When the patient is the Doctor....

Because our Dr Tran is a dry eye patient, she understands your discomfort of day to day dry eye symptoms!

She is 100% Committed to caring for you and your dry eye needs!

If there is a solution, she will find it for you!

Dr. Tran is  the Dry Eye Specialist  

That's why she founded the Alaska Dry Eye Center.

Do scroll down for additional information!

What is 100 % Dry Eye care ?

Red eye can from "Dry eye" or it can  "Pink Eye"  such as eye infection from bacterial or viral

Dr. Tran is 100% Committed to helping you with your dry eyes care!

Your FIRST Dry Eye Evaluation with Tear Analysis with Dr. Tran

  • This is detailed examination and diagnostic tear evaluation that will take about 90 minutes-2 hours.

  • We will bill you MEDICAL insurance for this consultation and medical visit . The fee is  for your first visit is about $490 

  • ALL patient must have this visit prior to having Lipiflow perform.

This visit includes :

  • Multiple diagnostic tear testings
  • Complete analysis for your oil glands and ocular surface
  • Complete detailed consultation and education about treatments, in office procedures, eye drops prescription and self care for your dry eye needs

Here are the tests we will be performing and their explanations:

  • LipiScan
  • Meibomian Gland Evaluator
  • SPEED Questionnaire
  • InflammaDry
  • TearLab™ Osmolarity
  • Tear Breakup Time
  • Epithelial Staining
  • The Tear Volume Test

  • LipiScan™:
  • LipiScan™ Dynamic Meibomian Imager (DMI) is an ophthalmic imaging device intended for use by a physician in adult patients to capture images of the meibomian glands.

  • Meibomian Gland Evaluator™:
  • Meibomian Gland Evaluator™ (MGE) is the only instrument that provides a standardized, repeatable evaluation of meibomian gland function by applying the pressure of a deliberate blink while observing gland function through a slit lamp. The MGE™ allows your eye doctor to determine gland function, track progression and treatment response.

  • SPEED™ Questionnaire:
  • Validated by independent researchers, the Standard Patient Evaluation of Eye Dryness (SPEED™) Questionnaire identifies and rates dry eye symptoms by asking four simple questions on symptom frequency and severity. If symptoms are detected, LipiScan® and a gland evaluation are recommended.

  • InflammaDry:
  • InflammaDry is a diagnostic test that is performed in office to test your tears for the presence of a molecule called MMP-9 that causes inflammation on the eye. Inflammation is associated in a vicious cycle with dry eye disease and can lead to a chronic and progressive condition. If left untreated, inflammation can cause damage to the cells on the surface of your eye and interfere with your vision.

  • To perform the InflammaDry test, tears are collected from your lower eyelids. A small, soft piece of fabric will be gently dabbed along your lower eyelid to collect tears. The tear collection process takes less than a minute and is not painful. Results only take 5-10 minutes and will be discussed before you leave the office.

  • TearLab™ Osmolarity:
  • TearLab™ Osmolarity testing allows your doctor to get a precise measurement of the health and stability of your tear film. A small, micro fluid sample of tears is collected and analyzed on an advanced, technological chip inside of the device. Within seconds, a number score is displayed after your sample has been analyzed.A score below 300 and a difference of less than 8 mOsms/L (Osmolarity) indicates a stable tear film. Any score above 300 mOsms/L indicates an unstable tear film and a treatment regimen can be created for you.

  • Tear Breakup Time:
  • Tear Breakup Time is used to assess for evaporative dry eye. A fluorescein strip is moistened with a small amount of saline solution and instilled into the eyes. Your eye doctor will then examine your eyes through the slit lamp using cobalt blue illumination. After a couple blinks, he or she will measure the time from the last blink to the appearance of the first dry spot on the tear film. A Tear Breakup Time of less than 10 seconds is considered abnormal and indicates basal tear instability.

  • Epithelial Staining:
  • Epithelial Staining involves the use of special quick acting, temporary dyes. With them, your eye doctor will examine the condition of the surface of your eyes, looking for staining patterns on the cornea and conjunctiva. 
  • The most common dyes are rose bengal, lissamine green and fluorescein. The individual dyes will stain the eyes differently. For example, fluorescein will pool in epithelial erosions and stain devitalized cells. 
  • Rose bengal will also stain dead and dying cells, in addition to the cells that are healthy but are not adequately coated by a mucin layer. Rose bengal can cause some discomfort, however. Lissamine green is similar to rose bengal, but without the discomfort. Your doctor will select the dye(s) most effective for your examination.

