At Eye & Vision, we take a multi-pronged approach to the treatment of Dry Eyes, Blepharitis,

or related disorders of the surface of the eye.

Our treatment procedures address tear quality, production, distribution, drainage and maintenance.

We see each patient frequently in order to establish an effective therapeutic relationship, monitoring progress, and adjusting treatment as needed. There is no cure for dry eyes. However, with comprehensive treatment, most patients experience significant improvement in symptoms and quality of life.

Many eye care professionals are not aware of the optimal dry eye treatments. That is why Dr Gonzalez is a nationally recognize speaker on the subject. When it comes to treatment of dry eyes, instillation of tears alone is very often not effective and dilutes the little precious proteins left in the tear surface.

Our initial therapy starts based on an evaluation of your eyes. From our experience, we place more emphasis on the inflammatory component of dry eye and ofetn prescribe a topical steroid such as Lotemax that can be combined with a lacrigenic (medication that causes you to produce tears) such as Restasis (both are prescription medication). We often use Azasite as therapy for any meibomian gland disfunction.

It is important to understand that all artificial tears are NOT equal and often not beneficial in therapy. Equally not are all brands of punctal plugs. Often you may need to incorporate additional types of treatments and/or lifestyle modifications.

Other levels of treatment in dry eye treatment are usually all about shifting the focus to the meibomian glands (gland that produce tears). A course of oral antibiotics such as doxycycline may help, if there is inflammatory meibomian gland dysfunction going on, 

Other conditions such as blepharitis might require lid hygiene and warm compress treatment and it may be very important. to add Omega 3 supplementation (flax seed and/or fish oil). For this we also prescribe medications such as Hydrate, a prescription strength Omega oil from Ocusoft. 

For proper treatment we evaluate and manage: