DRY EYES LOS ANGELES
Helping Angelenos with their dry eye problems since 1971
Since opening our doors, Dry Eyes Los Angeles has been a leading Dry Eye Specialty Clinic for patients in the Los Angeles area. We care about the satisfaction of our patients and guarantee state-of-the-art technology as well as many years of experience to help you solve your unique dry eye problem.
Get to Know Us a Bit Better
At Dry Eyes Los Angeles, Dr. Lorin Vogel and team have been leaders in providing state-of-the-art care for those suffering from dry eyes in Los Angeles. Because no two people are the same, our treatments are highly specialized and tailored to treat the root cause of dry eye in every individual patient.
Personalized Dry Eye Care
Los Angeles is particularly difficult for dry eye sufferers due to our desert-like environment. In summer months we get some relief due to our on-shore air flow. However, this can be interrupted at any time by our frequent Santa Ana wind conditions which lower our humidity significantly.
Let us help you with your dry eye problems. Because dry eyes is a complicated condition, there are many treatment options that can be used to treat each individual problem.
Your consultation will provide you with answers as to which type of dry eye problem you may have and the best way to treat your specific condition.
Dry eyes can definitely mean not enough tears, but about 80% of dry eye problems actually come from evaporative dry eye. This means that your tears do not have enough of an oily component to prevent them from evaporating. This is often a fixable problem.
MEIBOMIAN GLAND EXPRESSION
This is the single most effective treatment for dry eye sufferers. Using a combination of soothing warm moist heat and special tools, blocked meibomian glands can be opened and restored to function properly. Dr. Lorin Vogel performs meibomian gland expressions at a cost 75% less than at other locations in Los Angeles.
EYELID / EYELASH CLEANING
Blepharitis (inflammation of the eyelids) is an extremely common problem which can cause irritation to both the eyelids and the eyes. Typically, under magnification, it appears like dandruff on the eyelid margin. Most people cannot effectively treat this on their own and require professional help to most effectively manage this problem.
IPL / INTENSE PULSED LIGHT
IPL stands for Intense Pulsed Light, a light-based technology commonly used for various skin conditions, including rosacea and discoloration. During the procedure, a strategic level of light pulses is administered to penetrate your skin and target the root cause of the inflammation. As the IPL treatment treats your overall skin appearance, your eyelid inflammation is treated and improved as well. IPL procedures are highly effective, gentle and safe.
Call and schedule an appointment with Dr. Lorin Vogel or Dr. Bahareh Golbahar today!
Exceeding Expectations One Patient at a Time
OUR PRACTICE APPROACH
Dry Eye: Tear Insufficiency vs. Evaporative
While evaporative dry eye represents about 80% of dry eye problems, there is definitely a role for
treatment of tear insufficiency related to dry eyes. There are a number of methods to increase tear production that have proven to be effective. An important consideration regarding increasing tear production is that the quality of the tears produced must be good. This means that if there is a significant amount of baseline inflammation in and around the eye tissues we must address this problem before we can restore the tear film to an ideal state. The key is to first "clean up" this inflammation prior to creating more tears. This can be accomplished by a variety of means including using antibiotic eye drops, anti-inflammatory eye drops and mechanically cleaning the lashes and surrounding tissues.
Options to combat dry eye may include:
Mibo ThermoFlo (with manual expressions):
We have added an excellent new therapy to our dry eye treatment center. By using the Mibo Thermoflo treatment device we can now treat Meibomian gland dysfunction via an extremely comfortable and effective device. This device allows us to reduce and eliminate the clogging of the Meibomian glands. This clogging is a major cause of evaporative dry eye. In addition to the improvement of the Meibomian glands, patients frequently notice an improvement in under the eyes wrinkles. We strongly recommend a manual expression immediately following each Miboflo treament to maximize benefits.
For optimal results, 4 sessions are typically recommended, with 1-2 weeks in between. Maintenance treatments, usually once every 6-12 months, are also recommended for optimal long-term results.
IPL / Intense Pulsed Light:
Introducing real relief from dry, red, fatigued eyes caused by skin and eyelid inflammation. If you are suffering from dry, red, tired or burning eyes it may be caused by skin and eyelid inflammation. Affecting millions of Americans every year; over 85% of skin and eyelid inflammation patients also suffer from inflammatory ocular conditions, such as dry eye.
Village Eyes Optometry is now offering a revolutionary treatment using IPL technology to eliminate the root cause of your dry, red, fatigued and burning eyes that will also help your eyes feel calm and clear – while reducing your dependency on eye drops.
How does IPL work?
IPL stands for Intense Pulsed Light, and is a light-based technology commonly used in dermatology to treat rosacea and reduce telangiectasia. IPL is now being used to treat meibomian gland dysfunction and dry-eye disease.
During the procedure, a strategic level of light pulses is administered to penetrate the skin under the eye and targets the root cause of the inflammation.
