Dry eye can have many different causes. We look for the underlying causes of your symptoms, including blocked or poorly functioning oil glands in the eyelids (meibomian gland dysfunction), inflammation, blepharitis, ocular rosacea, medications, systemic health conditions and lifestyle factors, then create a treatment plan tailored to your needs.
Symptoms can result from problems with the quality of your tears, inflammation, eyelid and oil-gland function, medications, hormonal changes, systemic health conditions, environmental factors—or a combination of these.
Understanding why your eyes are dry is an important first step in determining the right treatment.
Tiny oil-producing glands along your eyelids help prevent your tears from evaporating too quickly. When these glands become blocked or don't function properly—a condition called meibomian gland dysfunction (MGD)—the tear film can become unstable, leading to burning, irritation, watering and fluctuating vision.
Blepharitis is inflammation along the eyelid margins that can contribute to redness, irritation, crusting and an unhealthy tear film. It can occur alongside meibomian gland dysfunction and other forms of dry eye disease.
Demodex are microscopic mites that naturally live around the eyelashes and oil glands. When present in excessive numbers, they can contribute to eyelid inflammation, itching, redness, irritation and dry-eye symptoms. During your evaluation, we examine the eyelid margins and eyelashes for signs of Demodex blepharitis, including characteristic debris at the base of the lashes.
Rosacea can affect the eyes and eyelids as well as the skin. Ocular rosacea may contribute to eyelid inflammation, meibomian gland dysfunction, redness, burning and chronic dry-eye symptoms—even in patients whose facial rosacea is subtle.
Inflammation can both contribute to and result from dry eye disease, creating a cycle of ocular-surface irritation. Identifying signs of inflammation helps us determine which treatments may be appropriate.
A healthy tear film has multiple components that work together to keep the surface of the eye smooth, protected and comfortable. When that balance is disrupted, tears may evaporate too quickly or fail to adequately protect the ocular surface.
When concentrating on computers, phones and other digital devices, we may blink less frequently or incompletely. This can increase tear evaporation and contribute to dryness, eye strain and fluctuating vision.
Contact lenses interact directly with the tear film. Dry eye can make lenses increasingly uncomfortable, while contact lens wear itself can sometimes contribute to ocular-surface symptoms.
Your eyes don't exist separately from the rest of your body. Certain medications, hormonal changes and systemic health conditions can contribute to dry eye symptoms. Understanding your medical history is therefore an important part of a comprehensive dry eye evaluation.
Your dry eye evaluation may include assessment of the tear film, ocular surface, eyelids and meibomian glands, along with a detailed review of your symptoms, medical history, medications, lifestyle and environmental factors.
Depending on your individual findings, your evaluation may include:
Tear-Film + Ocular Surface Staining
Special diagnostic dyes allow us to evaluate the stability and quality of the tear film and identify areas of dryness or damage on the surface of the eye.
Eyelid + Meibomian Gland Evaluation
We carefully evaluate the eyelids, eyelashes and oil-producing meibomian glands for signs of inflammation, blockage, blepharitis, Demodex and other conditions that may contribute to dry eye symptoms.
Anterior Segment Imaging
High-resolution imaging can help us document and evaluate the eyelids, tear film and front surface of the eye and monitor changes over time.
Medical + Medication Review
We consider medications, hormonal factors and systemic health conditions that may be contributing to your symptoms—not simply what is happening at the surface of the eye.
Blood Work When Indicated
When your history or examination suggests that a systemic condition may be contributing to your ocular-surface symptoms, laboratory testing may be ordered when clinically appropriate.
There is no single treatment that is right for every person with dry eye. Your treatment plan is based on your symptoms, examination findings and the underlying factors contributing to your condition.
Depending on your needs, treatment may include at-home therapies, prescription medications, nutritional or lifestyle recommendations and advanced in-office treatments.
OptiLight® IPL
Targeting inflammation and meibomian gland dysfunction
OptiPLUS™ Radiofrequency
Controlled heat to support meibomian gland function
OptiLift® RF + Dynamic Muscle Stimulation
Supporting gland function and healthy blinking
ZEST Eyelid + Lash Cleansing
Professional cleansing for healthier eyelids
Rinsada®
In-office cleansing of the ocular surface
Meibomian Gland Expression
Helping restore healthy oil flow
Demodex + Blepharitis Treatment
Targeted treatment for eyelid disease
Punctal Plugs
Helping retain your natural tears
Amniotic Membrane
Supporting a compromised ocular surface
Prescription Dry Eye Therapy
Medical treatment based on your individual findings
At-Home + Preventive Care
Supporting healthier eyes between visits
Clear Eye Health Eyewear
1240 Post Road East, Westport, CT, USA
Schedule an eye exam before the back-to-school rush.
203-557-8426