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Multack Eye Care · Dry Eye Center of Excellence

Dry Eye CareFocused on your comfort

Personalized care for dry, irritated or watery eyes. Start with an evaluation focused on your symptoms and everyday comfort.

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Dry eye can affect comfort, reading, screen time and the quality of vision. At Multack Eye Care, we evaluate the tear film, eyelids and ocular surface to build a plan around the cause of your symptoms. Contact our team to arrange an evaluation at one of our offices.

TEARLAB ACCREDITATION

Accredited
Dry Eye Center

Recognition of our commitment to advanced tear testing and personalized dry eye care.

MULTACK EYE CARE

View original certificate

What are dry eyes?

Dry eye disease develops when the tear film does not keep the surface of the eye adequately lubricated. This can result from insufficient tear production, increased tear evaporation, or both.

The tear film contains water, oils and mucus. When the meibomian glands in the eyelids do not release enough oil, tears may evaporate too quickly. Problems with tear quantity and tear quality can occur together.

If you have dry eyes, you’re likely to experience symptoms such as:

  • Irritation in the eyes
  • Burning sensation in the eyes
  • Tired, gritty eyes
  • Red eyes
  • Blurry vision
  • Sensitivity to light

You might often feel as though there’s something stuck in your eye and find wearing contact lenses becomes too uncomfortable.

What causes dry eyes?

There are a number of potential triggers for dry eyes, including:

  • Entropion (inward turning eyelid)
  • Ectropion (outward turning eyelid)
  • Contact lenses
  • Certain medications
  • Postsurgical complications
  • Age-related changes
  • Hormonal changes
  • Changes in the weather
  • Environmental pollutants
  • Dry, windy weather
  • Regular use of computer screens

Health conditions, including diabetes, thyroid disease and autoimmune disorders such as Sjögren’s syndrome, can also contribute to dry eye.

Dry eye can also cause excessive watering. Irritation may trigger reflex tearing, so watery eyes do not necessarily mean that the tear film is stable or that the eye is adequately lubricated.

Left untreated, dry eyes can cause inflammation and corneal scarring.

Personalized dry eye evaluation

The first step is understanding what is driving your symptoms. Your eye care team may assess tear production, tear evaporation, eyelid health, meibomian gland function and the ocular surface. TearLab osmolarity testing, which measures the salt concentration of tears, may contribute information alongside the examination and other findings.

Dry eye treatment options

Treatment is selected for your type and severity of dry eye. A plan may combine daily care, prescription medication and in-office treatment, and may change as your eyes respond.

Prescription medications

Prescription options work in different ways. Your clinician will review the expected benefits, potential side effects, use instructions and any contact lens precautions for your medication.

Cyclosporine eye drops

Cyclosporine is a prescription anti-inflammatory treatment that can help increase tear production in selected patients whose tear production is reduced by ocular surface inflammation. Your doctor chooses the formulation and reviews how to use it. Improvement can develop over time, and response varies.

MIEBO

MIEBO (perfluorohexyloctane ophthalmic solution) is a prescription eye drop for the signs and symptoms of dry eye disease. It is designed to reduce tear evaporation and may be considered when evaporation contributes to your symptoms.

Official medication information

TRYPTYR

TRYPTYR (acoltremon ophthalmic solution) is a prescription treatment for the signs and symptoms of dry eye disease. It can help increase natural tear production. Your doctor can discuss whether this approach fits your findings and treatment goals.

Official medication information

XDEMVY for Demodex blepharitis

XDEMVY (lotilaner ophthalmic solution) treats Demodex blepharitis, an eyelid condition associated with Demodex mites. When this condition is identified, targeted treatment may be part of a plan to address eyelid irritation and ocular surface health.

Official medication information

Other prescription options

Other options may include lifitegrast eye drops or a clinician-directed course of other anti-inflammatory medication. The choice depends on your examination, medical history, response to earlier treatment and coverage. Different prescriptions have different benefits, risks and instructions.

In-office & advanced treatments

Intense pulsed light (IPL)

IPL is an in-office light-based treatment that may be considered for eligible patients with dry eye related to meibomian gland dysfunction. Your doctor evaluates your eye findings, skin type and medical history before recommending a treatment course. A series of visits and continued home care may be part of the plan.

LipiFlow and meibomian gland treatment

Meibomian glands supply oil that helps tears remain on the eye. LipiFlow uses controlled heat and pressure to address blocked glands that can contribute to evaporative dry eye. Treatment may be combined with eyelid care, prescription therapy or other approaches when appropriate.

Punctal plugs

Small plugs can be placed in selected tear-drainage openings to help tears stay on the surface of the eye longer. Your doctor considers your tear film, eyelids and inflammation when deciding whether temporary or longer-lasting plugs are appropriate.

Serum tears

Autologous serum tears are custom-prepared prescription drops made from the serum portion of a patient’s blood by a specialized laboratory. They may be considered for severe or persistent ocular surface disease when standard approaches have not provided enough relief. Preparation, storage, handling and follow-up require specific instructions from the prescribing team and dispensing laboratory.

Amniotic membrane therapy

For selected ocular surface problems, your clinician may recommend amniotic membrane therapy to support surface healing. Options may include treatments such as PROKERA or AmbioDisk, depending on the condition. Candidacy and follow-up are individualized after an examination.

Daily care & supplements

Warm compresses & heated eye masks

For selected patients with meibomian gland dysfunction, warm compresses or purpose-made heated eye masks can help soften thickened oils and support oil flow from the eyelid glands. Your clinician can recommend an appropriate mask and a routine for your eyes.

Use gentle warmth over closed eyelids, avoid firm pressure, and follow the product’s heating, cleaning and use instructions. The mask should feel comfortably warm, never hot. Stop if it causes pain or irritation, and ask your surgical team before using heat after an eye procedure.

Artificial tears and eyelid care

Lubricating drops, including preservative-free options when appropriate, can supplement the tear film. Your doctor may also recommend eyelid hygiene, warm compresses, blinking habits or changes to screen and environmental routines based on the cause of your symptoms.

Omega-3 supplements

Omega-3 supplements may be discussed as part of an individualized care plan. Evidence for dry eye benefit is mixed, so recommendations should account for your diet, medical history and other medications. Supplements do not replace an eye examination or prescribed treatment.

Treatment availability and out-of-pocket costs vary by office, prescription and insurance plan. Our team can help you understand the options recommended for your eyes.

Arrange a dry eye evaluation