Your Dry Eye Examination
Once we have talked to you about how your dry eyes affect your daily life including symptoms and medical history. We will begin the examination.
Your dry eye assessment will start with a high magnification bio-microscope examination. We look for the general condition of the eyelids and ocular surfaces.
We will check for inflammation of the eye lids and any debris on the eyelashes.
We also look for signs of Demodex infestation. This is a small mite which lives in eyelash follicles. Up to 97% of adults have Demodex depending on age.
Next, we use the OSA (ocular surface analyser) to check the eyes in greater detail.
We analyse he tears Lipid layer and the mucin layer. The lipid layer nourishes and lubricates the ocular surfaces. The Mucin layer makes the tear film stable, allowing the aqueous layer to stick to the surface of the eye. making it less susceptible to damage.
Then we assess the amount of tear in the eye. Whilst looking at this we measure how quickly the tear layers breakdown. You can have plenty of tears, but if they are of poor quality, they breakdown quickly leaving dry patches.
Finally, we move on to Meibography. This shows any damaged and blocked Meibomian glands. These glands produce the Lipid layer of the tear. As well as nourishing the eye it reduces the evaporation of the tears.
At the end of the examination, we will then discuss with you our findings and suggest a treatment plan for your condition.
This may be something simple like hot compresses and massage or more involved treatment like BlephEX , which thoroughly cleans the lids.
Please contact us for more information and to book and appointment.