IPL treatment helps to liquefy and release hardened oils that have clogged the Meibomian glands in the eyelids. Additionally, as the IPL treatment treats your overall skin appearance, your eyelid inflammation is treated and improved as well. IPL procedures are effective, gentle and safe.
Improves eye comfort and vision clarity
Safe and Comfortable
Reduces your dependency on eye drops
Treats the root cause of the problem
Quick “lunch time” treatment
During the Procedure
You may experience a warm sensation as the light is applied to your skin, but the treatment is gentle and you should not feel uncomfortable. Ultrasound jelly is applied under the eye to help soothe the skin. Each session lasts approximately 15 minutes.
After the Procedure
Following treatment, your eye doctor may perform a meibomian gland expression (in this procedure, tiny “paddles” are used to compress the eyelids to squeeze out the contents of the meibomian glands.) The purpose of meibomian gland expression is to accelerate your skin and eyelid healing process and is optional, but recommended.
You may experience some mild redness and discomfort in the treated areas – this will usually disappear within a few hours. Most patients are able to resume their daily activities the same day. Sunlight should be avoided for a few days following the treatment and sunscreen should be used.
For optimal results, 4 sessions are typically recommended, with 3-4 weeks in between. Maintenance treatments, usually once every 6-12 months, are also recommended for optimal long-term results.
Your doctor may also recommend combining IPL treatments with other dry eye therapies such as Mibo Thermoflo, punctal plugs, or medications to maximize effectiveness and enhance symptom relief.
We have all experienced the drainage system of our own tears. For example, when we cry our nose runs. What is happening is the extra tears that are produced leave the eyes via either spilling out of our eyes or leaving through this drainage system that causes the tears to work their way into our nose where we either "sniffle" or blow our noses to remove the excess. Punctal plugs are very small devices that are inserted into what are called the lacrimal puncta that exist in the inside corners or our eyes. We have both an inferior and superior punctal opening for both the upper and lower eyelids. In effect, these small plugs "dam up" the drainage system of the eyes to retain more tears so the eye naturally produces and creates a wetter environment. There are two types of punctal plugs: "Temporary" plugs typically made from collagen and "Permanent" plugs typically made from silicone. Both can be advantageous in helping the eyes to retain more tears. Which plug is chosen to do the job is determined by the doctor after a careful analysis.
Artificial tears come in a wide variety of choices, which can be confusing to the consumer. In general, it is better to use a non-preserved artificial tear for long term use in the eye. The artificial tears come in a liquid form, an emulsion form (oil and water), a gel form and finally an ointment form.
Steroid and antibiotic eyedrops are sometimes used in conjunction with various treatments but are not required.
Restasis is a medication that has been proven to increase the amount of tears that the eye can produce. People diagnosed with inflammatory disorders benefit the most from this medication.
Xiidra is a newer medication which has shown promising results in many patients.
There are a variety of supplements that are available to help your body to manufacture more tears and create more oil for our existing tears to help keep the tears from evaporating. Omega 3 fatty acids, for example, have been shown to play an important role in dry eye by decreasing inflammation and by helping to stimulate oil production in the meibomian glands.
This is an overlooked subject that can have a tremendous impact on helping us to deal with dry eyes. This is especially important for patients who spend a lot of time looking at computers, flat screen TV's, laptops and cell phones. We naturally have a tendency to reduce the amount we blink due to our concentration on what we are looking at on various devices. Each time we blink we are both re-wetting the surface of our eyes and causing our oil glands to squeeze out more oil to help preserve our tear film.
All of the above is taken into consideration by our doctors before designing the best customized approach for each patient. All eyes are different and each patient will have a plan for treatment that is specific to that individual.
8am-5pm (closed from 1-2)
You Ask — We Answer
WHAT IS THE FIRST STEP? WHAT SHOULD I DO?
The first thing to do if you are suffering from dry eye problems is to schedule a consultation to get a professional opinion as to what approach you should take to solve your problem.
WHAT SHOULD I EXPECT AT MY EXAM?
After meeting you and learning about your specific symptoms and medical history we will run a dry eye analysis using our state-of-the-art Oculus 5m. Following the analysis on the Oculus 5m we will do a thorough evaluation of your eyes through a comprehensive slit lamp exam. Based on all the data we gather we will then be able to recommend your specific treatment plan.
HOW LONG DOES IT TAKE TO SOLVE MY PROBLEM?
Many patients get significant relief within a few days, but in long term chronic cases it can take several weeks to months to see significant improvement.
HOW DO I KNOW IF I HAVE DRY EYES?
If your eyes feel scratchy and irritated, especially at the end of the day you are probably a candidate. If you spend a significant amount of time looking at a computer screen, you also are likely to have dry eye problems. Certain medications can also affect your eyes and cause dryness.
DOES INSURANCE COVER THESE TREATMENTS / PROCEDURES?
Your PPO medical insurance may help cover the cost of a dry eye evaluation and certain treatments. However, if you require a meibomian gland expression, IPL treatments, or eyelid / eyelash cleaning, insurance does not cover these specific procedures.