Office Policy

Home Office Policy

WHAT IS 100% DRY EYE CARE?

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

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.

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

  • This is a 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 patients 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™ Dynamic Meibomian Imager (DMI)

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™ (MGE)

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.

Opening Hours

Monday – Thursday 8:30 – 5:00
Friday 8:30 - 4:00
Saturday-Sunday Closed
Open During Lunch

Online Forms

No need to print! Simply fill out the forms online.