Dry Eye Disease And Management

Today nearly 30 million people in the United States and over 300 million worldwide suffer from some form of dry eye disease. Symptoms include redness, scratchiness, burning, stinging and sometimes itching. Though there can be many causes of "dry eye", one of the main causes (86 %) is a chronic and progressive condition known as Meibomian Gland Dysfunction (MGD). The meibomian glands are small, oil secreting ducts that line both the upper and lower eyelids. If properly functioning these glands produce oils that become part of our tear layer and keep our tears from evaporating. Aging can cause the meibomian glands to become less efficient in producing these oils. In addition, the increased use of computers, smart phones and other electronic devices causes us to blink less which puts further stress on these glands.

Thankfully today, there are a number of options that our doctors can recommend to help treat and manage dry eye disease. These options may include over the counter artificial tears, prescription eye drops, oral medication, tear duct occlusion, lid hygiene, hot compresses, or some combination of these. There is even a device called LipiFlow that treats MGD by applying heat and gentle massage to the lids to improve the function of the meibomian glands (see video below).

So, if you think you might suffer from dry eyes, our doctors at the Koetting Associates can determine what might be the cause, and recommend a treatment plan accordingly.


    2511 South Brentwood Blvd.    St. Louis, Missouri 63144

    (314) 863-0000


    113 Old State Road Suite 101    Ellisville, Missouri 63021
    (636) 256-7800