If your eyes often feel dry, gritty, irritated, or just uncomfortable, you may be dealing with ocular surface disease (commonly referred to as dry eye syndrome). This chronic condition affects tear production and stability, leading to inflammation, discomfort, and sometimes blurry or fluctuating vision.
At True Eye, we take a comprehensive approach to diagnosing and treating ocular surface disease, helping patients restore comfort and protect long-term eye health.
What Is Ocular Surface Disease?
Ocular surface disease occurs when the tear film—the complex mix of water, oil, and mucus that protects and nourishes the eye—is disrupted. This leads to symptoms such as:
- Dryness or irritation
- A gritty or sandy feeling
- Redness or burning
- Light sensitivity
- Blurry or fluctuating vision
- Excessive tearing (a response to irritation)
- Discomfort with contact lenses
Common Causes
There are several reasons the ocular surface may become unstable:
- Meibomian gland dysfunction (MGD)
- Inflammation from blepharitis or demodex mites
- Hormonal changes, especially after age 50
- Autoimmune disorders (like Sjögren’s syndrome)
- Long hours on digital devices
- Environmental stress (wind, dry air, A/C)
- Certain medications (antihistamines, antidepressants, etc.)
Treatment Options for Ocular Surface Disease
At True Eye, our treatment plans are tailored to your unique condition and may include a combination of in-office procedures and at-home care. Here are the most effective, evidence-based options we offer:
Optase® Artificial Tears
We primarily recommend Optase drops, known for their preservative-free, hydrating formula that supports the full tear film and helps calm inflammation. These are among the best eye drops for dry eyes, especially for patients with moderate to severe symptoms.
Prescription Medications
For chronic or inflammatory cases, we often prescribe:
- Cequa® (cyclosporine ophthalmic solution)
- Xiidra® (lifitegrast ophthalmic solution)
- Meibo (cyclosporine solution formulated for MGD)
- Tyrvaya® (a nasal spray that increases natural tear production)
- Xdemvy® (lotilaner ophthalmic solution), which treats demodex mites that contribute to blepharitis and MGD, improving the overall ocular surface
Lid Hygiene and Moist Heat Therapy
Daily care of the eyelids is essential. We recommend:
- Lid scrubs or cleansing wipes to remove debris and reduce inflammation
- Moist warm compresses to soften oil blockages and improve meibomian gland function
TearCare® In-Office Treatment
We perform TearCare, a thermal expression procedure that targets blocked meibomian glands. It uses wearable, flexible devices that deliver consistent heat and help restore healthy oil flow.
Triglyceride-Form Omega-3 Supplements
Nutritional support is part of the plan. We recommend high-quality omega-3 fatty acids in triglyceride form, which support gland health and help reduce inflammation of the ocular surface.
Additional Therapies
When appropriate, we may also recommend:
- Punctal plugs to reduce tear drainage
- BlephEx® for deep cleaning of the eyelid margins
- Intense Pulsed Light (IPL) for inflammation control
When to Seek Help
If you’re experiencing ongoing eye discomfort, blurry vision, or symptoms that aren’t relieved with over-the-counter drops, it’s time to get evaluated. Ocular surface disease is a progressive condition, but with the right approach, it can be managed effectively.
Get Relief at True Eye
At True Eye, we’re dedicated to finding the right combination of treatments to improve your ocular comfort and long-term eye health. From prescribing the best eye drops for dry eyes to advanced in-office procedures, we’re here to help.
Schedule your ocular surface evaluation today, and let’s create a personalized plan to bring your eyes lasting relief.
