Relief for Dry Eyes Starts Here
At Asheville Vision and Wellness, we understand that dry eye syndrome is more than just occasional discomfort – it's a condition that can significantly impact your quality of life. Our dedicated Dry Eye Clinic offers advanced diagnostic technology and effective treatment options to provide lasting relief.
Since 1989, our team has been committed to exceptional eye care in Western North Carolina. Now, with our expanded Dry Eye Clinic, we're bringing the latest innovations in dry eye management to our community.
Schedule Your Dry Eye Evaluation Today
Understanding Dry Eye Syndrome
What Causes Dry Eye Disease?
There are many different reasons people can develop dry eye disease. If you're experiencing symptoms, it's important to get a customized evaluation of the underlying causes to effectively treat it. Common causes include:
Meibomian Gland Dysfunction (MGD)
MGD is a condition in which the meibomian glands, located in your eyelids, become clogged or blocked. These glands produce an oily substance that helps to lubricate the eye and prevent tear evaporation. When these glands become blocked, the production of this oily substance is reduced or stopped, leading to an imbalance in the tear film and dry eye symptoms.
Blepharitis
Blepharitis is a condition that affects the eyelids, causing inflammation and discomfort. It can be caused by several factors, including bacterial infections, overgrowth of normal eyelid bacteria, or an allergic reaction. Inflammation from blepharitis can damage the oil glands in the eyelids, leading to a decrease in the oily layer that lubricates the eyes.
Demodex Mites
An infestation of Demodex mites, tiny organisms found on human skin, can potentially cause blepharitis and dry eye disease. While these mites are commonly present on the skin, an overabundance on the eyelashes may lead to inflammation of the eyelids. This inflammation can result in symptoms like redness, itching, and a gritty sensation in the eyes, and can damage the oil glands in the eyelids.
Cosmetics
Cosmetics can contain ingredients that irritate the eyes, causing dryness, redness, and itching. These ingredients include preservatives, fragrances, and certain dyes. Eye makeup, including mascara and eyeliner, can contain ingredients that cause dryness and irritation, especially when worn for extended periods. Cosmetics can also clog the oil glands on the eyelids and lead to the development of blepharitis.
Medical Conditions
Certain medical conditions, such as rheumatoid arthritis and Sjogren's syndrome, can lead to dry eye disease by affecting tear production or quality.
Medications
Many medications can cause dry eyes as a side effect, including antihistamines, antidepressants, blood pressure medications, and hormone replacement therapy.
Environmental Factors
Dry eyes can also be caused by environmental factors such as wind, sun exposure, air conditioning, heating, smoke, and low humidity environments.
Digital Eye Strain
When we stare at computer screens or other digital devices, we blink less often. As a result, prolonged exposure to screens can cause dry eye symptoms by reducing the natural refreshment of the tear film.
Common Symptoms
- Burning or stinging sensation
- Gritty feeling, like something is in your eye
- Redness and irritation
- Blurry vision that fluctuates throughout the day
- Light sensitivity
- Difficulty wearing contact lenses
- Watery eyes (the body's response to irritation)
- Eye fatigue and discomfort
- Stringy mucus around the eyes
If you're experiencing these symptoms, our specialized testing can determine the specific cause and severity of your condition.
Advanced Diagnostic Technology
OCULUS Keratograph 5M
Asheville Vision and Wellness utilizes the state-of-the-art OCULUS Keratograph 5M to accurately diagnose the root cause of your dry eye symptoms. This advanced technology provides:
- Non-invasive tear film analysis - measures how quickly your tears evaporate without using eye drops or dyes
- Meibography - detailed imaging of your meibomian glands to identify blockages, atrophy, or dysfunction
- Tear meniscus height measurement - assesses your natural tear volume
- Redness analysis - objectively documents and tracks inflammation
- Corneal topography - creates a detailed map of your cornea's surface
Unlike traditional dry eye assessments, the Keratograph 5M provides objective, reproducible measurements that allow us to track your progress over time and adjust your treatment plan accordingly.
