Dry Eye Information

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Dry Eye Dr Morris

Dry Eye

To live our practice’s mission and create a complete, informative and a distinct eye care experience for you, when applicable our exams include a personalized DRY EYE assessment form to deliver better awareness of your own DRY EYE status as well as create clarity around the best course of individualized treatment for your condition.

The information on our forms is based on current studies, knowledge and practice. It is a personalized plan for you to have the best treatment, timely referrals and follow-up care. This DRY EYE assessment form has been modified to deliver some general information online.

Digital Eye Strain is common cause of dry eye.  Read more information on > Digital Eye Strain

Dry Eye Information

The condition name 'DRY EYE' is inherently confusing as many people with 'Dry Eyes' excessively tear.  I like to say that Dry Eye refers more to an imbalance in the tear chemistry. That thin film over your eyes is quite a complex recipe and if that is not produced by your body properly, unstable vision and discomfort and sometimes permanent damage to the ocular tissue can ensue.

For the purposes of mapping a treatment plan and communicating status, I break down DRY EYE into two main forms [1] suspected lipid deficiency [2] suspected aqueous deficiency Note that these can occur concurrently and are listed as ‘suspected’ as they are sometimes hard to distinguish clinically but are treated differently.

Management options for progressing severity for both forms of dry eye will be highlighted below. If not treated, eyes that are chronically dry progress to having DRY EYE DISEASE. This is an inflammatory condition that generally requires prescription drops or oral medications to manage. Advancing Dry Eye Disease is not only uncomfortable but can cause unstable vision and irreparable damage to ocular tissue.

Four recommendations for both forms of Dry Eye [1] Hydration – drink lots of water! [2] Humidity – consider a humidifier in house or work environment for winter [2] VDT use – try to take breaks of 5 min each hour and instill rewetting drops [3] Make-Up – consider hypoallergenic make-up and be sure not to line eye lid margins

How do I know what form of Dry Eye that I have?

The BEST way is an eye exam!  Special dyes and tests are used to identify your type of dry eye (AQUEOUS vs. LIPID Deficiency) and the best treatment course.   If this this is not possible, start with recommendations on LIPID deficiency based dry eye as it is much more common.

Recommendations based on a Lipid Deficiency Dry Eye (MOST common)

The goal of treating lipid deficiency dry eye is to reduce the evaporation of tears from the ocular surface as low moisture causes irritation and damage to the ocular tissue.

Recommendations based on current accepted care protocol.

LEVEL ONE: Use non-preserved rewetting drops designed for Lipid Deficiency Recommended 2-6 times per day
     Option 1 - Hyabak® available through our office and online (filtered bottle)
     Option 2 – non-preserved Optive Fusion or Optive Advanced - available through any pharmacy – individual use

LEVEL TWO: All level ONE recommendations but to an enhanced vigilance also add [1] 5-10min of Bruder Mask (or warm compress) at bedtime, [2] Omega 3’s (ideally of Trigyceride form) 1000mg/day to 2000mg/day (note that Omega 3 is not to be used with Coumadin or other Rx blood thinners)

LEVEL THREE: Prescription topical steroid and/or oral medications will be discussed for inflammatory dry eye disease

Recommendations based on an Aqueous Deficiency Dry Eye

The goal of treating aqueous deficiency dry eye is to dilute the tears so that they are less salty and irritating to the ocular tissue.

Recommendations based on current accepted care protocol.

LEVEL ONE: Use non-preserved rewetting drops designed for Aqueous Deficiency Recommended
     Option 1 - Thealoz® available through our office – filtered bottle
     Option 2 – non-preserved Theratears or non-preserved HypoTears – available through any pharmacy - individual use

LEVEL TWO: All level ONE recommendations but to an enhanced vigilance also add a non-preserved eye gel at bedtime -
Recommended: Ocunox available at our office or select pharmacies

LEVEL THREE: Prescription topical steroid treatment will be discussed for inflammatory dry eye disease

Dr Morris' Vision Blog

  • Whitening eye drops poison to kids?
    June 15 - 17  |  I learned something today...  "Eyedrops get rid of bloodshot eyes but they can also be dangerous if your kid decides to squirt some in their mouth. 'Eyedrops that contain imidazoline decongestants such as naphazoline, tetrahydrozoline, or oxymetazoline are dangerous when ingested, even in small quantities like 1-2 tablespoons,' says Gwenn Christianson, RN at the Indiana Poison Center at IU Health. They can sedate children, and interfere with breathing. "

    Credit goes to: http://www.msn.com/en-ca/health/medical/warning-these-16-everyday-things-pose-huge-health-risks/ss-BBCEPFO?ocid=spartandhp#image=14

    Dr.j   www.studioeyecare.com

  • Skin Cancer & Sunglasses
    May 2017 | As Summer fast approaches it has me thinking about new sunglasses.  Everyone knows that protecting eyes from the harmful rays of the sun with good sunglasses is just as important as protecting your skin with good sunscreen.  However, did you know that sunglasses also protect  delicate eyelid tissue from UV?    Our eye lids are a common place for skin cancer because we never put sunscreen close to our eyes.   Wear sunglasses this summer to protect both your eye and lids!
    Dr j    StudioEyeCare.com

  • Why do we see spots after a camera flash?
    Feb 27, 2017  |  Great question from a young patient last week... "Why do I see spots after a bright light?"   To understand why, lets first talk about how the eye works.   When any light hits the back of the eye (retina) a chemical reaction occurs that converts the light energy into electrical/nerve energy that goes to the brain.  This reaction takes fuel that is constantly being produced by the eye and then used up - over and over again.   Under normal circumstances the fuel's speed-of-creation can keep up with the fuel's speed-of-use.  However, when the eye is presented with intense brightness like a camera flash (or eye exam!), the fuel is used up much faster than production.   Because there is no/low fuel after the flash, this flashed zone of the retina appears dark because there is no creation of the electrical/nervous energy until the fuel regenerates.    dr.j     Studioeyecare.com

  • Eyelash Extension Issues
    Feb 6, 2017 | With the explosion in the use of eyelash extension, there has certainly been associated issues coming through our clinic door.  #1 is ocular surface irritation [likely] from adhesives.  Please come in for assessment if your eyes have not felt 'right' since extensions.  Here is a good article from the Canadian Assoc of Optometrists... https://opto.ca/health-library/eyelash-extensions   Dr. j  Studioeyecare.com