  • The Schirmer Test or Tear Volume Test
  • The Schirmer Test is another common test to assess for dry eye. Also known as a basal secretion test, it measures aqueous tear production. To perform this test, your eye doctor will place blotting strips, small paper strips with measurement lines, just inside the lower eyelid of each eye and have you gently close your eyes. 


What is dry eye?

Dry eye disease is most commonly caused by a deficiency in one or more areas of the tear film. The tear film, or tears, are made up of three separate layers:  Mucin, Aqueous and Lipid

The Three layers of tear film


The tear film, or tears, are made up of three separate layers.

  1. Mucin. This layer is the inner layer and is responsible for protecting the most sensitive part of your eye, the cornea. It allows the other layers of the tears to spread evenly across the surface of your eyes.
  2. Aqueous. This is the middle, watery layer and is the main component of your tears. It is produced by the lacrimal glands above your eyelids. A deficiency in this layer of your tears can be caused by a variety of issues, from gland dysfunction to dehydration.
  3. Lipid. This is the outer, final layer of the tear film. This layer is made of oily lipids, created by the Meibomian Glands, and are designed to keep your tears from evaporating too quickly. A deficiency in this layer is caused by Meibomian Gland Dysfunction and is one of the leading causes of dry eye disease.

What is Dry Eyes?

  • The name “dry eye” can be a little confusing since one of the most common symptoms involve excessive watering! 

  • It makes more sense, though, when you learn that the eye makes two different types of tears.

  • The first type, called lubricating tears, is produced slowly and steadily throughout the day. Lubricating tears contain a precise balance of mucous, water, oil, nutrient proteins, and antibodies that nourish and protect the front surface of the eye.

  • The second type of tear, called a reflex tear, does not have much lubricating value. Reflex tears serve as a kind of emergency response to flood the eye when it is suddenly irritated or injured.  Reflex tears might occur when you get something in your eye, when you’re cutting onions, when you’re around smoke, or when you accidentally scratch your eye. 
  • The reflex tears gush out in such large quantities that the tear drainage system can’t handle them all and they spill out onto your cheek. Still another cause of reflex tearing is irritation of the eye from lack of lubricating tears. If your eye is not producing enough lubricating tears, you have dry eye.

Sign of dry eyes

  • Red Eyes
  • Burning
  • Itching
  • Foreign Body Sensation
  • Sandy/Gritty Feeling
  • Light Sensitivity
  • Watery Eyes
  • Pain/Soreness in or Around the Eyes
  • Red/Irritated Eyelids
  • Tired Eyes
  • Contact Lens Discomfort
  • Dry Mouth

common causes of dry eyes


Common Causes of Dry Eyes

  • Aging.  Even though anyone can have dry eye, this condition becomes more common the older you get.
  • Medications such as high blood pressure meds, anti-histamine, cholesterol meds, anti-depressants, anti-inflammation meds
  • Computer use with reduced blinking 
  • Laser eye surgery  ( LASIK & PRK)
  • Menopause
  • Vitamin A deficiency
  • Environmental – wind, weather, elements
  • Sjögren's syndrome
  • Auto Immune Diseases
  • Blepharitis
  • Dehydration
  • Allergies
  • Low Humidity like living in Alaska!
  • Smoking 
  • Contact Lenses Wear
  • Rheumatoid arthritis or thyroid disease
  • Frequent Flying on airplanes
  • Glaucoma eyedrops
  • Makeup and Eye makeups
  • Eyelash extensions

  • For the majority of Dry Eye sufferers, the actual underlying cause is Meibomian Gland Dysfunction.

  • Meibomian Gland Dysfunction (MGD) is a disruption of the meibomian glands reducing the secretion of oil into the eye’s tear film. This blockage causes the natural protective tear film to evaporate too quickly causing Dry Eye Disease (DED).

Meibomian Gland Dysfunction (MGD) is a disruption of the meibomian glands reducing the secretion of oil into the eye’s tear film. This blockage causes the natural protective tear film to evaporate too quickly causing Dry Eye Disease (DED).

