Dry Eye Treatment in Oakville

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Dry Eye Shouldn’t Impact Your Daily Life

Dry eye disease can be more than uncomfortable; it can be damaging to your eyes and affect the quality of your vision. Abbey Eye Care takes a customized approach to diagnosing and treating dry eye disease.

With a series of targeted diagnostic tests and a careful case history, we can better determine the cause(s) of your dry eye. This insightful approach allows us to target your treatment to help get at the underlying cause of your symptoms rather than just the symptoms themselves.

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Causes of Dry Eye Disease

Dry eye disease develops as a result of one of two problems: insufficient tear volume or poor tear quality.

Sometimes, the body does not produce enough tears to keep the eye moist and lubricated. Other times, the body does produce enough tears; however, there may not be enough oil (called meibum) to create a moisture locking seal on the surface of the eye. Without enough meibum in your tear film, the watery component evaporates from the eye’s surface too quickly, causing dryness. The most common cause of dry eye disease is a problem with the glands that produce the meibum that keeps the eyes moist and comfortable.

  • Dryness
  • Irritation (burning or itching sensation)
  • Redness
  • Stringy discharge
  • Foreign body sensation in the eye
  • Sudden watery eyes
  • Sensitivity to light
  • Excess glare (particularly when driving at night)
  • Blurry vision
  • Eye fatigue

In Office Treatments

LipiFlow©

LipiFlow has been our foundational in office treatment for our dry eye patients for the past few years.

How does LipiFlow© work?

LipiFlow© is an in-office treatment that uses small, soft silicone applicators to treat MGD (meibomian gland dysfunction). The meibomian glands are the oil glands found in our eye lids. The device applies gentle heat and soothing massage to warm and unclog meibomian gland blockages. This improves the gland function and can offer long term relief for MGD. It has been found to be significantly more effective than other heat based treatments.  A systematic review of the literature has found that LipiFlow© can significantly improve gland function and alleviate dry eye symptoms in most patients.
It is FDA and Health Canada approved for treatment of moderate to severe dry eye disease.

Tell me about the procedure

With the LipiFlow© procedure, applicators are applied to each eye. The applicators cover both the inside and the outside of the eye lids. The procedure takes 12 mins in total. The eye lids are heated to 42.5C and then are gently massaged/expressed. This temperature has been shown to melt the oil inside the meibomian glands. The melting and the massage from the applicators allows the stagnant oil in the glands to be melted and expressed. This improves the function of the oil glands so they can produce better more robust oil to cover the surface of the eye.

How many treatments do I need?

LipiFlow© is a one time treatment. 85% of patients treated with LipiFlow© notice an improvement in their dry eye symptoms. This improvement typically lasts for 12 – 24 months. Often times LipiFlow© is repeated at some point in the future to help keep dry eye symptoms at bay.

Coming Soon! (estimated launch – January 2022)

We are very excited to be providing Intense Pulse Light treatments to our dry eye patients in the new year. We have acquired the INMODE Lummeca IPL unit. IPL has been FDA approved for the management of dry eye disease. The scientific literature is overwhelmingly positive with a reduction in dry eye symptoms of 50% or more in most patients.

How does IPL work?

IPL works well on people with ocular and facial rosacea. IPL targets abnormal leaky blood vessels that are thought to carry inflammatory mediators to the oil glands of the eye lids (meibomian glands). By reducing the size/caliber of these blood vessels, the eyelids and glands become less inflamed. This improves the function of the oil glands so they can produce better more robust oil to cover the surface of the eye.

Tell me about the procedure

IPL in the dermatology world is referred to as a photofacial. We apply ultrasound gel to the area around the eyes including the eye lids, cheeks and forehead. We also place shields over top the eyes to protect them during the procedure. The dry eye protocol we use typically will have 30 to 40 pulses. In general IPL is not uncomfortable and patients describe each pulse like a snap on the skin.

What does IPL do to the skin that is treated?

Not only does IPL improve the gland function of the eye lids, it also reduces the overall redness of the skin (cheeks in particular) and reduces dark spots and sun spots in the skin as well.

How many treatments do I need?

IPL typically requires 4 sessions spaced approximately 3 weeks apart. Each session takes about 15 – 20 mins to perform.

Can I combine IPL with LipiFlow?

Yes, for most patients, LipiFlow works synergistically with IPL. Each treatment targets different aspects of dry eye. IPL of course reduces inflammation and LipiFlow uses thermal expression. Thermal expression heats the oil glands of the eyes and expresses their contents. This gets rid of any stagnant oil in the glands and allows for production of new more pristine oil to coat the surface of the eye.

Coming Soon! (estimated launch – January 2022)

We are very excited to be providing Radio Frequency (RF) treatments to our dry eye patients in the new year. We have acquired the INMODE Forma Eye unit. RF has been shown to greatly reduce dry eye symptoms in most people.

How does RF work?

RF is a non-invasive non surgical skin treatment that heats the oil glands (meibomian glands) of the upper and lower eye lids. It uses radio frequency energy to heat the deeper layers of the eye lids and target the oil glands specifically.

