The dry eye clinic at Simon Falk Eyecare offers a carefully curated range of holistic treatments for dry eye relief. The clinic is led by Leah Khan a highly qualified optometrist and dry eye practitioner. Leah has delivered presentations to the NHS Menopause Society and has played an active role in educating fellow clinicians on the management of dry eye.
Our services are designed to deliver lasting results while supporting your overall well-being. Using the latest technology and a personalised approach, we provide effective dry eye treatments tailored to your individual needs.
Experience expert care in a calm, professional setting—right here at Simon Falk Eyecare.
Dry eye disease occurs when the eyes become inflamed due to an imbalance in the tear chemistry. There are two forms of dry eyes, evaporative dry eye and aqueous deficient dry eye. Most people have evaporative dry eye.
Evaporative dry eye occurs when the meibomian glands in the eyelids aren’t functioning properly. The meibomian glands are responsible for secreting oils which prevent the tears from evaporating too quickly.
Meibomian gland dysfunction (MGD) is when these glands become blocked and inflamed reducing the quality and effectiveness of the oils
causing rapid tear evaporation.
Aqueous deficient dry eye occurs when there is an insufficiency in the Aqueous layer of the tear film produced by the lacrimal glands.
There can be several causes such as:
• Low blink rate
• Decreased function of the lacrimal glands (water producing glands)
• Meibomian gland dysfunction
• Incomplete lid closure (lagophthalmos)
• Contact lens abuse
• Medications
• Environment/Lifestyle
• Hormone changes
• Lasik.
• Burning
• Red eyes
• Contact lens intolerance
• Excessive tearing
• Gritty sensation
• Itching
• Blurred vision
• Light sensitivity.
At Simon Falk Eyecare we have the latest-state-of-the-art equipment to
diagnose dry eyes. The IDRA has the capability to measure various components of the tear film and the structures of the eyelid.
• Fluorescein imaging
• Tear meniscus
• 3-D meibography
• Lipid layer thickness
• Blink rate
• Non invasive tear break up time.
Meibography uses infrared technology to image the meibomian glands.
Osmolarity is the measurement of the saltiness of the tear film and is
an important factor in the diagnosis of dry eye. Dry eye is defined as
hyperosmolarity of the tear film. The Scout Pro measures the osmolarity
of the tear film. The grading scale allows us determine the severity of
the dry eye.
A measurement greater than 302mOsm/L is abnormal and a value over
336mOsm/L is a severe value. It is possible to have different values
between the two eyes and a difference of 8mOsm/L is significant.
Diagnostic Dyes are used to determine the inflammation on the surface
of the eye including the cornea and the conjunctiva.
Lifestyle is another crucial part of the assessment which includes diet,
habitual screen use, general health conditions and medications. We may
also recommend you see the GP for blood tests to check vitamin levels.
We will investigate lifestyle factors and suggest modifications to help
symptoms.
A bespoke treatment plan will then be recommended this may include in practice treatments, lifestyle changes to implement at home or a combination.
Is a new device that is used for dry eye treatment. It uses Thermo-Mechanical Ablation (TMA), a non-laser treatment technology, to transfer thermal energy to the skin around the eyes quickly and safely to correct dry eyes by increasing lubrication and reducing tear evaporation.
Tixel® treatment takes less than one minute and involves only a little discomfort with little to no pain. It is non-invasive and there is no downtime. The effects of Tixel® are longer lasting than the use of eye drops.
In most cases, patients will need three Tixel® treatments, with an interval of two to three weeks between each treatment. In more severe cases, patients may require four treatments. This machine can also offer a range of cosmetic treatments to help improve the appearance of the skin around the eyes tightening the skin, skin rejuvenation and improving skin.
LLLT uses specific wavelengths of light (often red or near-infrared) to stimulate cellular activity and accelerate healing. LLLT is completely non-invasive, painless,and requires no recovery time. A typical session lasts around 15 minutes.
Intense Pulsed Light (IPL) therapy is a treatment that uses pulsed flashes of light to help relieve dry eyes. E-Eye is a medical device that has been specifically designed for treating dry eye syndrome due to meibomian gland dysfunction. The energy, spectrum and time period are precisely set to stimulate the Meibomian glands in order for them to return their normal function. E-Eye is the medical solution to treat and to prevent dry eyes.
Amniotic membrane grafts (AMGs) offer more than simple protection; they actively transform the healing process within the eye. In severe dry eye, there's damage and chronic inflammation that normal treatments can't always address. The amniotic membrane provides that extra boost your eye might need to repair itself, potentially leading to long-lasting relief and better vision.
Is a treatment for blepharitis which is inflammation of theouter eyelids. It is a professional cleaning procedure to remove bacteria,eyelash dandruff and demodex mite infestation. Treatments are usuallyrepeated at regular intervals depending on the severity of your case.After a few treatments patients start producing more of their own tearsand the chronic and irritating symptoms caused by Blepharitis will bereduced or alleviated.
Is a painless and relaxing treatment to give immediate relief for evaporative dry eye. A clinically proven mechanical method to de-cap and stimulate Meibomian glands unclogging your glands and stimulating the natural production of oils to keep your eyes lubricated. Patients typically notice a distinct improvement in comfort and a significant reduction in their dry eye symptoms often in the first month of use. Wesuggest using Activa once a week for four weeks. At the end of this first period, a session every two months is recommended to keep the benefits of the relief. This would reduce the need for at home heat mask and lid massage.
May still be needed to manage symptoms and we will advise on an individual basis which will be the right ones for you. There are many types of drops available and it can be overwhelming which one to purchase. Not all drops are made equal, some contain preservatives which further irritate the ocular surface. Some are designed to enhance the aqueous layer only, which is not helpful if you are deficient in the lipid layer.
May also be recommended, especially omega 3 and vitamin D. Omega 3 has been shown to improve the quality of the tear film and reduce inflammation.
Proven to improve eye hydration after just one use. Our Heated Eye Wand™ LED+ works to hydrate and rejuvenate the entire eye area in a matter of minutes using five innovative modes. Our LED+ Wand has a heat-only mode, heat and gentle massage mode and three LED modes (green, red and amber LED). The heat-only mode works just like a hot-compress to restore eye comfort, and is clinically proven to effectively hold heat throughout use.
The heat and gentle massage mode has an added aesthetic benefit, by helping to promote drainage of excess fluid in the eye area to reduce the appearance of eye bags and puffiness.
The three LED modes use different wavelengths of LED to target eye area concerns.
We are so pleased to be able to offer our patients a solution to dry eye and we look forward to seeing you soon.
Our dry eye services will be headed by Mrs Leah Khan.
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