Ocular Surface Disease

An Overview of Dry Eye and Meibomian Gland Disease

Chronic dry eye due to Aqueous Deficient Dry Eye (ADDE) and/or Meibomian Gland Dysfunction (MGD) can be a potentially debilitating condition ranging in symptoms of dry, gritty eyes to vision fluctuation.

ADDE stems from a deficiency in the amount of the aqueous, or ‘watery’ part of the tear film produced by the lacrimal gland.

MGD is a result of inadequate oil production due to obstruction or atrophy of the meibomian glands, which leads to evaporative dry eye. A person can have both ADDE and MGD concurrently.

ADDE and MGD have many causes, some of which are difficult to control. Potential causes include:

• Diet                                     
• Hormones
• Blink Rate                         
• Cosmetics
• Surgical Procedures (Eyelids,LASIK, etc.)        
• Systemic Disease
• Environment/Air Quality    
• Smoking

The OSD Clinic at Metro Eye is dedicated to identifying potential causes of dry eye disease and implementing treatments that are best for the patient and their lifestyle.

Treatment for ADDE and MGD is a very individualized process. Our optometrists work one on one with each patient to find the treatment that best suits their situation. Treatments can include:

• Omega-3 supplements
• Heat therapy (at home or in office with Lipiflow)
• Lid hygiene
• Corrective glasses
• Prescription eye drops and/or oral medication
• Environmental changes at home/work
• Discussion on diet/current medications
• Discussion on cosmetics