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In-Office Treatment

The Alaska Dry Eye Center prides itself on keeping up to date on all the newest technology for dry eye treatment. We offer a variety of treatments and are always bringing new and innovative technology into the office.


Visit our Video Gallery for more information regarding any of the treatments below!

LipiFlow Thermal Pulsation System

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What is LipiFlow?

The LipiFlow Thermal Pulsating System is a revolutionary way to treat Dry Eye caused by MGD. Opening and clearing the blocked glands allows the body to resume the natural production of the oils needed for the tear film.  

How Does the LipiFlow Work?

LipiFlow applies controlled heat to the inner eyelid, and mild intermittent pressure releasing oils from the blocked Meibomian glands. It does this without damage to the glands or the delicate structures of the eye. It treats the upper and the lower eyelids simultaneously. 


LipiFlow is also the only FDA cleared treatment using thermal pulsating heat to remove blockages in the Meibomian glands. Unlike things like heated masks and compresses, the LipiFlow applies heat outwardly from behind the lid as well as on the surface, while simultaneously providing massage. LipiFlow uses vectored thermal pulsating eyepieces known as Activators. The Activators are precisely designed to provide necessary inner and outer lid contact to properly apply heat, massage, and evacuate the Meibomian glands. Each Activator is used only once. 

What Happens During the Procedure?

The LipiFlow Activator is inserted under the lower and upper eyelids. It is shaped to prevent contact with the front surface of your eye. Once in place, you simply recline in the treatment chair for the remainder of the procedure. The entire procedure takes 12 minutes.

How Long Do the Benefits Last?

The results of LipiFlow vary from person to person. It can take several weeks to feel the full effect of symptom relief, but most patients report an improvement within 4 weeks. In a clinical study, 79% of patients reported improvement of their overall dry eye symptoms within 4 weeks, ranging from 10% to 100% improvement.


You will need follow up visits depending on your eyes’ response to treatment and your overall satisfaction. Be sure to continue your at home dry eye regimen as discussed with our doctor.

Post LipiFlow Care

Immediately after the procedure it’s normal if your eyes feel dry since all the stagnant oil in your Meibomian glands are now liquified. It will take about 4-6 weeks to notice full improvement; however, some patients will feel the immediate relief ranging from one day to 7 days. 


In order to maximize the effect of LipiFlow, there is a regimen we recommend our patients follow. 

Our regimen includes:


  1. Use of the oil-based tears such as Retaine MGD or Nanotears MXP Forte daily or as needed.
  2. Use of a hot compress mask daily, along with blink exercises throughout the day.
  3. Taking a daily supplement Nordic Naturals ProOmega 2000 or Ultra Dry Eye with Vision Guard.
  4. Cleaning the eyelids with an eyelid scrub to decrease bacteria and prevent the build-up of dead skin and debris. 

With this regimen, LipiFlow usually lasts more than 12 months and often as long as 2 to 3 years before needing to repeat it. Click the button below to learn more about the products listed.

At-Home Therapy

BlephEx

  

Blepharitis can be referred to as the grandfather of all eyelid diseases. It is widely responsible for symptoms ranging from itching, a need to constantly rub the eyes, a film over vision, fluctuating vision, redness to severe dry eye disease.


BlephEx is a new, in-office procedure that allows your eye doctor to treat blepharitis by eliminating the biofilm and bacterial toxins that cause inflammatory lid disease and dry eye, and improving the overall health of the eyelid.


With BlephEx, our doctors thoroughly and precisely eliminate the scurf and bacterial debris and biofilm that builds up along the lid margin. These are the main causes of inflammatory lid disease.


Properly performed, BlephEx will reduce or alleviate these chronic and debilitating symptoms. Treatments are typically repeated at regular monthly intervals depending on severity of the disease. 


By eliminating the inflammatory etiology of blepharitis, the overall health of the eyelid is improved. Patients can then begin to produce more of their own tears and finally enjoy a life free from the chronic and irritating symptoms associated with blepharitis and its subsequent dry eye disease. 


We aim to perform BlephEx before every LipiFlow to maximize treatment results, but both can be performed individually depending on your dry eye needs. 


http://www.rysurg.com/patients/index.php/how-does-blephex-work.html

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iLux

iLux allows direct visualization of meibomian glands, blockages, and expressed meibum throughout treatment via the magnifying lens, providing a direct view of the treatment area.  The proprietary light-based heat source gently warms the inner and outer lid to a safe therapeutic temperature. Sensors in the disposable iLux Smart Tip monitor inner eyelid temperature continuously during treatment. 

