Very professional office, staff and doctor.
Dry eyes affect 20 million or more Americans, causing a loss of 5 billion dollars in work force production. More than 3 billion dollars are spent every year on the treatment of dry eyes.
The Tear Film Consists of Three Layers
Meibomian Gland Dysfunction
Meibomian gland disease of dysfunction is the cause of dry eyes in approximately 75% of dry eye cases. This is called evaporative dry eye.
Decreased Liquid Tear Production
The decreased production of the lipid layer comprises the other 25% of dry eyes.
Treatment of Dry Eyes
The treatment of dry eye needs to be based on the type of dry eye in the order to provide the most benefit to the patients.
During the eye exam, the doctor examines the surface of the eye, and the quality of the tear film using a slit lamp microscope. A dye that stains the cell walls of damaged cells on the surface of the eye may be used to determine the extent of dry damage to the eye.
Our bodies contain a normal amount of salt, including the tear film and the surface of the eye. The is now a test that can measure the salt level in tears. An increase in the salinity of the tear film indicated the presence of dry eyes. Tear osmolarity can also be used to follow or monitor the success of the treatment.
LipiView is a machine that can image the tear film and evaluate the quality of the lipid level on the surface of the eye which can indicate Meibomian Gland Dysfunction. People with poor lipid levels on the surface of their tear film suffer from dry eyes.
Meibomian Gland 3D Imaging
Meibomian gland imaging allows us view and image the glands to determine the health of the Meibomian Glands
Tear Break Up Time
The length of time that the tear film stays normal without blinking is a test to determine the severity of the dry eyes
Tear Meniscus Height
The height of the layer of tears that rests on the lid adjacent to the eye is measured. This is another measurement for the amount of tears present in the eye.
The color and structure of the lipid layer are measured to determine the status of the outer lipid layer of the tear film.
Tear Film Dynamics
The tear film practice flow characteristics and tear film viscosity is measured to evaluate the quality of the tear film.
There are many different artificial tears on the market: watery type drops, thicker gel-like drops and ointment. Artificial tear are the mainstay of treatment, especially in beginning.
Warm compresses in the morning for 10 minutes can help the glands produce better tears. Tranquileyes is an excellent way to apply warm compresses to the eyes.
Restasis is a topical medication that is instilled into the eye twice a day. It improves the health of the cells around the eye that produce the tears.
Omega-6 with GLA from black current seed oil has been shown to improve symptoms from dry eye in several clinical studies
The ducts are located on the upper and lower eyelids near the nose that drain the tears from the eye into the nose. Small plugs can be placed in the ducts to block the drainage of the tears from the eye maintaining a better tear film.
This is the first FDA approved treatment for Meibomian Gland Dysfunction related to dry eyes. LipiFlow is a single office procedure that improve the dry eye symptoms in 90% of patients.
Meibomian Gland Probing
A tiny probe is inserted through the microscopic gland opening which has been scarred closed from Chronic Inflammation. This allows the Meibomian gland to secrete its lipid material on the tear film.
It has been discovered that there are hormone receptors on the surface of the eye Post-menopausal women comprise the largest group of dry eye patients. Studies have shown that in post menopausal women, application of testosterone to the eyelid has improved the tear film of these patients.
Meibomian Gland Dysfunction may cause up to 85% of dry eye disease. The Meibomian glands are located in the upper and lower eyelids. They are responsible for producing the outer lipid layer of the tear film. The lipid layer products the underlying water portion of the tears and keep it from evaporating from the eye. The LipiFlow Treatment is the first of its kind and is a newly FDA approved procedures for treating Meibormian Gland Dysfunction.
LipiView Interferometer provides a quantitative analysis by specular reflection of the tear film. The LipiView displays its results on a monitor and reveals the status of the outer lipid layer of the tear film. If your lipid layer is deficient then you may be an excellent candidate for LipiFlow.
LipiFlow Treatment Experience
LipiFlow Treatment unblocks the obstruction of the Meibomian glands with a combination of localized heat and intermittent pressure. A sterile single-use component of an eye cup and lid warmer is placed in contact with the eyelids. The lid warmer contacts the inner eyelid surface and heats to a controlled temperature of 42.5°. The flexible bladder intermittently inflates in a precise manner on the outer surface of the eyelid to express the lipid material out of the glands. Both eyes can be treated at the same time. The treatment lasts approximately 12 minutes.
This is an exciting new treatment option for patients who are suffering from symptoms of dry eyes. Most patients feel relief or improvement of their symptoms within 2 weeks or sooner.
At 4 weeks after treatment, approximately 80% of patients reported improvement of their dry eyes. Most experience little or no discomfort with the procedure. We are one of the first practices in the United States to offer this important component of treatment in an Accredited Dry Eye Center.
I did not always know why I was doing some procedures but the end result was great and much better than expected.Zadok
I trust Dr.Croley with my eyes. He is the best eye doctor I have ever been to. He is genuinely concerned about my pressures and being diabetic he keeps track of any changes. I would and have recommended him to my friends. I feel blessed that Dr. Croley is looking after me.Karen
Trust completely. Do not want to ever have to change doctor.Barbara
Very pleased and love the entire staff. Will highly recommend Dr. Croley. I have good results.Beverly
I’m now excited to get the other eye done.Judith
Dr.Croley and his friendly, efficient staff make my appointments very pleasant. I also appreciate Dr. Croley’s current knowledge of new procedures and possibilities.Judy
Very nice office, great staff very caring & friendlyAngela
Has many patients but devotes time only for you when with you. Made me feel very much at ease with her compassion and personal interest. Office staff very courteous & definitely trust Dr. Croley.Mareann
Dr.Croley is well-versed and articulate and maintains state-of-the-art knowledge and technology. No reservations in recommendations.Gerald
I think Dr. Croley and his staff are great.Steven
Doctor & staff are very professional & courteous. Helpful with my situation!Leslie