Dry Eye Management in North Toronto

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Welcome to Our Dry Eye Clinic

We take a medical approach to diagnosing, managing, and treating dry eyes. To get to the root of the problem, we thoroughly evaluate your symptoms, your history, and your eyes to find the cause of your dry eye. Once we’ve diagnosed your dry eye, we have several treatment options available to suit your eyes’ unique needs.

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Diagnosing Dry Eye

Dry eye can have a variety of causes, which is why we first determine the root cause of your dry eyes before beginning treatment. We use a variety of diagnostic tools that quantitatively measure your dry eye. Along with an assessment of your history and symptoms, this allows us to offer you the right treatment.

We use the I-Pen to measure tear osmolarity. The I-Pen is a handheld device about the size of a thermometer. Using the I-Pen, we gently touch the device to your inner, lower eyelid and hold it there for between two to four seconds. During this time, the device takes one hundred and ninety-two different readings to measure osmolarity (the concentration of your tears).

The osmolarity, as well as the difference in osmolarity between your two eyes, is an important indicator of dry eye. The device also measures your lipid layer, the component of your tears that prevents them from evaporating too quickly.

Meibography is used to identify meibomian gland dysfunction, a disorder that affects 86% of people with dry eye. Meibomian gland dysfunction affects the meibomian glands, causing gland shortening and gland loss. Meibography is a technique we use to photograph the meibomian glands and detect meibomian gland dysfunction.

Our Dry Eye Treatment Options

We offer several treatment options that we can customize to your dry eye. In addition to take-home treatments such as eye drops, eye gels, and eye masks, we offer in-office treatments to manage the root causes of dry eye. These include:

IPL stands for intense pulsed light. The light pulses penetrate tissue and create heat, which helps to target inflammation associated with dry eye. Pulses are distributed across the cheeks, nose, and lower eyelids and are customized to your skin type and condition. The device is designed to minimize discomfort, with most patients experiencing a mild snapping sensation.

In many cases, dry eye symptoms begin to improve after one or two sessions and steadily improve with continued treatment.

LipiFlow® is a treatment used to address meibomian gland dysfunction. During treatment, small pads, called activators, are placed on top of your eyelids. The pads apply vectored thermal pulsation to distribute moderate heat and massage to your eyelids. Moderate heat and pressure is a gentle way to help remove gland blockages and restore gland function.

Eye debridement is a technique used to help provide relief for dry eye caused by blepharitis. It’s a method of lid exfoliation designed to remove debris caused by blepharitis. ZEST eyelid debridement uses a small handheld device, which is applied to the base of the eyelashes for about twenty to thirty seconds, eliminating debris more gently compared to other methods.

Amniotic membrane grafts can be an effective treatment for severe dry eye.

The process involves harvesting and sterilizing cells from human amniotic sacs, which are then grafted onto the damaged eye tissue. These cells promote epithelial growth and can reduce inflammation (a serious component of severe dry eye). They also act as a physical barrier, protecting the conjunctival and corneal epithelium and reducing friction (and pain) as the eyelid moves over the surface of the eye.

Some research suggests that these cells may also have antimicrobial properties, which could reduce the chance of infection during the healing process.

To serve you best, we offer two brands for amniotic membrane grafts: LabAmnio  and BioDOptix.

Autologous serum eye drops are eye drops manufactured using the patient’s blood serum and plasma. This fluid contains epithelium-promoting growth factors and other essential components present in natural tears. They can be used to treat severe dry eyes by encouraging eyes to produce more natural tears.

Radio frequency is a therapy to treat dry eye caused by meibomian gland dysfunction (MGD). Radio frequency works by using low energy radiation to heat the deep layers of your skin, which then liquifies the clogged meibum in the meibomian glands. Once the meibum is liquified, the meibomian glands can start to function properly, relieving your dry eye symptoms. After the treatment, your optometrist may manually express the meibomian glands to release any additional oil trapped inside.

InflammaDry is a rapid, noninvasive, in-office test used to diagnose dry eye disease caused by inflammation. It involves collecting a small sample of a patient’s tears using a specialized device.
The InflammaDry test works by detecting the presence of elevated levels of matrix metalloproteinase 9 (MMP-9), an inflammatory biomarker commonly found in patients with dry eye disease caused by inflammation.

InflammaDry is a disposable, low-cost option that requires no additional equipment to get started.

Our Location

Where to Find Us

Find us on the 5th floor of the Hullmark Corporate Centre.

Parking & TTC

Underground parking is accessible via Anndale Drive. The subway can be accessed via the Sheppard-Yonge station.

Our Address

4789 Yonge Street, Suite 505
North York, ON M2N 0G3

Contact Information

Phone: 416-322-0379
Fax: 416-322-9964
[email protected]

Hours of Operation

Monday
8:30 AM4:30 PM
Tuesday
9 AM5 PM
Wednesday
8 AM4 PM
Thursday
10 AM6 PM
Friday
8 AM4 PM
Saturday
Closed
Sunday
Closed

Medically-Focused Optometry Services

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