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Dry Eye & Blepharitis Center

What is Dry Eye?

Chronic Dry Eye is a disease that can be caused by advanced age, contact lens wear, medications, eye diseases, other medical conditions, or environmental factors like dry air from air conditioning or heating systems. Our eyes are a complicated tool, and they need constant moisture and lubrication to remain comfortable and effective in providing us with vision. Our tears lubricate the eye, and are made up of a combination of water, oils, mucus, anitbodies, and proteins, all functioning together to moisturize and lubricate our eyes, distribute tears evenly, and provide resistance to infection.

These varied components of our tears are secreted by special glands located around the eye, and when there is an imbalance in this system, one of the resulting side effects often comes in the form of dry, uncomfortable eyes.

When tears do not adequately lubricate the eye, a person may experience:

  • Pain
  • Sensitivity to light
  • A gritty sensation
  • Itching
  • Redness
  • Blurring of vision
  • Excessive tears (caused by overcompensation for dryness)

Though dry eyes cannot be cured, several steps can be taken to treat them. You should discuss treatment options with an eye care specialist. Treatment options include artificial tear drops and ointments, punctal plugs (which can be used to block the “drainpipe”, or punctum, through which tears normally exit the eye into our nose), or by use of BlephEx, a new treatment available at Deerwood Optical that helps to maintain the health of glands surrounding the eye.


Blepharitis is among the most common eye diseases in the world, caused primarily by the clogging of tiny oil glands near the base of the eyelash. Individuals with oily skin, dandruff, or dry eyes tend to be most susceptible to the disease, which yields symptoms such as:

  • Itching, red, and swollen eyelids
  • Scaling and crusted eyelids
  • Burning sensation in the eyes
  • Misdirected eyelash growth or loss of eyelashes
  • Inflammation of the cornea
  • Blurred vision
  • Dry eyes

In many cases, blepharitis causes only minor symptoms and irritation, although when untreated symptoms can worsen and become more severe. Typically, blepharitis is caused either by a bacteria or skin condition, like scalp dandruff or acne rosacea, and can occur at any age. Oil glands near the eye become built up with biofilm and exotoxins, creating overactivity and blockage.

There are two types of blepharitis, classified by the area of the eyelid it affects: anterior blepharitis, which occurs at the outside front edge of the eyelashes, and posterior blepharitis, which occurs at the inner edge of the eyelid that comes into contact with the eyeball.

Anterior blepharitis is generally bacteria related, and tends to cause more severe symptoms, such as loss of eyelashes and the simultaneous occurrence of Pink Eye. In cases of Anterior blepharitis, good eyelid hygiene is encouraged, as well as the possible prescription of antibacterial eye ointments.

Posterior blepharitis is typically caused by dysfunction of oil-secreting meibomian glands within the eyelids. Posterior blepharitis reduces meibomian gland output or causes the production of abnormally oily secretions. Symptoms of posterior blepharitis include inflamed and thickened eyelid margins, eyelid crusting, and scale-like skin surrounding the eyelashes.

Fortunately, blepharitis is not a contagious condition. Patients experiencing blepharitis are encouraged to keep eyelids clean and use warm compresses in order to reduce discomfort and irritation. It is additionally recommended to avoid using makeup on the eyes in blepharitis cases, as this can impact lid hygiene. If you wear contact lenses, it is sometimes recommended to discontinue usage during treatment.

In some cases where blepharitis is caused due a bacterial infection, various antibiotics and other medications may be prescribed. Many medications are available for the treatment of blepharitis, including antibiotics and steroid preparations in drop or occasional ointment form. This process (which may take several weeks) includes a daily cleansing routine instructed by Dr. Adam Koenigsberg, and is essential.

Deerwood Eye is additionally pleased to offer BlephEx, a revolutionary new treatment of blepharitis that safely and effectively cleans the eye, reduces irritation, and can be used in the treatment of dry, scratchy eyes!

Deerwood Eye is pleased to offer BlephEx, a treatment effective in combating both blepharitis and dry, scratchy eyes!

BlephEx® is a new, revolutionary in-office procedure using the patented BlephEx® handpiece. This tool is used in order to carefully spin a micro-sponge along the edge of your eyelids and lashes, removing crust and debris, exfoliates your eyelids, and ridding the biofilm and exotoxins that in many cases have been building up for years! This medical-grade sponge is disposable and clean, ensuring that no cross-contamination will occur.

The procedure is convenient, fast, and tolerable. Typically lasting less than ten minutes, patients are prepped with a numbing drop in each eye for additional comfort, and most patients report a minor tickling sensation.

Because blepharitis typically does not disappear completely, treatments are generally repeated at 4-6 month intervals. Even with successful treatment, relapses may occur, and some cases of blepharitis may necessitate more complex treatment plans.