Targeted Diagnostics for Each Dry Eye Cause
Depending on your symptoms, we may perform specialized diagnostics to identify specific causes:
For Meibomian Gland Dysfunction (MGD)
- Comprehensive meibography imaging to assess gland structure and function
- Evaluation of meibum quality and expressibility
- Tear film lipid layer thickness measurement
For Blepharitis and Demodex
- High-magnification evaluation of lid margins and lashes
- Microscopic assessment for bacterial overgrowth or Demodex presence
- Inflammatory marker analysis
For Environmental and Digital Eye Strain
- Detailed tear break-up time assessment
- Blink analysis and rate monitoring
- Environmental questionnaire to identify triggers
For Medical Condition-Related Dry Eye
- Comprehensive health history review
- Tear osmolarity testing when indicated
- Coordination with your other healthcare providers
Comprehensive Treatment Options
Based on your diagnostic results, we develop a personalized treatment plan that addresses the specific cause of your dry eye. Our treatments include:
For Meibomian Gland Dysfunction (MGD)
LipiFlow® Thermal Pulsation System
LipiFlow is a revolutionary treatment for MGD, the leading cause of dry eye disease. This FDA-approved procedure applies controlled heat and gentle pressure to your eyelids to:
- Remove blockages from the meibomian glands
- Restore natural oil flow to the tear film
- Improve tear quality and reduce evaporation
- Provide long-lasting relief (6-12 months for most patients)
The 12-minute treatment is comfortable and requires no downtime. Many patients experience improvement within weeks of their first treatment.
For Inflammatory Dry Eye and Blepharitis
Meibomian Gland Expression
For some patients, manual expression of the meibomian glands helps clear blockages and restore proper oil flow. This procedure is often combined with other treatments for enhanced results.
iLight IPL Pro Therapy
Intense Pulsed Light (IPL) therapy is a breakthrough treatment for dry eye caused by inflammation, MGD, and rosacea. Our advanced iLight IPL Pro system delivers precisely calibrated light pulses to:
- Reduce inflammation around the eyelids
- Liquefy and release hardened oils from the meibomian glands
- Eliminate bacterial biofilm that contributes to gland blockage
- Reduce abnormal blood vessels that cause inflammation
A typical treatment protocol involves 4-6 sessions spaced 2-4 weeks apart, followed by maintenance treatments as needed.
BlephEx™ Treatment
For blepharitis and lid margin disease, we offer BlephEx™ treatments that precisely clean the eyelid margins to:
- Remove bacterial biofilm
- Clear debris from the eyelid margin
- Reduce inflammatory triggers
- Provide a clean surface for other treatments to work more effectively
For Demodex-Related Dry Eye
We offer specialized treatments targeting Demodex mites, including:
- Tea tree oil-based therapies
- Targeted eyelid cleansers
- Prescription treatments when necessary
- Combination therapies with IPL when appropriate
For Environmental and Digital Dry Eye
- Customized artificial tear regimens
- Moisture chamber glasses for extreme environments
- Digital device usage strategies
- Office ergonomics consultation
- Specialized contact lenses for digital device users
Supporting Treatments for All Forms of Dry Eye
Depending on your specific condition, we may also recommend:
- Prescription medications - anti-inflammatory or immunomodulatory eye drops
- Nutritional supplements - omega-3 fatty acids and other targeted nutrients for tear quality
- Specialized eye drops and ointments - preservative-free artificial tears, serum tears, or prescription options
- At-home therapies - warm compresses, eyelid hygiene regimens, and specialized moisture goggles
NuLids Pro for Eye Lid Hydration
Healthy eyelids are the foundation of comfortable, hydrated eyes, and maintaining proper eyelid hygiene is crucial for preventing issues like dry eyes, Blepharitis, and Meibomian Gland Dysfunction. NuLIDS PRO is designed to exfoliate and stimulate your eyelids, ensuring they stay clean and functional for your everyday activities. In just a few minutes, this innovative treatment removes biofilm and scurf while opening blocked Meibomian Glands, which are essential for producing the oils that keep your eyes moisturized and comfortable.
