When you blink, your eyelids spread a film of tears over your eyes. Tears keep the surface of your eyes not only clean and moist, but also provides clear vision. If your eyes feel dry and your vision is blurry or you have a foreign body sensation in your eyes, you are most likely suffering from dry eye syndrome. The disease is briefly called dry eye and is the most common condition that eye specialists encounter. In 86% of cases, dry eye syndrome is caused by meibomium glands disfunction.
Dry eye syndrome, or dry eye for short, is a common condition seen by eye care professionals. It has a significant impact on quality of life, with symptoms including foreign body sensation, pain, blurred vision, dryness or watery eyes. Risk factors include skin pathologies, immune or hormonal imbalances, environmental conditions and poor hygiene.
Lumenis or Lumecca IPL treatment for dry eye syndrome involves applying gentle light pulses to the cheeks, nose and under the lower eyelids. Each treatment usually involves two pulse sessions with different settings. The specific IPL settings depend on the skin type and target different problems in each session. The treatment schedule consists of 3 to 4 sessions spaced 2 to 4 weeks apart. Typically, one maintenance treatment is required after 6 to 12 months.
The dry eye syndrome treatment with Lumenis or Lumecca IPL is a type of light treatment that uses precise, intense broad-spectrum light to address the signs of dry eye disease due to meibomian gland dysfunction. The treatment targets inflammation, which is one of the main factors in the disease. Lumenis or Lumecca IPL is a specially developed technology that reaches the treated area gently, effectively and safely. In dry eye syndrome, IPL therapy is used to improve the function of the meibomian glands, which helps reduce tear evaporation and improve tear film stability. The therapy involves the application of gentle light pulses to the edges of the eyelids, which unblocks clogged meibomian glands and improves the quality of oil produced by them. This, in turn, helps reduce dry eye symptoms such as discomfort, itching and burning.
Treatment of dry eye syndrome caused by meibomian gland dysfunction is fastest and most effective using Lumenis or Lumecca IPL and is the only FDA approved treatment. Lumenis or Lumecca IPL treats dry eye syndrome as follows:
Lumenis or Lumecca IPL treatment is a non-invasive procedure in which your doctor applies a gently intense pulsed light to the edges of your eyelids.
During the treatment, your doctor will cover your eyes with protective goggles and apply a thin layer of contact gel to the treatment area.
You may experience heat or burning when the light is applied to the skin. The procedure is gentle and with minimal discomfort.
The treatment is divided into 4 treatments 2-4 weeks apart. Each treatment usually takes only 10-15 minutes.
In most cases, you can immediately return to your daily activities and make up immediately.
Patients usually report improvement after the first procedure.
For long-term results, treatment can be continued with maintenance sessions every 6-12 months.
Potential risks and side effects of using Lumenis or Lumecca IPL on your skin may include pain and discomfort, damage to the natural structure of the skin, pigmentation change, scarring, excessive swelling, tender skin, bruising, burns, itching and xerosis. You should consult your physician regarding these risks and whether Lumenis IPL treatment is appropriate for you.
Lumenis or Lumecca IPL treatment is contraindicated for patients with the following conditions in the treatment area: Ocular or eyelid surgery or neuroparalysis within 6 months prior to first treatment; Uncontrolled ocular disorders affecting the ocular surface; Pre-cancerous lesions, skin cancer or pigmented lesions in the planned treatment area; Uncontrolled infections or uncontrolled immunosuppressive diseases; Recent ocular infections; Previous history of cold sores or rashes in the perioral area including: Herpes Simplex 1 and 2, Systemic Lupus Erythematosus, and Porphyria; Use of photosensitizing medications and/or herbs that may cause sensitivity within 3 months prior to the first IPL session; Recent head or neck radiotherapy or planned radiotherapy; Recent treatment with a chemotherapeutic agent or planned chemotherapy; History of migraines, seizures, or epilepsy.
Dry eye syndrome is a common condition where your tears don’t provide enough lubrication and cleaning to your eyes. Tears can be insufficient in quantity and of poor quality for many reasons. This condition can cause inflammation or damage to the surface of the eye.
If you suffer from dry eyes you will feel uncomfortable. You will feel a constant burning or even burning in your eyes. You may feel dryness in your eyes in certain situations, such as on an airplane, in an air-conditioned room, while riding a bicycle, or after looking at a computer screen for several hours.
Dry eye syndrome is a treatable condition. Sometimes it is enough to make lifestyle changes or use eye drops that will help you feel more comfortable. In other cases, when the condition is advanced, several treatments will be needed to deal with dry eye syndrome.
When you blink, your eyelids spread a layer of tears over your eyes. They keep the surface of your eyes smooth and clean. The tear film is extremely important for your good vision and consists of three layers, each of which has a specific function:
The sebaceous layer is the outer part of the tear film. It makes the surface of the tears smooth and prevents the tears from drying too quickly. This layer is formed in the meibomian glands of the eye.
