What is Dry Eye?

Dry Eye is a chronic, progressive, inflammatory condition affecting millions of people around the globe. Currently between 16 million and 49 million Americans are thought to have dry eyes. Google trends for the topic “dry eye syndrome” have doubled between December 2010 and July 2020. Around one billion people have Meibomian Gland Dysfunction globally.

Struggling with symptoms of dry eye?

Many people struggle with multiple symptoms such as dryness (76%), foreign body sensation (64%), eye fatigue (62%), light sensitivity (62%), blurred vision (60%), as well as burning, scratchiness and itchiness. Dry eye interferes with many aspects of everyday life, including driving at night (56%), reading (42%), using a computer (34%) and watching television (24%).

Types of Dry Eye

When you blink, a film of tear spreads over the eye keeping the eye’s surface smooth and clear. A healthy tear film is crucial for crisp vision. Your tear is made up of three layers-lipid, aqueous and mucus. Dry eye is divided into two major types:

01. Evaporative Dry Eye Disease: This type is caused by inflammation of the meibomian glands located in the eyelid resulting in deficiency of the oily lipid layer of the eye’s natural tear film. The oily lipid layer is essential to protect the water layer of the eye from evaporation.

02. Aqueous tear-deficient Dry Eye Disease: In this type the lacrimal glands fail to produce enough of the watery component of tears to maintain a healthy eye surface.

Treating dry eye is tricky, but not impossible

Dry eyes is a condition that can be controlled but does not go away. Left untreated, it can lead to permanent damage to the eyes. Fortunately, as we continue to understand the pathogenesis of dry eye, there are many medications and devices available and even more effective treatments are on the horizon. Finding a solution may involve some trial and error. It may be necessary to combine therapies and make a few lifestyle changes. Following are few options that may help you.

  • Lifestyle, environmental and dietary changes: including protection from wind, cigarette smoke, frequent blinking, dietary supplements like omega-3, vitamin D etc.
  • Using OTC lubricating drops
  • Topical medications or pills that prevent inflammation and infection
  • FDA-approved drugs such as Restasis, Xiidra, Cequa or Eyesuvis, Tyrvaya
  • Punctal Plugs
  • Special procedures like LipiFlow, TearCare, Blephex and Intense Pulse Light Therapy (IPL)
  • Special Contact Lenses

Our team will work with you patiently to find and tailor the right treatment to your needs.


TearCare uses SmartLids, which comfortably conform to the natural shape of your eye. The SmartLids are placed on the upper and lower eyelids. After about 15 minute heating procedure, the glands are expressed with a unique and comfortable forceps. This allows for a customized expression of the meibomian glands. Generally, patients have this treatment once every 6-15 months, depending upon the severity of their disease.


When compared with at-home warm compresses twice a day for four weeks, TearCare was superior in improving tear break up time one month after the procedure. A second procedure at six months was found to be beneficial in improving signs and symptoms of MGD and DED. Initial results of the OLYMPIA trial, which compared TearCare to LipiFlow, showed that 76% of females noted improvement in symptoms after one month, compared to 56% of females who received Lipiflow.


Meibomian gland health can be negatively impacted by chronic excess bacteria, biofilm and bacterial toxins, leading to dry eye, redness, itching, dry eye, and ocular fatigue. BlephEx® is a new  in-office procedure where your doctor takes active role in cleaning your eyelid margins.

Microblepharoexfoliation by BlephEx®

A soft medical grade micro-sponge is used to clean along the edge of your eyelids and lashes. This procedure effectively removes accumulated bacterial biofilm, which is so difficult to treat with in home cleansers and scrubs. Once the biofilm is removed, the orifice of the meibomian gland is less obstructed, which allows for better flow of oils and less inflammation related to bacterial overgrowth. The treatment only takes a few minutes in the office. It is optimal to have BlephEx® repeated about once every 4-6 months based on the severity of your disease.

What is Maskin Probing for Blocked Meibomian Glands?

In this procedure a wire probe is inserted into meibomian glands to relieve obstructions that could be causing discomfort and dry eye. The meibomian glands are located in the eyelids with their orifices along the rim of the eyelids opening toward the ocular surface.

Functioning meibomian glands prevent eyes from drying out by secreting a lipid-protein mixture necessary to help stabilize the tear film and reduce evaporation. Probing establishes and confirms with positive physical proof a patent outflow channel including duct and orifice. Some studies have shown that probing alone or with other procedures may stimulate growth and help in regeneration of the meibomian glands.

You’ve got questions? We’ve got answers..

Is TearCare Covered by Insurance? TearCare is not covered by insurance. Consider this an investment for your eyes and vision.

How long do these procedures take in office? Expect to spend about 60-90 mins for the entire procedure.

Is TearCare painful? No! It almost feels like a spa visit that relaxes you while the TearCare and us do the job.

Is Maskin Probing painful? Probing can cause some discomfort during the procedure. However, we use a special numbing agent that will keep pain to minimal.

Don’t Believe Us?
Read Reviews from Patients Just Like You!

Contact Us

Leave this field blank

Phone: 407-243-8715, Phone: 407-261-4411
FAX: 407-326-6960

10962 Moss Park Road, Suite 200
Orlando, FL 32832

Mon-Fri: 8:00am-5:00pm
Saturday: 8:00am-2:00pm (Appointment Only)
Sunday: Closed