Tell me about the procedure

The RF handpiece is used to apply uniform heat to the upper and lower eye lids of each. We spend about 5 mins on each eye lid. The hand piece is calibrated to heat the skin to a precise temperature of 42-43C. This temperature has been shown to melt the oil inside the meibomian glands. The melting and the massage from the handpiece allows the stagnant oil in the glands to be melted and expressed. This improves the function of the oil glands so they can produce better more robust oil to cover the surface of the eye.

What does RF do to the skin that is treated?

Not only does RF improve the gland function of the eye lids (reducing dry eye symptoms) it produces tighter smoother skin. It also reduces the appearance of fine lines and wrinkles by increasing collagen production.

How many treatments do I need?

RF typically requires 4 sessions spaced approximately 3 weeks apart. Each session takes about 15 – 20 mins to perform.

Can I combine RF with LipiFlow?

Typically patients will choose one treatment or the other. RF requires 4 treatments over a course of a few months. LipiFlow is a one time treatment to heat and express the glands. RF does however enhance the appearance of the skin with fewer fine lines and wrinkles. The team and doctors at Abbey Eye Care can help you decide which treatment is best for you.

Dry eye disease can be impacted by blepharitis; an infection and irritation of the eyelid. BlephEx and AB Max can treat and prevent blepharitis and related dry eye symptoms by cleaning the eyelid and removing the source of the infection. A BlephEx or AB Max treatment takes place in our office with the use of a small, gentle handheld cleaning tool. It also does a great job of cleaning the meibomian gland openings, allowing the meibum (oil) to flow freely.

Xiidra and Restasis are medicated eye drops prescribed to sufferers of dry eye disease. In addition to offering immediate relief of symptoms, Restasis and Xiidra drops also help stimulate your body’s natural tear production. These drops are only available by prescription.

Diagnostics

At Abbey Eye Care we are fortunate enough to be able to image the meibomian glands (oil glands of the eyelids). Meibomian gland dysfunction is the leading cause of dry eye and LipiScan allows us to identify and treat it.

Using a special diagnostic tool called an I-PEN, we can determine the cause of your dry eye. The I-PEN measures your tear osmolarity, which tells us if there is an imbalance in your tears. This insight allows us to treat the underlying cause of your dry eye rather than just the symptoms themselves. We can also track this important metric over time to see how your treatment is progressing.

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Visit Us in Oakville for a Complete Eye Care Experience

Ready to Meet Us?

Find us on the corner of Third Line & Dundas. (Plaza with: Shoppers Drug Mart, Starbucks & Freshco)

Parking

There is a large parking lot in front of our office with free parking.

Our Address

D15, 2501 Third Line
Oakville, ON L6M 5A9

Contact Information

Hours Of Operations

Monday
9 AM6 PM
Tuesday
9 AM6 PM
Wednesday
9 AM8 PM
Thursday
9 AM8 PM
Friday
9 AM6 PM
Saturday
9 AM5 PM
Sunday
Closed

Blog & News

New Spray for Dry Eye – Hypochlorous Acid

New Spray for Dry Eye – Hypochlorous Acid

Dry Eye Disease

When one hears the word acid, they immediately think of something that can cause damage and would certainly be painful to use in or around the eyes. Nothing could be further from the truth with regards to hypochlorous acid or HOCL. Hypochlorous acid or (HOCL) has a long history in the medical community. It was […]

Read More…

October 20, 2021
0
Dr. Tina Goodhew

When one hears the word acid, they immediately think of something that can cause damage and would certainly be painful to use in or around the eyes. Nothing could be further from the truth with regards to hypochlorous acid or HOCL. Hypochlorous acid or (HOCL) has a long history in the medical community. It was […]

Read More…

Did Children’s Eyes Change During the Pandemic?

Did Children’s Eyes Change During the Pandemic?

Children’s Vision, myopia, myopia control

Myopia or nearsightedness is the inability to see things clearly in the distance. It is the most common prescription among children and young adults. The question is, did the number of myopic children increase over the course of the pandemic? What does the data tell us? A study done by the JAMA network looked at […]

Read More…

July 8, 2021
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Dr. Tina Goodhew

Myopia or nearsightedness is the inability to see things clearly in the distance. It is the most common prescription among children and young adults. The question is, did the number of myopic children increase over the course of the pandemic? What does the data tell us? A study done by the JAMA network looked at […]

Read More…

MiyoSmart Myopia Controlling Spectacle Lenses – New!

MiyoSmart Myopia Controlling Spectacle Lenses – New!

Children’s Vision, myopia, myopia control

Myopia or nearsightedness is the inability to see things clearly in the distance. It is the most common prescription among children and young adults. The incidence of myopia is expected to increase significantly as lifestyles change. This is particularity important when it comes to children as they take part in more intense near tasks like […]

Read More…

September 17, 2020
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Dr. Tina Goodhew

Myopia or nearsightedness is the inability to see things clearly in the distance. It is the most common prescription among children and young adults. The incidence of myopia is expected to increase significantly as lifestyles change. This is particularity important when it comes to children as they take part in more intense near tasks like […]

Read More…

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