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Dry Eye Specialists in York, Toronto

Do you suffer from itchy, dry eyes? Or tired eyes? Are you a contact lens wearer who can’t seem to get through your day?  Has the use of the computer, or online school made your eyes very tired or feeling heavy?   Do your contact lenses feel uncomfortable Do you rely on eye drops to get you through the day?  Do you find simple, everyday tasks like reading and driving more difficult than they should be? You don’t have to suffer like this.

We offer some of the most effective and advanced dry eye treatments available so we can restore comfort to your daily life.

Treat MGD dry eye symptoms at the source with Radiofrequency.

Did you know 80% of Dry eye sufferers have MGD Meibomian Gland Dysfunction?

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Divine Pro RF Treatments

Radiofrequency uses gentle heat to treat MGD and promotes collagen production in the skin. When applied to the eyelids, it can help rebuild and treat clogs in the meibomian glands, which is a leading cause of dry eye.

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What Is Dry Eye Syndrome

Dry Eye Syndrome is a common condition that occurs when your tears are not able to provide adequate lubrication for your eyes. This might happen because you do not produce enough tears, or if you produce poor quality tears.

You may first notice Dry Eye Syndrome by recognizing that your eyes simply feel uncomfortable at times.

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How Can Watery Eyes be Dry Eye Syndrome?

Patients often wonder how they can possibly have Dry Eye when they experience overly watery or teary eyes.

The eyes have a protective response called reflexive tearing. This happens when the front surface of the eye is dry. The gland responsible for watery tears is stimulated to produce more tears in order to help coat the front surface of the eyes. This is a reflexive response to help fight the immediate dryness, but it will not cure the cause of Dry Eye.


Symptoms of Dry Eye Syndrome

  • Stinging or burning sensation
  • Tired eyes
  • Redness to the white part of the eyes (conjunctiva)
  • Feeling that something is in your eye (gritty or sandy feeling)
  • Mucus or discharge in your eyes
  • Occasional blurry vision, especially with night driving
  • Sensitivity to bright light
  • Difficulty wearing contact lenses
  • Tears / watery eyes

Causes of Dry Eye Syndrome

Decreased Tear Production
Age is the most common cause of decreased tear production. Medical conditions such as diabetes, arthritis and thyroid imbalance are also strong contributors to dry eyes. There are many medications that can also affect tear production, including hormones, birth control pills, medications for acne and other skin conditions, antihistamines, decongestants and antidepressants.

Increased Tear Evaporation
Our tears evaporate more readily when we blink less. This happens when we are using the computer (see Computer Vision Syndrome), reading or driving. Evaporation also happens quickly when the air is dry (especially in the winter), wind or smoke.

Poor Quality Tear Film
Our tear layer is actually composed of three layers; oil or lipid, water and mucus. A deficiency or imbalance in any one of these layers will cause Dry Eye Syndrome.


Tear Anatomy: Your Tears Consist of 3 Layers:

Mucus layer: It is the innermost and thinnest part of the tear film. It consists of mucin converts the hydrophobic corneal surface into a hydrophilic one to allow for the aqueous layer to adhere to the cornea.

Aqueous layer: It makes up the middle layer, and makes for the bulk of tear film. It is secreted by the main and accessory lacrimal glands. The tears mainly comprise of water and small quantities of solutes such as sodium chloride, sugar, urea, and proteins. It also contains antibacterial substances like lysozyme, beta-lysin, and lactoferrin. These solutes are what create a basic pH and salty taste.

Lipid or oily layer: It is the outermost layer of tear film formed by the secretions of Meibomian. This layer prevents the overflow of tears and slows their evaporation of tears. It helps to lubricate the eyelids as they slide over the surface of the cornea

The Function of the Tear Film:

  • Keeps the cornea and conjunctiva moist
  • Provides oxygen to the corneal epithelium
  • Washes away debris and irritants
  • Allows for clear vision
  • Prevents infection due to the presence of antibacterial substances
  • Tear film anatomy

Tear Production

Symptoms of dry eye can be mild to moderate or severe. General dry eye symptoms include sporadic watery eyes, intermittent blurry vision that clears with blinking the eyes, and/ or contact lens discomfort. Even light sensitivity in indoor lighting or moderate settings can be a symptom. These symptoms can progress to chronic red, burning, itchy, eyes with severe pain and discomfort that it starts to interfere with daily life routines and activities of daily living. When left untreated can lead to extreme outcomes like scarring of the meibomian (oil) glands, cornea, and or the surrounding tissue.

Treament for Dry Eye Syndrome

Artificial Tear Drops
There are many different types of lubricating tear drops, but the best tear drops are preservative free.

Omega-3 Supplements
Supplementing with Omega-3 can decrease dry eye symptoms and the inflammation that is found in dry eyes. It is important to know that not all Omega-3 supplements are the same. The amount of the important ingredients (DHA and EHA) can be significantly different from one brand to another, and some forms of Omega-3 are made to absorb better in the body

Punctal Plugs
Tears are drained away from the eye via a small canal called the nasolacrimal duct. It is sometimes beneficial to put a temporary collagen plug in one of these canals to stop this drainage and preserve the body’s natural tears on the surface of the eye. These plugs dissolve away after a few months so are often a wonderful dry eye solution during the dry winter months.

Blepharitis Treatments
Blepharitis means inflammation of the eyelid. This inflammation is very common and easy to treat if picked up early. Eyelid inflammation leads to dry, uncomfortable eyes.

A blepharitis treatment can be done to the lids in our office to help kick start the treatment of moderate to severe blepharitis.

Divine Pro Radiofrequency Dry Eye Treatment
The best treatment for Meibomian Gland Dysfunction (where the oily layer of tears is deficient) is with Radiofrequency. This is where Divine Pro can help. This safe, effective procedure can give the best resolution of dry eye symptoms to those suffering from moderate to severe dry eyes due to MGD.

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What are the Effects of Delay of Treatment?

Timing and intervention are important. The delay of treatment, or lack of compliance in treatment and management, makes the dry eye nature more complex with time. Dry eye is multifactorial. Attempting to only fix a part of the problem, or having a bandaid fix, breaks down the treatment plan and reduces your overall outcome and success.

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