Dry Eye Diagnostic and Treatment Clinic at the Eye Center of New York
Dr. Melissa Sherman and all of us at the Eye Center of NY take dry eye disease very seriously. This chronic and frequently progressive condition actually encompasses a number of disease states that co-exist such as meibomian gland disease, aqueous deficiency, and inflammation.
Thankfully in recent years, new advanced diagnostic and treatment devices have been developed and can make a substantial difference in the treatment of this condition.
Dr. Raviv is a national expert on dry eye disease. He was among a group of dry eye specialists that recently published a
At the Eye Center of New York Dry Eye clinic, Dr. Sherman combines the latest know-how with the absolute latest technology. We are one of the only area practices that offer in-office Lipiflow and IPL. Here are some of our dry eye testing and treatment capabilities:
Dry Eye diagnostics (includes evaluation of meibomian glands for MGD)
- Lipid Layer Thickness by interferometry
- Meibomian Gland Evaluation and Expression score
- MMP-9 Tear Assay
- Tear Osmolarity
- Fluorescein and Vital Dye staining
- Tear Break Up Time
- Schirmer Testing
- SPEED questionnaire
- Omega 3 Index – blood test
- Early Sjogren markers – blood test
- Corneal Topography
Dry Eye and MGD Treatments
- Tear Substitutes, drops, gels
- Lid warming eye masks
- Tea Tree Oil based lid cleanser
- Omega 3 – triglyceride form
- Prescription Cyclosporine drops (Restasis, Cequa, and Klarity-C)
- Prescription Xiidra drops
- Regener-Eyes drops
- Debridement of lid margin
- Lipiflow – vectored eyelid thermal pulsation
- Intense Pulsed Light (IPL)
- Punctal Occlusion with punctal plugs
- Autologous Serum Eye Drops (ASED)
- Protopic ointment
- Azithromycin drops
What is Dry Eye?
Dry Eye is a term used to describe a host of ocular conditions that create irritation, burning, grittiness, tearing, and redness of the eyes. Dry Eye is multifactorial and may be secondary to decreased tear production, corneal exposure, or too rapid an evaporation of tears due to a poor lipid layer (an oil layer that coats a healthy tear film). Once the type of Dry Eye is elucidated there are multiple ways to treat the condition including artificial tears, prescription eye drops, oral supplements, lid hygiene routines, and in-office procedures such as Lipiflow and IPL. As a dry eye center of excellence, Dr. Sherman, and Dr. Raviv have extensive experience with dry eye diagnosis and treatment.
A major factor in dry eye disease are occluded oil glands present in the lid – the meibomian glands. Meibomian gland disease (MGD) needs to be properly identified and controlled in order to relieve dry eye symptoms and improve tear function. This can be accomplished with at home treatments such as lid cleaning with special tea tree oil containing cleansers along with daily heating with microwaveable eye masks.
The most advanced treatment involves an in-office thermal pulsation device (LipiFlow), which simultaneously heats all four eyelids and thoroughly clears out all of the meibomian glands. Dozens of published papers and our clinical experience find that (in conjunction with other dry eye therapy) patients usually find up to a year or more of relief from symptoms following LipiFlow.