Neglecting eyelid hygiene can lead to a buildup of debris, bacteria, and even Demodex mites—microscopic parasites that live on the eyelids and can worsen conditions like Blepharitis and dry eye disease. The NuLIDS PRO system addresses these issues by gently cleansing and revitalizing the eyelids. It not only removes scurf and biofilm but also helps eliminate Demodex mites, reducing inflammation and irritation while promoting better oil flow and overall eyelid health. This safe, chemical-free treatment is an essential part of maintaining healthy eyes.
Regular eyelid hygiene isn’t just for those with existing eye issues—it’s essential for everyone. By prioritizing the health of your eyelids with treatments like NuLIDS PRO, you can reduce your risk of developing dry eyes and other uncomfortable conditions. Take the first step toward healthier, more comfortable eyes with NuLIDS PRO, the proven solution for regular eyelid care and optimal eye health.
Your Dry Eye Treatment Journey
1. Comprehensive Evaluation
Your journey begins with a thorough evaluation using our advanced diagnostic technology. This appointment typically takes 30-45 minutes and includes:
- Discussion of your symptoms and medical history
- OCULUS Keratograph 5M testing
- Tear film analysis
- Meibomian gland evaluation
- Review of your current eye care routine
2. Personalized Treatment Plan
Based on your evaluation results, our doctors will develop a customized treatment plan addressing your specific type and severity of dry eye. We'll discuss:
- Recommended in-office treatments
- Home care protocols
- Lifestyle modifications
- Expected timeline for improvement
- Financial considerations and insurance coverage
3. Treatment Implementation
We'll schedule your recommended treatments and provide detailed instructions for your at-home care regimen. Our staff is available to answer questions and provide support throughout your treatment process.
4. Follow-Up and Maintenance
Regular follow-up appointments allow us to monitor your progress and make adjustments to your treatment plan as needed. Many patients benefit from periodic maintenance treatments to sustain their improvement.
Patient Success Stories
"After struggling with dry, irritated eyes for over five years, I finally found relief at Asheville Vision and Wellness. The comprehensive testing pinpointed exactly what was causing my symptoms, and the combination of LipiFlow and at-home care has given me back comfortable vision. For the first time in years, I don't need eye drops every hour, and I can wear my contacts all day without discomfort." — Margaret S., 58, Teacher
"As someone who works on a computer 10+ hours a day, my dry eye symptoms were affecting both my work and quality of life. Dr. Greene recommended IPL therapy, and after completing the treatment series, the improvement has been remarkable. The burning sensation is gone, my eyes are no longer red by afternoon, and I'm more productive at work. The investment in treatment was absolutely worth it!" — James T., 42, Software Developer
"I was skeptical that anything would help my chronic dry eye after trying countless over-the-counter remedies. The team at Asheville Vision took the time to explain my condition using images from their Keratograph, which helped me understand why previous treatments weren't working. After receiving LipiFlow and following their recommended supplement regimen, my eyes feel healthier than they have in decades. I only wish I'd come in sooner!" — Eleanor C., 67, Retired
Frequently Asked Questions
Is dry eye treatment covered by insurance?
Many medical insurance plans provide coverage for dry eye diagnosis and treatment, especially if you have a medical diagnosis related to your condition. Our staff will help determine your coverage options before beginning treatment.
How long until I experience relief?
While some patients notice improvement after their first treatment, others may require several weeks of consistent therapy. Your doctor will provide a personalized timeline based on your specific condition.
Are these treatments painful?
No. Both LipiFlow and IPL treatments are designed for comfort. Patients typically report mild warmth or a slight tingling sensation, but rarely any discomfort.
How long do results last?
Treatment results vary by individual and condition severity. Many patients maintain improvement for 6-12 months following LipiFlow treatment, and 12+ months after completing an IPL series. Your doctor will recommend an appropriate maintenance schedule.
Can I wear contacts after treatment?
We typically recommend avoiding contact lens wear for 24-48 hours following treatment. Your doctor will provide specific guidelines based on your treatment type and eye condition.
Schedule Your Dry Eye Evaluation
Don't let dry eye symptoms impact your quality of life. Contact Asheville Vision and Wellness today to schedule your comprehensive dry eye evaluation.
Phone: (828) 747-9260 Online: [Schedule Appointment Button]