 

The sterile, single-patient use, disposable iLux Smart Tip has an inner pad and an outer pad. The inner pad slips behind the eyelid being treated, while the outer pad is pressed against the outer surface of the eyelid during heating and compression. Both pads are covered with a soft, biocompatible silicone material. The iLux Smart Tip contains precision temperature sensors to continually monitor inner eyelid temperature and maintain safe, therapeutic heat levels during treatment. Information from the Smart Tip is relayed to the iLux device, controlling the LED light sources to increase or decrease treatment temperature as needed.


Treatments are quick and efficient, with most patients being treated in less than 8 minutes. 


http://www.tearfilm.com/ilux-device/

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Punctal Plugs

What are Punctal Plugs?

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Punctal plugs are tiny, biocompatible devices that can be inserted into tear ducts to block drainage. This increases the eye's tear film and surface moisture to help relieve certain forms of dry eye. Also known as punctum plugs, lacrimal plugs or occluders, these devices often are no larger than a grain of rice.

How Are Punctal Plugs Inserted?

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Each eyelid has one punctum, located at its inner margin near the nose, where tears can drain from your eyes. Punctal plugs can be inserted in the puncta of the lower lids, the upper lids or both. An instrument may be used to dilate the tear duct opening for easier insertion. In many cases, no anesthetic is needed, but this varies case by case. Some punctal plugs are inserted just into the puncta so they still can be seen and mechanically removed if necessary. Other punctal plugs are inserted deeper into the canaliculus, where they are out of sight.

Are There Side Effects?

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 Usually, punctal plug insertion is uneventful and rarely involves serious side effects or problems. Excessive tearing (epiphora) and watery eyes can occur when the punctal plug does its job too well. In this case, you may need to visit us for removal of the plug or replacement with a different type to better control the amount of tears on your eye.  Displacement or loss of the plug is common and can occur for many reasons, such as when people rub their eyes and accidentally dislodge the device. 

Prokera

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What is the PROKERA membrane?

PROKERA biological corneal bandage devices are used by eye doctors around the world to heal and treat eye diseases such as keratitis, common dry eye, recurrent corneal erosion, filamentary keratitis, persistent epithelial defects, and other corneal issues and ocular surface diseases.  PROKERA is made by clipping a piece of amniotic membrane tissues in between two rings made out of clear, flexible material.  


The amniotic membrane used in PROKERA products are preserved using the company's proprietary Cryotek processing method to ensure the tissue retains its full biological activity, and has natural therapeutic actions that help damaged eye surfaces heal. PROKERA products provide faster and more effective healing of the cornea with less pain, scarring and inflammation, leading to clear corneas and improved clinical outcomes. Insertion and removal of the Prokera device is a fast and easy process for our doctors. It involves simply numbing the eye and sliding the membrane on the eye with plenty of lubricating drops. 

What does PROKERA do?

Helps the eye heal:  The amniotic membrane tissue in PROKERA has natural therapeutic actions that help damaged eye surfaces heal. Eyes treated with PROKERA have quicker healing times, less pain, less scarring, and less inflammation.


Protects the eye surface: The amniotic membrane in PROKERA is thin and clear like the tissue on the surface of your eye and protects your eye's damaged tissue while inserted.

What does PROKERA treat?

PROKERA is used by eye doctors all over the world to treat eye diseases such as Keratitis, corneal scars, chemical burns, corneal defects, partial limbal stem cell deficiency, and many other ocular surface diseases with inflammation. 

What is Amniotic Membrane tissue?

Amniotic membrane is part of the placenta. It is the tissues closest to the baby throughout development in the womb. Amniotic membrane protects the baby from any harm and it has natural therapeutic actions which help the baby develop. The tissues has healing properties that aid in ocular surface repair.

Where does the Amniotic Membrane come from?

The placentas used to prepare PROKERA are donated by consenting mothers after cesarean sections (c-section) births. Mothers that donate are fully informed, have healthy lifestyles, and are tested against infectious disease prior to donation.

Is PROKERA safe?

PROKERA is a safe, effective treatment provided by a tissue bank regulated by the FDA. The tissue has passed many quality control tests before it is provided to our doctors. Please ask our doctors if you have nay concerns. 

PROKERA Mechanism of action

Its best to continue with at-home therapy to help extend the benefits of in-office treatments.