DRY EYE TREATMENT

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Dr. Tran's goals of your dry eye symptoms:

  • To relief your discomfort ASAP!


  • First, we need to identify your most dry eye symptoms and focus on relieving them


  • Second, our dry eye center provides numerous tools to help your dry eyes....not just "try this one eye drop to see if it helps"


  • Third, by the time you arrives at this step, you probably have suffered with dry eye issues for years....it will take us months to reverse this process


  • Fourth, be patient and trust the process!  


How do Dr. Tran "fix" your dry eyes issues:

  1. By restoring your tear film instability
  2. By unclogging your oil gland obstruction
  3. By keeping the good tears you have achieved steps 1 & 2

Dr. Tran's Natural (No Medication) Dry Eye Treatments:

  • Non Preservative Artificial Tears (NPAT)  – AT drops provide lubrication to the eye.  Our office has a variety of eye drops tailored to the individual’s eye care needs. For most Dry Eye Disease patients, we will recommend Retained MGD & Oasis or Oasis Plus --All Non Preservative!
  • Regener-Eyes is sterile, acellular, and is made from placental derived biomaterials. These biomaterials consist of nutrients such as proteins, cytokines, and growth factors.  This is AVAILABLE for purchase from our office
  • Hot Compresses – Application of heat to the outside of the eyes can keep the local gland oils less viscous (thick and sticky). We highly recommend heat mask.
  • Lipiflow  -The LipiFlow  FDA Approved Thermal Pulsation System is an automated, in-office dry eye treatment that combines the best features of warm compress therapy and meibomian gland expression.  LipiFlow dry eye treatment typically is not covered by health insurance.  Fees for the procedure fee is  $500 per eye ( $1000 for both eyes)
  • Blink more frequently. Research has shown that people tend to blink much less frequently than normal when viewing a computer, smartphone or other digital display. This decreased blink rate can cause or worsen dry eye symptoms. 
  • Nutritional supplements– Omega-3s are recommended to reduce inflammation and/or irritation.  Dr. Tran recommends Nordic Naturals Pro-Omega 3's and HydroEyes
  • Eyelid Cleansing Products – We have few different products availalbe for purchase such as Ocusoft foam & Tea Tree foam.  These at home eyelid wash keep the eyelids and lashes clear of unwanted microorganisms and debris is important and effective in the treatment blepharitis and dry eyes!
  • Thoroughly remove eye makeup. Eyeliner and other eye makeup can clog the openings of the meibomian glands at the base of the eyelashes, leading to meibomian gland dysfunction and evaporative dry eye. At the end of the day, be diligent about remove all traces of makeup from your lids and lashes.
  • Drink 64 OZ of water daily
  • Use a humidifier in home or office
  • Wear Sunglasses out doors
  • Wear Computer eyeglasses with blue blockers & AR

Dr. Tran will add medications as needed:

  • Cequa 
  • Xiidra
  • Restasis
  • Steroid drops
  • Autologous Serum Eye Drops

Additional Treatments on as needed basis

  • Punctal Plugs
  • Prokera 
  • Ilux
  • ZEST
  • BlephEx
  • IPL
  • Hormone therapy

Dr Tran's lipiflow treatment

This is Dr. Tran's Third Lipifiow Treatment for her MGD & Evaporative Dry Eyes.  She usually gets this every 9 months -12 months.

Eye drop medications - an explanation

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Regener-Eyes®

One drop dosed twice  to four times daily (depending on symptoms)


Available @ Nova Eyecare Center  =  $195 for one bottle 


Regener-Eyes® is a first in class biologic eye drop. 

The power of a biologic in the ease of an eye drop.  The science of regenerative medicine focuses on stimulating the body's own natural ability to heal, repair, and regenerate.


How these proteins work

  • Anti-inflammatory cytokines help to reduce inflammation.
  • Growth factors aid in healing, repair, and regeneration.
  • Chemokines signal the immune system for healing potential.
  • Hyaluronic acid helps to lubricate and protect.


Cequa

One drop dosed twice daily (approximately 12 hours apart) with a single-use vial


CEQUA™ (cyclosporine ophthalmic solution) 0.09% is a calcineurin inhibitor immunosuppressant indicated to increase tear production in patients with keratoconjunctivitis sicca (dry eye).

Xiidra

One drop dosed twice daily (approximately 12 hours apart) with a single-use vial


Xiidra is a prescription eye drop approved by the FDA for both the signs and symptoms of dry eye disease. Ask your eye doctor about prescription Xiidra.

Restasis

One drop dosed twice daily (approximately 12 hours apart) 


RESTASIS® and RESTASIS MultiDose® Ophthalmic Emulsion help increase your eyes’ natural ability to produce tears, which may be reduced by inflammation due to Chronic Dry Eye. 

Steroid drops such as :

One drop dosed twice daily (approximately 12 hours apart) 


LOTEMAX SM (loteprednol etabonate ophthalmic gel) 0.38% is used to treat inflammation 

Autologous Serum Eye Drops

What are Autologous Serum Eye Drops? Autologous means that the donor and the recipient are the same person. The eye drops in this case are made from your own blood. Red blood cells and clotting factors are removed, leaving behind blood serum. This is diluted with a sterile, preservative-free solution to produce a tear substitute that is unique to the patient, and contains many important growth factors and nutrients normally found in healthy tears. Since blood and tears have an almost identical salinity and pH, there is no issue of burning or stinging upon instillation. Because they are non-preserved, the drops are stored in the freezer until you need them.

Additional in office treatment

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Punctal Plugs ( Tear Reserve)

  • 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. Also known as punctum plugs, lacrimal plugs or occluders, these devices often are no larger than a grain of rice.

Prokera Membrane

  • PROKERA® is a combination medical device used by eye doctors around the world for anti-inflammation, anti-scarring and promoting healing of damaged eye surfaces. It contains the only FDA-cleared cryopreserved amniotic membrane, which supports the corneal-healing process without harmful side effects.

Ilux

  • iLux allows direct visualization of meibomian glands, blockages, and expressed meibum throughout treatment via the magnifying lens, providing a direct view of the treatment area. 
  •  The proprietary light-based heat source gently warms the inner and outer lid to a safe therapeutic temperature. Sensors in the disposable iLux Smart Tip monitor inner eyelid temperature continuously during treatment. 

ZEST

  • The Zocular Eyelid System Treatment, or ZEST, is similar to BlephEx. While BlephEx uses a small rotary tool to clean away the debris on your lash line, ZEST is performed by using manual exfoliation with a micro-matrix swab. This allows for a more gentle experience while still thoroughly cleaning the lid margin. 
  •  ZEST uses a gel cleaner during treatment called Zocushield. This gel is an okra-based formula, which is antimicrobial and anti-inflammatory. Okra is also believed to help with the production of collagen, which can help with elasticity in the skin around the eyes, helping to keep wrinkles at bay. 

BlephEx

BlephEx is an in-office procedure that allows your eye doctor 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.

Coming soon: IPL

  • IPL stands for Intense Pulsed Light, and is a light-based technology commonly used in dermatology to treat rosacea and reduce telangiectasia. 
  • IPL is now being used in ophthalmology to treat meibomian gland dysfunction and dry-eye disease.
  • IPL procedures are effective, gentle and safe