Matossian Eye Associates offers the latest and most technologically advanced treatments for Dry Eye Disease.  Since there are many causes for dry eye, there are many treatments necessary to reduce and/or eliminate the symptoms.  We are pleased to be a Dry Eye Center of Excellence, offering state of the art technology and experience in the treatment of dry eye disease.

Below are many of the advanced treatment options available at Matossian Eye Associates. Select an option below or continue reading for all treatment options

BlephEx    iLux    Intense Pulsed Light (IPL)    LipiFlow    TearCare

BlephEx

BlephEx is a short, painless, in-office procedure to remove the overgrowth of naturally occurring bacteria that accumulate on the eyelid margins and at the base of the eyelashes. The build up of bacteria, if untreated, can lead to chronic inflammation of the lid margins (blepharitis), eye irritation, and dry eye syndrome.

Understanding Blepharitis

Blepharitis, (eyelid margin inflammation) is a contributor to dry eye disease. It is classified as a chronic condition, which may result from bacterial accumulation at the base of the lashes. The biofilm created by the bacteria cover the openings to the Meibomian Glands (glands in our eyelids) that make the oil or lipid layer of the tears. If the gland openings are clogged, the oil cannot get out to coat the eye surface to keep it moisturized and comfortable. In turn, this worsens Dry Eye Disease.

Who is Susceptible to Blepharitis

Although any person is susceptible to developing blepharitis, older patients are generally at a greater risk due to an increased load of bacteria on their eyelids. Eyelash extensions are very popular these days. Anyone who gets lash extensions and refills on a regular basis is also at a higher risk for blepharitis due to the build-up of bacteria at the base of their lashes and to the glues used for lash extensions.

Treatment Options for Blepharitis

Patients who suffer from blepharitis have been frustrated by the limited treatment options available for their condition. The eyelids can be difficult to keep clean. Topical antibiotic or steroid treatments are not ideal for long-term use. At Matossian Eye Associates, we are proud to offer an advanced treatment option called BlephEx.

How Does BlephEx Work?

Bacteria thrive on the eyelid margins because this area is difficult to clean, unlike the skin on the rest of the body. In order to control the inflammation, thorough cleaning of the eyelid is necessary. BlephEx is a handheld device with a patented rotating microsponge that is moved across the eyelid margin during the treatment. This rotary movement removes the bacteria at the base of the lashes and exfoliates the skin over the Meibomian Gland openings for optimal health.

What to Expect from the BlephEx Procedure?

The BlephEx procedure is performed in-office by an experienced eyelid hygienist, an eye technician, or an eye doctor. The procedure typically lasts 10 minutes, resulting in the removal of bacteria and debris along the eyelid margin. Although patients report only a mild tickling sensation during the procedure, numbing eye drops are typically added for comfort. Normal activities can be resumed immediately after the procedure including driving. There is no down time after the procedure.

Is BlephEx Safe?

A new, single use, disposable microsponge is used for each eye to clean the upper and lower lid margins. Once the procedure is completed, the tips are discarded. You will be provided with instructions on how to maintain eyelid cleanliness. Options may include the use of a heated, moisturized eye mask, a daily motorized lid cleaning brush (similar to an electric toothbrush), or eyelid wipes.The BlephEx procedure may need to be repeated at regular intervals of approximately 4-6 months depending on the severity of the inflammation and the response to the treatment. Each case is unique.

How to Schedule a BlephEx Procedure?

The BlephEx procedure is an advanced technology for the treatment of chronic blepharitis. If you want better control of your blepharitis and improve your dry eyes, contact Matossian Eye Associates today to schedule a Dry Eye consultation. Options for relief are available to you.


iLux

Matossian Eye Associates is pleased to offer the iLUX MGD Treatment System. The iLux procedure treats one of the leading causes of dry eye, a condition called Meibomian Gland Dysfunction (MGD).

What is Meibomian Gland Dysfunction (MGD)?

MGD occurs when the glands in the eyelids get blocked and the necessary oils they produce can no longer be released into the tear film. This causes the tears to evaporate rapidly. Over time, the eye surface dries out, becomes irritated and painful. Some treatment options include heated moisturizing masks or compresses, oral omega supplements, and/or meibomian gland expression.

