Dry Eyes

What is Dry Eyes Syndrome?

dry eyes oklahoma city | Precision Vision

Dry Eyes Syndrome is a common disease in which the eye under-produces tears, or the tears producricates and prevents evaporation of the tears; an aqueous (water) layer, which nourishes and protects the eyes surface; and a mucin layer, which adheres to the eye. Since the tear film is exposed directly to the air, the protective lipid layer is essential for maintaining a healthy film on they eye. When the protective lipid layer of the tear film is lacking, often caused by a blockage or obstruction of the eyelids meibomian glands, the result can cause a variety of problems including fluctuating vision, burning, grittiness, and even excessive tearing.

Do I have Dry Eyes Syndrome?

Dry eyes syndrome used to be more common in older people and women; however, as our world becomes more technologically driven, dry eyes can affect anyone. Common causes of dry eyes can be over the counter and prescription medications, as well as use of electronic devices. Other causes for dry eyes may be natural – tear production often slows down as people get older.

“‘I know I don’t have dry eyes, they water all of the time.”

This paradox occurs because keeping our eye moist is a big part of our vision, if the eye starts to become dry our bodies reflex mechanism is to ramp up the production of tears- this results in watering, sometimes the watering is so extreme that it runs out of the eye and down the cheeks like you are crying.”

Our team of doctors can suggest a variety of treatments for dry eyes, including artificial tears, medication, and lifestyle modifications.

Click here to take our survey and see if you are affected by dry eyes: www.mydryeyes.com


The LipiView® interferometer is the first device of its kind that enables doctors to assess your tear film by capturing images that measure the thickness of the lipid (oil) component, and an examination of the quantity and quality of lipids being released from your glands using the Meibomian Gland Evaluator™. Until the introduction of LipiView®, your doctor did not have a way to show if you were lipid deficient. As part if the revolutionary TearScience® system, your doctor will perform a series of tests to determine the likely cause of your dry eyes. Knowing what is causing your dry eyes will help your doctor determine the best treatment option.

The LipiView® process is non-invasive and only takes about 5 minutes to asses the lipid layer of your tears, and to scan the meibomian glands.

dry eyes oklahoma city | Precision Vision

What are the causes for Dry Eyes?

Meibomian Gland Dysfunction, or MGD, occurs when there is a compromise to the function and/or structure of the meibomian glands in the eyelids that produce the protective oily layer of the tear film. MGD affects 86% of those with Dry Eye Syndrome, and it’s often treatable.

How are Dry Eyes treated?dry eyes oklahoma city | Precision Vision

Possible treatment for Evaporative Dry Eyes and MGD include:

  • Manual expression of your eyelid glands by your doctor
  • Warm compress therapy and eyelid hygiene using scrubs and manual massage
  • Topical prescription medications
  • Over-the-counter tear replacements and lubricants
  • Punctual plugs made of silicone or collagen inserted in the tear ducts
  • or LipiFlow® Treatment

Your doctor will determine the best treatment option for you based on several factors that are obtained during your Dry Eyes Evaluation.


The LipiFlow® System is the only FDA-cleared medical device for removing gland blockages and restoring gland function. Through advances in the application of Vectored Thermal Pulsation (VTP™) technology, the LipiFlow® treatment utilizes a patented algorithm of heat applied to the inner eyelids and massage to remove the obstructions in your meibomian glands. This is performed in our office by your doctor, the complete dual treatment takes less than 20 minutes.

What can I expect during LipiFlow® treatment for Dry Eyes?

dry eyes oklahoma city | Precision VisionThe 12-minute treatment will begin with you resting in a reclined chair in a procedure room. Your doctor or a staff member of Precision Vision will place a mild anesthetic drop into the eye(s) being treated. Your doctor will gently fit the LipiFlow® disposable eyepiece under your eyelids, which will close around the applicator. After the LipiFlow® is activated you will feel both gentle pressure and warmth on your eyelids. Once the temperature of the applicator reaches a therapeutic range – enough warmth to begin melting the blockages of the glands, it will maintain a constant pressure for 2 minutes. Next, the pressure will go through different modes, including slow increasing pressure and pulsation for several cycles for the remaining 10 minutes of the treatment. The results of the LipiFlow® treatment vary patient to patient. It may take several weeks to see any symptom relief, so a follow-up re-evaluation is typically scheduled 8 weeks after the treatment – some patients will require more than 1 follow-up depending on your eye’s response to the treatment.

Are there any risks?

Patients with certain eye conditions are contraindicated from having LipiFlow®, certain conditions include, but are not limited to*:

  • Recent eye surgery or injury
  • Recurrent chronic inflammation of the eye in the prior 3 months
  • Eye infection
  • Eyelid abnormality that affects eyelid movement and function
  • Eye surface abnormality that may affect the integrity of the ocular surface
  • Moderate to severe eye allergies

Some patients may have adverse affects that occur as a result of the procedure, these include but are not limited to the onset or increase in*:

  • Eyelid or eye pain requiring the the discontinuation of the LipiFlow® procedure
  • Eyelid irritation or inflammation
  • Eye surface irritation or inflammation
  • Heat related injury to the eyelid or eye
  • Physical pressure-induced injury to the eyelid
  • Eye surface infection
  • Other eye symptoms: redness, burning, stinging, itching, sensitivity to light

*These are all possible adverse effects, but have a low occurrence rate

Financing options for Dry Eyes treatments

The eye examination and parts of a dry eyes evaltation may be covered by your medical insurance. The LipiView® and LipiFlow® however, are not covered by medical insurance. They are considered self-pay, and payment is collected at the time of service. There may be rebates and/or discounts offered to counter some of the costs associated with the test and procedure.

Schedule a consultation

If you are interested in treatment for dry eyes, contact our one of our Oklahoma offices today! Call (405) 733-4545 to schedule a consultation with one of our eye care specialists.