The watery layer is the middle of the tear film. It makes up most of what we see as tears. This layer cleans the eye by washing away particles that do not belong to the eye and come from the lacrimal glands in the eyelids.
The mucus layer is the inner layer of the tear film. It helps distribute the aqueous layer over the surface of the eye, keeping it moist. Mucus is formed in the conjunctiva, the transparent tissue covering the white of the eye and the inside of the eyelids.
Our eyes constantly produce tears to stay moist. When our eyes do not produce enough tears or the balance between one or more layers of the tear film is disturbed, dry eyes result.
Dry eyes are caused by a variety of reasons that disrupt the healthy tear film. The causes of tear film dysfunction are many, including hormonal changes, autoimmune disease, inflammation of the eyelid glands, or allergic eye disease. In some people, the cause of dry eyes is decreased tear production or a disturbance in the function of the meibomian glands.
Reduced tear production
Dry eyes can occur when you are unable to produce enough liquid tears.This can be caused by a number of factors such as aging, certain medical conditions, vitamin A deficiency, taking certain medications including antihistamines, decongestants, hormone replacement therapy, antidepressants and high blood pressure medications, acne or contraceptives.
Meibomian gland dysfunction
The oil film produced by the meibomian glands cannot reach the surface of the eye due to blockage of their ducts. The tears produced are dominated by the aqueous layer, which tends to evaporate quickly. Dysfunction of the meibomian glands is the most common cause of dry eye syndrome. It is a condition in which the glands do not secrete enough oil or the oil secreted by them is of poor quality. Often, the openings of the sebaceous glands become blocked, so less oil comes out of the glands. The oil that comes out of the glands may be granular (crusted) or otherwise unhealthy and cause irritation. Sometimes the meibomian glands become blocked with a thickened discharge. Chronically clogged glands eventually become unable to secrete oil, leading to permanent changes in the tear film and dry eyes.
The likelihood of suffering from dry eye syndrome increases if:
Един от основните рискови фактори за дисфункцията на мейбомиевите жлези (ДМЖ) и болестта на сухото око е кожната розацея. Предложени са няколко механизма на действие, които обясняват връзката между розацеята и ДМЖ. Първо, при розацеята абнормните кръвоносни съдове (телеангиектазии) освобождават провъзпалителни медиатори, които лесно могат да се разпространят към клепачите чрез орбиталните кръвоносни съдове. Второ, демодексите процъфтяват върху кожата, засегната от розацея. Тези паразити играят основна роля в причиняването на възпаление на клепачите.
Освен това демодексните акари са заразени с бактерии, особено Bacillus olerinus. Размножаването на тази бактерия не само допринася пряко за възпалението, но и повишава температурата на топене на мейбума, като по този начин сгъстеният мейбум блокира мейбомиевите жлези. Уплътненият секрет и блокираните жлези, или ДМЖ, водят до недостатъчно количество липиди в сълзите, което причинява нестабилност на слъзния филм и допълнително засилване на възпалението на очната повърхност.
Tears protect the surface of your eyes from infections. If you don’t have enough tears, your risk of eye infections may increase.
Eye surface damage.
If left untreated, severe dry eye can lead to eye inflammation, corneal surface abrasion, corneal ulcers, and vision loss.
Reduction in quality of life.
Dry eyes can make it difficult to carry out everyday activities such as reading, watching TV, using a computer or mobile phone.
If you have dry eyes, pay attention to the situations in which you experience the most discomfort. Then find ways to avoid these situations to prevent dry eye symptoms, for example:
Don’t point hair dryers, car heaters, air conditioners or fans at your eyes.
Add moisture to the air. In winter, a humidifier can add moisture to dry indoor air.
Wear sunglasses or other protective eyewear.
Take eye breaks during long tasks. If you are reading or performing another task that requires visual concentration, take periodic eye breaks. Close your eyes for a few minutes. Or blink repeatedly for a few seconds to evenly distribute tears over your eyes.
Be aware of your surroundings. The air at high altitudes, in desert areas, and on airplanes can be extremely dry. When spending time in such an environment, it may be helpful to frequently close your eyes for a few minutes to reduce the evaporation of your tears.
Position your computer screen below eye level. If your computer screen is above eye level, you will open your eyes wider to see the screen. Position your computer screen below eye level so you don’t open your eyes as wide. This can help slow the evaporation of tears between eye blinks.
Stop smoking and avoid smoke. If you smoke, ask your health care provider for help in developing a smoking cessation strategy that is most likely to work for you. If you don’t smoke, stay away from people who do. Smoke can make dry eye symptoms worse.
Use artificial tears regularly. If you have chronic dry eyes, use eye drops even when your eyes are well to keep them well lubricated.
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