The Bochner Eye Institute has established a comprehensive Dry Eye Clinic to identify the underlying causes of dry eye conditions so that they can offer their patients customized treatment plans. This is one of the first North American clinics of its kind located in Canada.
Dry eye occurs when there is a problem with the quality or quantity of tears secreted. The normal tear film is composed of three different layers, each secreted by three different glands.
At the Toronto Dry Eye Clinic, a sophisticated tear film analysis is performed on each patient to determine whether the patient suffers from a deficiency in aqueous secretions or meibomian secretions. The latter condition is referred to as meibomian gland dysfunction (MGD) or evaporative dry eye.
Identifying the cause of the dry eye allows for a customized treatment plan. Advanced treatment options may include:
1. Restasis (cyclosporine), a prescribed topical medication that acts on the lacrimal glands to produce an increase in tears. The medication is used twice per day.
2. Punctal plugs, which are micro-inserts placed in the channels of the lids to reduce drainage of tears away from the eye. This allows more tears to reach the surface of the eye.
3. LipiFlow, a new treatment to reduce blockage and enhance meibomian gland secretions. The treatment involves controlled application of heat and massage to the upper and lower eyelids simultaneously. This facilitates opening of the blocked meibomian glands without damaging the glands or surrounding tissues. Opening the blocked eyelid glands may allow the body to resume the natural production of lipids needed for the tear film.
Dry eye can occur after certain laser eye surgery procedures. To schedule a consultation at the Ontario & Toronto Dry Eye Clinic of Bochner Eye Institute, call 416-944-EYES (3937). The evaluation involves an assessment by a dry eye specialist, a detailed analysis of the tear film, and a customized treatment plan. The cost of the tear film analysis is $125.