The clinical science behind MGD as the primary cause of DED and its treatment is supported by over 25 years of scientific research. Removal of the gland blockages is essential to improve gland function and reduce the progression of MGD. Over time after treatment, the meibomian glands may become blocked again because of continued evaporative stress, which is caused by infrequent blinking from modern lifestyles and leads to thickening of the gland secretions and blockage of oil production.

(MGD is also associated with an eyelid condition called blepharitis, for which our doctors recommend ZEST or BlephEx treatments.)

Since MGD is the leading cause of Dry Eye Disease and is a blockage of the meibomian glands, a patient’s treatment plan should involve clearing this blockage.

For this, our doctors recommend LipiFlow®.

LIPIFLOW® – the only FDA-cleared medical device for in-office MGD treatment, proven in clinical studies to restore gland function. 

what is mgd & evaporative dry eye?


our dr.tran's lipiflow treatment

Our own Dr. Tran Lipiflow Treatment Jan 2020

Lipiflow seen on national TV show

Lipiflow is on a National TV Show!  

We are excited to bring this high technology home, right here, in Anchorage !

questions about LIPIFLOW®



LipiFlow Thermal Pulsation System

LipiFlow® is a 12-minute treatment performed in your doctor’s office designed to remove blockages from the Meibomian glands, allowing them to properly function and produce the oils that make up the top protective top lipid layer of the tear film.  

LipiFlow® activators are single-use sterile devices that safely and comfortably deliver a combination of heat to the inner lids and simultaneous therapeutic motion to the outer lids, removing blockages from the Meibomian glands. The Activators are contoured to avoid contact with the cornea, protecting the delicate structures of the eye.  Maximum results are usually experienced 4-6 weeks after treatment. 

If you suffer from Dry Eye symptoms, ask your eye care professional to check for MGD and find out more about treatment with LipiFlow®.

Does LipiFlow treats the root of dry eye problems?

The LipiFlow Dry Eye Treatment. Up until now, dry eye syndrome has typically been treated with prescription eye drops or artificial tears, punctal plugs, and dietary supplements... The new LipiFlow treatment is designed to treat the root cause of many Dry Eye symptoms: Meibomian Gland Dysfunction (MGD).

What is the cost of LipifFow?

LipiFlow treatment is not covered by insurance. 

Our fee for LipiFlow is $1,000 for both eyes.  

Continous daily use of eye vitamins, lubricating drops and warm eye compress are also recommended for the maximum result from LipiFlow treatment.

How long does LipifFow lasts?

The effectiveness of a single LipiFlow treatment may from 9 months to two years, depending on each patient. It's important to understand that dry eye is a chronic condition, and LipiFlow® is not a cure.

Is LipiFlow Safe?

LipiFlow is FDA-approved, drug-free, and regarded as highly safe. The heat is regulated with high accuracy by multi-point sensors and continuous feedback, and the pressure is applied intelligently, with a specialized sequence of pulses that prevent any unnecessary intraocular pressure. Altogether, the procedure causes minimal discomfort with maximum safety and results.

Does Lipiflow Really Work? What are the side effects?

LipiFlow isn't for every patient, however, and in one study around 20 percent of the subjects didn't report an overall improvement in symptoms.

Side effects and risks from LipiFlow are rare but include redness, stinging, burning, inflammation and red eyes.



The only FDA Approved Treatment Lipiflow for MGD & Dry Eye

 FDA approved, The LipiFlow Thermal Pulsating System is a revolutionary way to treat Dry Eye caused by MGD. Opening and clearing the blocked glands allows the body to resume the natural production of the oils needed for the tear film.   

Deep Eye Lid Cleaning


 BlephEx and Zest are new, in-office procedures that allow our doctors to treat blepharitis by eliminating the biofilm and bacterial toxins that cause inflammatory lid disease and dry eye, and improving the overall health of the eyelid. 

Punctal Plugs

Dry eyes is Ocular Surface Disease, where the tearfilm is unstable and vision is blurred.

 Punctal plugs are tiny, biocompatible devices that can be inserted into tear ducts to block drainage. This increases the eye's tear film and surface moisture to help relieve certain forms of dry eye.  

alcon dry eye video

A great video that explains tears & how ocular surface effects the eyes!