Lasting relief for dry eyes

Burning, grittiness, fluctuating vision, reaching for artificial tears again and again. Our specialists find what is driving your dry eye and treat the cause with in-office procedures and prescription therapies.

6Treatment approaches under one roof
In-officeProcedures done during your visit
1:1A plan matched to your type of dry eye

FDA-approved · In-office

Tixel

An FDA-approved in-office treatment for evaporative dry eye caused by meibomian gland dysfunction (MGD), which is when the oil-producing glands in the eyelids don’t release enough healthy oil to keep tears from evaporating too quickly.

How Tixel works

Tixel uses controlled heat plus gentle mechanical action on the eyelids. The treatment is applied near the upper and lower lid margins rather than directly to the eye. The goal is to:

Warm the meibomian glands
Helps loosen thickened or stagnant oils.
Improve gland function
Allows more oil to reach the tear film.
Stabilize the tear film
So tears remain on the eye longer.
Ease everyday symptoms
May reduce burning, grittiness, fluctuating vision and the need for artificial tears.

What treatment is like

In the clinical trial, patients received three sessions approximately two weeks apart. The clinician treats areas of the upper and lower eyelids with brief Tixel pulses.

Nothing touches the eye itself. Tixel doesn’t require placing a device directly on the eye or applying heat to the ocular surface.

In-office

BlephEx

An in-office treatment that mechanically cleans and exfoliates the eyelid margins and the base of the eyelashes.

BlephEx uses a small rotating micro-sponge to remove debris, flakes, oils and microbial/biofilm buildup from the lid margins. This can be particularly relevant when dry eye is associated with blepharitis and/or meibomian gland dysfunction (MGD).

How lid buildup leads to dry eye

  1. Lid debris & biofilm
  2. Eyelid inflammation
  3. Abnormal meibomian glands
  4. Unstable tear film
  5. Dry-eye symptoms

By cleaning the lid margin, BlephEx may:

Clear gland openings
Reduce buildup around the meibomian gland openings.
Calm inflammation
Reduce some of the inflammation associated with blepharitis.
Restore gland function
Help the meibomian glands function more normally.
Improve the oily layer
Improve the quality and stability of the tear film's oily layer.
Relieve symptoms
May reduce burning, irritation, fluctuating vision and dryness.

Biologic therapy

Amniotic Membranes

A temporary biologic dressing that helps treat certain forms of dry eye and ocular-surface disease, particularly when the surface is significantly inflamed or damaged. Membranes are placed over the eye and typically remain in place for several days.

Potential benefits

Reduces inflammation
Contains anti-inflammatory and anti-scarring factors that may calm the ocular surface.
Promotes healing
Can support regeneration of the corneal and conjunctival epithelium.
Relieves symptoms
Some patients see improvement in burning, pain, foreign-body sensation and light sensitivity.
Improves the ocular surface
May help heal persistent epithelial defects and areas of corneal surface damage.
May reduce scarring
Anti-fibrotic properties help when inflammation has caused, or may cause, surface scarring.
Provides a protective layer
Acts somewhat like a biologic bandage while the surface heals.

In-office · No downtime

Rinsada

A quick in-office procedure using a specialized medical device to deeply clean the ocular surface and relieve chronic irritation. It typically takes only a few minutes, with no downtime.

The Rinsada tool is placed gently inside the eyelid to hold it open while delivering a controlled stream of sterile saline. It gives a deep flush by irrigating hard-to-reach areas like the conjunctival fornix, palpebral conjunctiva and bulbar conjunctiva at the same time. The high-flow wash clears away trapped allergens, bacteria, microscopic debris and biofilm from the eyelid margins.

Rinsada is used to:

Reduce inflammation in the tear film
Relieve foreign-body sensation
Due to dry eye, blepharitis and chronic eye allergies.

Same-day · No surgery

Punctal Plugs

Punctal plugs are tiny devices placed in the tear drainage openings (puncta) in your eyelids. They help dry eye by slowing or blocking tear drainage.

Benefits

More tears stay on the eye
Tears remain on the eye's surface for longer.
A more stable tear film
Reducing dryness, burning and irritation.
Drops last longer
Artificial tears or prescription drops stay on the eye instead of draining away quickly.
Helpful for low tear volume
Particularly useful when dry eye is partly caused by excessive tear evaporation or insufficient tear volume, though plugs don't address every cause.
There are temporary dissolvable plugs and longer-lasting plug options. Plugs can be placed on the day of your exam and do not require surgery. Ask your eye care provider if plugs are right for you.

Prescription

Prescription Therapies

Prescription dry-eye drops can help in different ways, depending on what is causing the dryness and on the prescription. They generally do more than simply “add moisture” like many over-the-counter products.

Artificial tears vs. prescription treatment. Artificial tears can make your eyes feel better almost immediately, but they don’t necessarily change the underlying disease. Prescription treatments that target inflammation or tear production may take weeks to reach their full effect, but have longer-lasting benefits.

How prescription drops work

Reduce inflammation & restore tear production
Cyclosporine (Restasis, Cequa, Vevye) reduces inflammation on the eye's surface and can help the lacrimal glands produce more natural tears.
Reduce the inflammatory cycle
Lifitegrast (Xiidra) blocks a specific inflammatory pathway involved in dry-eye disease, helping improve signs and symptoms.
Slow evaporation of tears
Perfluorohexyloctane (Miebo) forms a layer that helps keep the watery part of the tear film from evaporating too quickly, which is especially relevant for evaporative dry eye.
Stimulate tear production through the nervous system
Varenicline nasal spray (Tyrvaya) stimulates nerves involved in the natural tear-production reflex.
Stimulate the corneal nerves
Acoltremon (Tryptyr) activates TRPM8 receptors and can increase tear production.
Temporarily suppress inflammation
Certain steroid drops, such as loteprednol, can rapidly reduce inflammation during flares. They're used for limited periods because prolonged use can raise eye pressure and increase other risks.

Autologous Serum

Prescription eye drops made from a patient’s own blood. The serum is separated and prepared as sterile eye drops for the treatment of dry eye.

Serum contains proteins, growth factors, vitamins, electrolytes and other components that are normally present in tears. The goal is not only lubrication but also supporting corneal epithelial healing and ocular-surface health.

Who it’s for: generally considered when dry eye is moderate-to-severe or persistent despite conventional treatment, particularly when there is significant ocular-surface damage or aqueous tear deficiency.

Oxervate

An 8-week prescription eye drop treatment for neurotrophic keratitis, a condition where reduced nerve sensation in the cornea keeps the surface of the eye from healing normally. Loss of corneal sensation decreases protective blinking and the normal tear and corneal healing responses.

Common causes of neurotrophic keratitis

  • Herpes simplex keratitis
  • Herpes zoster ophthalmicus (shingles)
  • Diabetes mellitus
  • Previous eye or corneal surgery
  • Trigeminal nerve disorders or injury
  • Chemical or thermal injury
  • Chronic topical eye medications
  • Contact lens–related or chronic ocular surface disease

Herpes simplex keratitis is one of the most common causes. Trigeminal nerve injury can include tumors, stroke or trauma, and preservative-containing drops can contribute to corneal damage.

Comfortable eyes start with the right diagnosis.

Schedule a dry eye evaluation with one of our specialists. We’ll find what’s behind your symptoms and walk you through the treatment options that fit you.

Schedule a consultation