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DRY EYE TREATMENT AT Sight Improvement Center


During a dry eye examination at our eye care center in New York City, we will recommend dry eye treatments tailored to treat your symptoms and provide lasting relief. We are dedicated to ensuring that you enjoy clear and comfortable vision so that you can live your best life. Whether you have chronic dry eye or a recent dry eye issue, we have the right treatment plan for you.

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New York City Dry Eye Treatments

 

Sight Improvement Center has some of the most cutting-edge and advanced technologies to quickly and effectively test for dry eye syndrome.

Among our treatments for dry eye syndrome, the most typical treatments start with medicated eye drops, anti-inflammatory drops, or a heated compress. Occasionally, tiny devices called punctal plugs are inserted into the eye’s tear duct to prevent moisture from draining out of the eye. These plugs increase the moisture level for long-term relief.

Let Dr. Hollander and the talented, experienced staff help get you started on the path to real long-term relief from dry eye.

Check out our practice’s dry eye treatments below.


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Finding Relief for Dry Eye

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Finding Relief for Dry Eye

Tears keep the eyes’ surface lubricated, smooth, and clear. With dry eye, the eyes either don’t have enough water in the tears (known as aqueous-deficient dry eye) or the quality of the tears they produce is substandard due to the reduced quantities of oil, and mucus in the tears (known as evaporative dry eye). Both of these can cause inflammation and harm the eye’s ocular surface.

Far more common is evaporative dry eye, which occurs when the meibomian glands along the rims of the eyelids become blocked. This limits the amount of oil in the tears, so the tears evaporate much faster than they normally would.

With aqueous-deficient dry eye, the lacrimal gland in the upper area of the eye sockets doesn’t produce enough of the water component of tears to keep the eyes hydrated.

Both types of dry eye can occur together.

Dry Eye Symptoms and Causes

Dry eye symptoms include stinging, burning, and redness; watery tears that sometimes run down your cheeks; a scratchy feeling, as if particles are lodged in the eyes; and discomfort while wearing contact lenses.

Dry eye can also be a symptom of many medical conditions, including Sjogrens’ syndrome, lupus, rheumatoid arthritis, scleroderma, graft vs. host disease (after receiving donated bone marrow or peripheral blood stem cells), sarcoidosis, thyroid disorders, and a vitamin A deficiency. Wearing contact lenses, nerve damage following laser eye surgery, and aging can also contribute to dry eye.

Sometimes, the problem is linked to prescription or over-the-counter medication.

Medications that can cause dry eye include:

  • Antihistamines
  • Decongestants
  • Hormone-replacement therapy
  • Antidepressants
  • Blood-pressure medication
  • Acne medication
  • Birth-control pills
  • Medication for Parkinson’s disease

In addition, environmental factors such as air pollutants, air conditioning, the dryness in airplanes, long periods staring at a computer or book, tobacco smoke, even cooking fumes can cause dry eye or aggravate it. If you are suffering from red, itchy, dry, or painful eyes, visit Dr. Hollander for a thorough eye exam. We may test the quality and volume of your tears to better understand your condition and treat it.

Once our practice has determined the true nature and cause of your dry eye, we will create a personalized plan to treat it. This may include a combination of over-the-counter or prescription eye drops or ointments and other in-office treatments. We might prescribe a way to improve your eyelid hygiene and explain how to gently wash your eyelids with warm water. In serious cases we may recommend a range of more in-depth treatments such as light therapy, changing your contact lens prescription, or procedures to block your tear ducts or unblock your oil glands.

Our practice serves patients from New York City, Manhatten, The Bronx, and Brooklyn, New York and surrounding communities.

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What Causes Dry Eye?

Dry eye syndrome (DES) is an unpleasant condition where the eyes feel sore, itchy, gritty, and irritated. It can develop as a result of several factors, such as age, genetics, environment, lifestyle, medications, and overall ocular health. Any of these may lead you to either not produce sufficient tears, or to produce tears whose balance of water, lipids, and mucus aren’t sufficient to lubricate your eyes properly.

Fortunately, this condition can be successfully treated. If you think you may have dry eye syndrome, contact Dr. Hollander today, who will offer you a proper evaluation and provide you with the best options to treat your DES.

Dry Eye May Develop As a Result of…

Meibomian Gland Dysfunction (MGD)

Meibomian gland dysfunction (MGD) accounts for the majority of cases of dry eye syndrome. It occurs when an abnormality or blockage occurs in the small meibomian glands, which are located in your lower eyelid. This then prevents these tiny glands from producing the lipids needed to maintain the right balance for the optimum quality and functioning of the tears. A shortage of these lipids can cause the tears in your eyes to evaporate too quickly, resulting in dry eyes.

Blepharitis

Blepharitis is an inflammation of the eyelids. The affected area is usually at the very end of the eyelid, located at the base of the eyelashes. This inflammation causes the tips of the eyelid to swell up, appear red and inflamed, and produce infected debris called scurf. If you think you may be suffering from this eye condition and are now seeking effective treatment, contact us today.

