Meibomian  Gland  Dysfunction (MGD)

Meibomian Glands: Anatomy of Dry Eye

Healthy Meibomian glands secrete oil with every blink. This oil, or lipid, serves as a critical component of a healthy tear film. When the glands are not functioning properly, it is called Meibomian Gland Dysfunction (MGD). MGD is a leading cause of dry eye and can be the source of symptoms, such as burning, stinging, and itching and even watery eyes.

Computer users tend to primarily suffer from this type of dry eye the most. Increased screen time has led to a significant increase in evaporative dry eye around the world!  Our clinic is specialized to help manage and treat this growing epidemic.

At Chino Hills Eyecare, Dr. Gupta and his team provide cutting edge therapies that can help relieve dry eye and also save the glands from decay.  At our clinic, we use a number of different technologies to determine whether you may be experiencing dry eye and to better understand your symptoms. Then we are able to utilize advanced technologies to provide a natural solution for evaporative dry eye. We want to minimize the use of artificial tears and lubricants and pharmaceuticals. Dry Eye is a serious condition that can dramatically affect your vision and your eye health.  Call now to schedule a consultation. 

DRY EYE HOTLINE

INMODE'S NON-SURGICAL PLATFORM   TO TREAT THE UNDERLYING CAUSE OF EVAPORATIVE DRY EYE
 
  Chino Hills Eyecare is proud to offer cutting edge treatment to improve vision and quality of life!

Envision is the new in-office standard revolutionizing ocular care procedures for the treatment of meibomian gland dysfunction (MGD) and the symptoms of dry eye disease (DED).

This ground breaking, non-surgical ophthalmic device, deploys multiple programmable modalities which work synergistically to deliver precision ocular treatments.

Envision’s small-size, bipolar radiofrequency (RF) and Intense Pulsed Light (IPL) applicators with precise depth control allowing for highly efficacious procedures in the small, more delicate subdermal layers of the periorbital region.

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​Forma-I (bipolar radiofrequency) addresses the symptoms of dry eye disease (DED) caused by Meibomian Gland Dysfunction (MGD). Intended for use in the the periorbital area and upper and lower lids and relieves inflammation of meibomian glands and eye irritation.

LipiFlow®
Designed to Improve Gland Function
The TearScience® LipiFlow® Thermal Pulsation System, is a medical device used to treat Meibomian Gland Dysfunction (MGD). It consists of a Console and a single-use sterile device, known as the Activator, and has a drug-free mechanism of action.  Lipiflow is FDA approved for treatment of MGD.   Chino Hills Eyecare uses the TearScience® LipiFlow® System to treat MGD patients in-office with confidence and efficiency. Many of our patients that have ben using eyedrops fruitlessly have enjoyed the benefits of this treatment and felt relief unattainable with standard artificial tears.

The TearScience® LipiFlow® System represents more than 10 years of dedicated research and is protected by more than 30 patents. A phased pressure profile with adaptive force equalization and proximal-to-distal peristaltic motion evacuates gland contents as the inner lid is gently heated.

How the TearScience® LipiFlow® System Works

• The procedure centers around the breakthrough Vector Thermal Pulse Technology (VTP)
• After an initial anesthetic drop, no drugs are required for the procedure
• The TearScience® LipiFlow® system safely delivers heat and pressure to the meibomian glands while protecting the delicate structures of the patient’s eye
• As a result, the obstructed meibum is liquefied and pushed up and out of the gland orifices
• Contoured design vaults the cornea and protects the eye
• Heat and pressure are regulated with redundant sensors

 What is TearCare® ?

TearCare® is an innovative Dry Eye procedure that targets the blocked meibomian glands in your eyelids that produce oils to keep your tears healthy. When these glands become blocked or have reduced function,  your tears may evaporate more quickly. Unblocking these glands with the TearCare® System can help restore their function and stabilize the tear film. This may improve the quality of tears and reduce symptoms like dryness, gritty or scratchy sensations, blurry vision, and watery eyes.

Blephex And ZEST Treatment for Blepharitis

What Is Blepharitis?  
Blepharitis is a condition that can cause many symptoms and make it difficult for people to wear contact lenses comfortably.  
The primary symptom of blepharitis is swollen itchy eyelids. Others include a gritty feeling in the eyes, crusting around the eyelashes, sore eyelids, and your eyelids sticking together, particularly first thing in the morning.
In most cases, blepharitis occurs because you have bacteria at the base of your eyelashes, although you can also develop the condition if the oil glands in your eyelids get clogged or irritated. This is a common cause of dry eyes.
What Is ZEST?  
ZEST stands for Zocular Eyelid System Technology. This exciting in-office treatment has been developed by ZocularÒ and designed specifically for the treatment of dry eye, demodex, and blepharitis. 
ZEST works in the same way as a deep and thorough shampoo, comprehensively cleaning the eyelids and lashes so that they are free from debris, mites, and bacteria. The procedure itself is very straightforward. 
Firstly, a special gel is applied to the eyelid margin and lashes using a specialized cleaning swab. Using this swab, your eye doctor will work the gel into a circular motion until it becomes a lather. This lather is then rinsed away with saline solution. 
ZEST gel is formulated with a special ingredient – a refined extract of okra. Okra is an edible green seed pod, but that is particularly effective in helping to lift and clear oil, dirt, and debris along the margins of the eyelids. It also contains properties that help to calm and soothe the skin to counteract inflammation and irritation. 
How Long Will It Take For ZEST To Work?  
One of the greatest benefits of ZEST treatment is that patients can start to notice an improvement in their symptoms after just a single treatment. Swelling and inflammation can start to reduce immediately, and itchiness and soreness are soothed. Your eye doctor will be happy to advise you on how many treatments they recommend to help you achieve the maximum improvement in your symptoms. 
Is ZEST Safe?  
ZEST is extremely safe and suitable for the majority of patients. 
The Importance Of Eye Hygiene  
Keeping your eyes clean and healthy is extremely important. Unfortunately, when it comes to our eyes, we often overlook the importance of proper care.  Every day, our eyes are exposed to dirt, pollution, debris, and foreign matter. Each of these can’t only build up on the eyelids and the skin around the eyes, but also on the eyelashes and the surface of the eyes themselves. Over time, if they aren’t removed, they can lead to irritation and infection. Patients can also find themselves developing eye conditions that affect the quality of their vision, their overall health, and their day-to-day comfort. These conditions include blepharitis and dry eye.