How Does the iLux System Work?

The iLUX® treatment is a natural way of healing the body and restoring the effects of the meibomian glands. The goal is to provide relief for Meibomian Gland Dysfunction, which is a chronic and progressive disease. It uses light-based heat and direct compression to express the impacted material out of the blocked Meibomian glands. The heated therapy and gentle compression comfortably expresses the blocked oil glands that contribute to dry eye symptoms.

What to Expect from an iLux Procedure?

The iLux procedure is performed in-office by an experienced eyelid hygienist, an eye technician, or an eye doctor. The iLux is a handheld device, the size of an electric toothbrush. The procedure typically lasts 15 minutes per eye. It is painless, however, numbing eye drops are typically added for comfort. Normal activities can be resumed immediately after the procedure including driving. There is no down time after the procedure.

Is iLux Safe?

Once the lids are cleansed and makeup removed, a new sterile single use attachment is placed on the handheld iLux device. The disposable part is clipped into the handheld segment. The segment that touches the eyelid margin over the Meibomian glands has a built-in magnifier to help the specialist performing the procedure see the content of the glands and ensure that they are properly expressed.

How to Schedule an iLux Procedure

If you have Meibomian Gland Disease (MGD) and suffer from Dry eyes, please call the office to make a dry eye consultation appointment. Matossian Eye Associates is excited to be among a select group of practices in the country to offer the advanced iLux System as a treatment option for MGD. You are encouraged to schedule a dry eye evaluation to determine if this procedure is right for you!


Intense Pulsed Light (IPL) Treatment

If you’ve been suffering from dry eye syndrome, ocular surface disease, or meibomian gland dysfunction, Intense Pulsed Light (IPL) therapy could be right for you. IPL therapy used to only be a treatment option for skin rejuvenation. Now IPL technology can be used to treat dry eye syndrome. Matossian Eye Associates is proud to offer IPL therapy in our Doylestown, PA and Hopewell NJ locations.

What is Meibomian Gland Dysfunction (MGD)?

Meibomian glands are found in your upper and lower eyelids. On average, there are about 25 to 40 meibomian glands in the upper eyelid and 20 to 30 in the lower eyelid. These glands secrete oils that help your tears from evaporating too quickly.

Meibomian gland dysfunction (MGD) occurs when there is a blockage or other abnormality. When left untreated, MGD leads to dry eye and other eye dysfunctions.

Meibomian gland dysfunction is often the main cause of dry eye syndrome. If you are 40 years of age or older, your chances of developing meibomian gland dysfunction increase greatly.

Am I a Candidate for IPL if I have MGD?

There are natural remedies and eye drops that sometimes work for patients experiencing dry eye symptoms. If you’ve tried these methods and have not experienced relief, you may be a candidate for IPL therapy.

Intense Pulsed Light therapy has been proven to relieve MGD and dry eye symptoms. IPL works because it treats the root cause of ocular surface issues like meibomian gland dysfunction.

For patients with MGD, they may suffer from inflammation of the eyelids, as well as inflammatory skin diseases. IPL is good for treating both skin and eyelid inflammation.

Schedule an appointment at Matossian Eye Associates today to get an evaluation and find out if you’re a good candidate!

What is IPL?

Lumenis Dry Eye Treatment LogoMatossian Eye Associates is now offering IPL Therapy with Lumenis M22 through our accredited Dry Eye Center of Excellence. IPL treatment is an in office procedure and takes only a few minutes to perform.

Your eye doctor will apply brief, powerful bursts of light at specific wavelengths to the lower eyelid area. IPL works by closing the blood vessels that secrete the proteins responsible for chronic inflammation and damage the Meibomian glands. IPL therapy is a great option for those suffering from dry eyes who have not experienced relief from other treatments.

We recommend patients who move forward with Lumenis IPL therapy start with four treatments. These will take place over the course of four months to get secretions thin and working properly.

Once the gland normalizes, maintenance treatments are only needed a couple of times per year.