Certain medical procedures

Complications from certain medical procedures, including eye surgery and radiation therapy, will very often result in DES. Radiation therapy to treat head and neck cancers, cancer of the eye socket or whole brain radiation for brain cancer, often damages the lacrimal glands. The glands may decrease tear production and cause dry eye symptoms.

This is also true for laser eye surgery, such as LASIK, where DES symptoms may develop due to an increased corneal sensitivity following the surgery.

Cataract surgery does not typically worsen dry eyes, as only two very small incisions, less than 2mm each, are made in the cornea during this operation. They heal quickly after surgery. Many eye doctors will assess and treat dry eyes prior to cataract surgery, as a pre-existing dry eye condition can sometimes influence the accuracy of measurements, affecting quality of the vision following the surgery.

Diabetes

Diabetes can lead to dry eyes because of nerve neuropathy. Essentially, the nerves that control the tear ducts may stop functioning properly, resulting in decreased tear production. Furthermore, diabetes can cause loss of corneal sensitivity, which also impacts dry eye syndrome.

Sjogren’s Syndrome

This is an autoimmune disease that can affect the nerves and prevent the tear ducts from producing a sufficient volume of tears.

Thyroid disorder

The thyroid maintains the body’s hormonal and metabolic balance. Therefore, a malfunctioning thyroid alters the metabolism of the entire body — and your eyes are no exception. Both overactive and underactive thyroid conditions can result in dry eyes.

Certain medications

Several medications may cause a reduction in the functionality of the tear ducts and lead to dry eyes. These include:

  • Diuretics
  • Decongestants
  • Antihistamines
  • Anticholinergics
  • Antidepressants
  • Hormones
  • Hypertension medication
  • Dermatological agents
  • Lortab (acetaminophen and hydrocodone)
  • Ibuprofen (Advil)

Please inform us of any medications you are taking, whether over-the-counter or prescription meds, as this will enable us to better assess and treat your dry eye condition. Hormonal changes Sharp changes in your body’s hormone levels will often result in an inflammatory response that can result in dry, irritated eyes.

  • Pregnancy – Blurred vision, itchiness, burning, or discomfort when wearing contact lenses, as well as sensitivity to light may occur during the early stages of pregnancy, when hormones are most active. These hormones have also been shown to adversely impact meibomian glands, located within the upper and lower eyelid margins.

Healthy glands secrete oil in the tears to prevent tear film evaporation. However, when affected, the meibomian glands cause your tears to evaporate more quickly, resulting in unstable tear film and dry eye. The condition can last throughout the pregnancy, during postpartum recovery, and even through the breastfeeding phase.

  • Birth control – The pill, hormonal patches, vaginal rings or IUDs may cause similar hormonal changes as those found during pregnancy, thus resulting in decreased tear production. Producing fewer tears increases the likelihood of developing dry eyes.
  • Menopause – When undergoing menopause, the body produces less progesterone, estrogen, and androgens. The latest research indicates that androgens directly affect the delicate balance of tear production, meaning that fewer androgens will result in fewer tears.

Managing dry eye syndrome in menopausal women requires a customized treatment plan. Contact us today to book an appointment with Dr. Hollander, who will provide you with the most effective treatment for your specific case of dry eye. spring woman flowers eyes closed

Seasonal changes Seasonal changes — particularly in the spring, summer, and fall— cause there to be a high amount of pollens and allergens in the air. Certain people develop an autoimmune response to these allergens, often resulting in ocular inflammation and dry eyes.

Wind and dryness

Dry climates tend to have high winds and little moisture in the air, which can cause the tears to evaporate quickly.

Indoor heating systems

Cold weather may lead you to spend most of your time indoors, exposed to dry heat. This can evaporate your tears, leading to inflamed, itchy eyes.

Reduced blinking when using digital devices

People tend to blink up to 66% less often when staring at a digital device. The blinks that are performed during computer work are only partial — which aren’t as effective at keeping the eyes moist. Making a conscious effort to blink more often can prevent dryness and irritation.

Contact lenses

People who wear traditional contact lenses often complain of dry eye symptoms. These symptoms can be exacerbated by improper contact lens hygiene or wearing the contacts too many hours at a time. For those with an underlying dry eye condition, specialized contact lenses may be required.

Eye infections

Eye infections, such as viral or bacterial conjunctivitis (or pink eye), can cause significant irritation, similar to that of dry eye syndrome. The symptoms will usually clear up once the infection has been treated.

Omega 3

Omega 3 fatty acids can improve the eye’s oil film that’s produced by small glands on the edge of the eyelid, called the meibomian glands. These fatty acids are essential for tear production and to ease stinging, irritation, and scratchy sensations that often occur with dry eyes.

If your diet is low in Omega 3, you should consider adding more fish to your diet or taking supplements as needed. Dr. Hollander will be more than happy to guide you to the supplements that provide the best sourcing and bio-available Omega 3.

You don’t have to suffer from dry eyes in silence. Dr. Hollander at Dry Eye Center at Sight Improvement Center will conduct a full assessment and develop a custom treatment plan that’s right for you.

Dry Eye Center at Sight Improvement Center serves patients from New York City, Manhatten, The Bronx, Brooklyn, and throughout New York.


Book An Appointment
Call Us 646-846-7741