions are also considered. 
  2. Comprehensive Eye Examination: Dr Butler performs a detailed examination using a slit lamp to observe the eye’s surface and tear film. This helps in identifying signs of dry eye, such as reduced tear meniscus, inflammation, or debris on the tear film. 
  3. Tear Film Tests
    • Tear Breakup Time (TBUT): Fluorescein dye is placed in the eye, and the time it takes for dry spots to appear on the tear film is measured. A short TBUT indicates an unstable tear film. 
    • Osmolarity Test: This measures the salt concentration in tears. High osmolarity suggests dry eye. 
  4. Meibomian Gland Evaluation: The function of the meibomian glands, which produce the oily layer of the tear film, is assessed. Blocked or dysfunctional glands can lead to evaporative dry eye. 

Treating Dry Eye 

Various Treatment options are available for Dry Eye patients depending on the severity and the nature of the condition. Some can be accomplished by the patient and others are performed in the clinic.  

  1. Lifestyle and Environmental Changes
    • Reducing Screen Time: Taking frequent breaks to blink and rest the eyes. 
    • Humidity Control: Using humidifiers to add moisture to the air. 
    • Protective Eyewear: Wearing wraparound sunglasses to protect against wind and dry environments. 
  2. Artificial Tears and Lubricants: Over-the-counter artificial tears help keep the eyes moist. Preservative-free options are preferred for frequent use. 
  3. Prescription Medications
    • Anti-inflammatory Drops: Medications like cyclosporine (Restasis) or lifitegrast (Xiidra) reduce inflammation and increase tear production. Dr. Butler has also seen success with Tyraya and Eysuvis 
    • Autologous Eye Serum: Tears that are made from the patient’s blood serum and mimic natural tears as opposed to artificial tears. Dr Butler prescribes VitalTears® and has achieved remarkable outcomes for patients with chemical sensitivities.  https://vitaltears.org/ 
    • Steroid Eye Drops: Short-term use of steroids can reduce severe inflammation. 
  4. Punctal Plugs: Small plugs inserted into the tear ducts to slow tear drainage, maintaining moisture on the eye surface. 
  5. Meibomian Gland Therapy: Warm compresses, eyelid massages, and devices like TearCare® help unblock and improve the function of meibomian glands. 
  6. Omega-3 Supplements: Dietary supplements may improve the quality of the tear film and reduce symptoms. 

Effective management of dry eye requires a comprehensive approach tailored to the individual’s specific condition and underlying causes. Regular follow-ups with an eye care professional ensure optimal treatment and symptom relief. 

You must seek treatment as soon as possible if you or someone you know is experiencing Dry Eye Syndrome. Make an appointment for a consultation with Ashley Butler, O.D. at Pendleton Eye Center by calling (760) 758-2008. Find out which treatment is best for you and start your journey toward more comfortable, clearer vision right away.