Procedure : Intense Pulsed Light (IPL)

How do I Know if Lumenis IPL Therapy is Right for Me?lumenis m22

If you are experiencing any of the following symptoms, Lumenis IPL therapy could be a good fit for you:

  • Scratchy feeling
  • Blurry vision
  • Stinging or burning sensation
  • Contact lens discomfort
  • Eye pain
  • Redness
  • Excessive tearing
  • Mucus buildup around the eye

Once you set up an appointment with our experts, we will conduct a careful evaluation. If you have any questions about dry eye or IPL therapy, please schedule an appointment at Matossian Eye Associates.


LipiFlow

LipiFlow® is a pain-free, in-office treatment to address the root cause of evaporative Dye Eye Disease. This 12 minute, very safe procedure heats the thickened oils within the meibomian glands from the inside of the eyelid, then, gently unplugs the blocked meibomian glands to clear the impacted material. Over 400,000 treatments have been performed globally to date. Opening and clearing these blocked glands will allow them to resume their natural production of lipids (oils) needed for a healthy tear film.

How does LipiFlow Work?

LipiflowA disposable activator is placed on each eyelid by a highly skilled lid hygienist, a technician or an eye physician. Numbing drops are instilled to ensure comfort during the treatment. The eye pieces use a patented technology to deliver a precise level of heat that is applied to the inner eyelid with pulsed pressure to unblock the meibomian glands. This thermal pulsation system not only unclogs the glands but also encourages them to resume their natural production of the lipids needed for healthy tears. Normal activities can be resumed immediately after the procedure including driving. There is no down time after the procedure.

Is LipiFlow Safe?

The single-use sterile activators are opened in front of the patient and inserted into each eye. They are discarded immediately after use. The built-in sensors ensure a safe, sterile treatment. The process is very soothing (likened to a spa treatment for the eyes) and lasts exactly 12 minutes. This treatment is usually recommended once a year. LipiFlow®, by Johnson and Johnson, is an FDA-cleared thermal pulsation treatment of meibomian gland dysfunction.

How to Schedule a LipiFlow Treatment?

If you have Meibomian Gland Disease (MGD) and suffer from Dry eyes, please call the office to make a dry eye evaluation appointment. Matossian Eye Associates is excited to be among a select group of practices to offer LipiFlow as a treatment option for MGD. You are encouraged to schedule a dry eye consultation to determine if this procedure is right for you!

 

 


TearCare

The TearCare system is one of the latest in-office treatments on the market that offers relief to those with meibomian gland dysfunction (MGD), dry eye syndrome, and blepharitis.

How Does TearCare Work?

TearCare delivers heat to the Meibomian Glands located within both the upper and lower lids to melt the thickened oils inside the unhealthy glands. Then, a manual device is used to express the glands to remove the impacted material from the glands. This helps the glands function better to produce the necessary oils to keep the surface of the eye adequately lubricated.

What to Expect During a TearCare Treatment?

The TearCare system delivers regulated and adjustable heat via their proprietary iLid devices that are taped to the upper and lower lids at the start of the procedure. This is done by a highly trained eyelid hygienist, a technician or an eye doctor. The iLid devices contain multiple thermal sensors and are made from a thin, flexible material that adjusts to the contour of the lid and allows for natural blinking. The patient is able to keep their eyes open during the procedure. The adhesive strips that are applied to the upper and lower lids look like thick, white eyeliner. The strips are removed and discarded after the 15 minute heat application period. Then, a device is used by a trained eyelid hygienist, a technician, or an eye doctor to manually express the glands in both the upper and lower lids to remove the impacted materials from the Meibomian Glands. The entire procedure takes between 30 and 45 minutes. All normal activities can be resumed immediately after the procedure. There is no down time. The TearCare procedure will need to be repeated about every 4 – 6 months depending on the disease severity and the response to the treatment. Each patient is unique.

Is TearCare Safe?

Each set includes sterile, single use, disposable adhesive iLids thermal strips (the white eyeliner) and a sterile eyelid forceps for manual gland expression. Both the iLid thermal strips and the forceps are discarded immediately after the procedure. It is a very safe device.

How to Schedule a TearCare Treatment

If you have Meibomian Gland Disease (MGD) and suffer from Dry eyes, please call the office for a dry eye evaluation appointment. Matossian Eye Associates is excited to be among a select group of practices to offer TearCare as a treatment option for MGD. You are encouraged to schedule a dry eye consultation to determine if this procedure is right for you!