Dry eye is a term used to describe a group of different diseases and conditions that result from inadequate wetting and lubrication of the eye. Dry eye syndrome is the most common of all eye disorders, affecting approximately 20% of the population. Currently, there is no cure for dry eye, although there are many treatments available.
There are a number of symptoms associated with dry eye. Some of the most common ones include:
Dry eye can be caused by a number of different underlying factors. Some of the leading causes of dry eye include:
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Restasis is a prescription eye drop that treats dry eye syndrome by increasing your natural ability to produce tears. The product works by reducing chronic inflammation that affects the lacrimal glands (the glands responsible for producing tears.) In this way, it improves both the quality and quantity of the tears your body is able to produce. At the Benjamin Eye Institute, we consider Restasis to be the gold standard for treating serious cases of dry eye.
Because Restasis works by encouraging cellular turnover within the lacrimal glands, it must be used for a minimum of six weeks before results will begin to appear. Once the medication is discontinued, symptoms will resume within several months. As such, studies show that long-term use of Restasis is necessary to obtain effective relief from dry eye symptoms.
Restasis is very safe, and is in fact the only eye drop solution of its kind that is FDA-approved for treating dry eye syndrome. In terms of side effects, patients very rarely experience burning, redness, discharge, watery eyes, pain, foreign body sensation, itching and blurred vision.
Over-the-counter eye drops are a very common dry eye treatment. Although these drops are readily available and capable of soothing the eyes and providing temporary relief, they don't actually treat the underlying dry eye problem. As such, Dr. Benjamin and his team instead recommend prescription drops designed specifically to improve dry eye syndrome.
Made from your own blood serum, these drops produce a tear substitute that is formulated specifically for your eyes and contains the crucial growth factors and nutrients that are normally found in healthy tears.
This painless, in-office eye treatment helps to provide long-lasting relief from blepharitis and dry eye. During this procedure, years of built-up bacteria and debris are safely removed from along the edge of your lashes, exfoliating your eyelids, and immediately improving uncomfortable symptoms. There is no downtime from this treatment and best results are seen in combination with LipiFlow.
Prokera is a biologic corneal bandage that is cleared by the FDA to treat a number of eye diseases, including dry eye. It is designed to restore a smooth corneal epithelium and reduce inflammation so that your eyes can produce tears normally.
In some cases, dry eye is caused by a condition known as 'surfer's eye,' or pterygium, which occurs when pink tissue grows on the conjunctiva. When the growth causes severe discomfort or interferes with your ability to see normally, an outpatient procedure may be recommended. When performed at the Benjamin Eye Institute, the surgery will be performed without sutures and using amnio grafts to ensure an optimal cosmetic outcome and a reduced risk of a recurrence.
If it is determined that blocked glands are causing your dry eye syndrome, the LipiFlow Thermal Pulsation System may offer an ideal solution. The treatment works by directing warmth to your blocked glands, opening them up so your body can resume producing tear film oil. This in-office procedure takes approximately 12 minutes and is highly effective. In a clinical study, 79 percent of patients experienced an overall improvement in their dry eye symptoms after a single treatment with LipiFlow. Depending on the severity of your dry eye symptoms, you may require additional treatments moving forward to maintain these results.
If you've used drops or ointments in the past and haven't gotten relief from your dry eye condition, Dr. Benjamin may want to occlude (block) your puncta. Puncta are the drainage ducts that your old tears, or extra tears, can escape through while your glands are making new ones. In each of your eyes, there is one punctum in the top eyelid and another on the bottom eyelid, at the corner of the eye that is towards your nose. About 80% of the tears drain from the lower, 20% from the upper puncta. Punctal plugs do exactly what they sound like: they stop the drains, just like the plug in your kitchen sink. Punctal plugs are made of very soft flexible silicone, similar to the material used in contact lenses.
The procedure is quick and painless and can be done within 5 minutes in our office. A small plug will be placed in the puncta of each eye to stop the puncta from draining away tears and help keep the surface of your eye moist and lubricated. Usually, temporary collagen plugs are inserted first to make sure you are a good candidate for permanent silicone plugs. Collagen plugs dissolve on their own within 7-10 days of insertion. Once these plugs have dissolved and it is determined that tear film has increased, permanent silicone plugs can be inserted.
Gaining popularity among medical doctors and their patients are vitamins and omega 3 fish oil pills for the treatment of dry eye. Many patients are able to find relief from their dry eye syndrome by supplementing their diet with foods that are rich in omega 3 fatty acids, such as walnuts, cod liver oil, primrose oil and cold-water fish. Additionally, Dr. Benjamin and his team stress the importance of getting enough vitamin A through your diet, as it helps to maintain proper eye moisture. This crucial vitamin can be found in dark green and yellow vegetables, and eggs.
After completing your comprehensive dry eye exam, if MGD (Meibomian Gland Dysfunction) is determined to be the cause of your dry eye disease, IPL treatments may be recommended. OptiLight with Lumenis patented Optimal Pulse Technology uses precise, intense broad-spectrum light to reduce inflammation – one of the key underlining factors in dry eye disease due to MGD.
The body reacts to certain allergens that it feels are harmful. For example, while dust may not affect you, it may trigger an allergic response in someone else. This response may be in the form of itchy, red or watery eyes. Sometimes stronger reactions to allergies – such as swollen, red eyelids – can occur.
Most eyes react to common airborne allergens, such as dust, smog, pet dander or pollen to name a few. Sometimes makeup or antibiotic eye drops may cause an allergic reaction. It is important to note that dry eyes can exacerbate allergies. The eye normally increases its production of tears in order to wash away irritants. Ironically enough, excessive tearing is a major symptom of dry eye. If there are not enough tears to wash away the allergens, the eye will experience even more irritation. Lubricating drops are often recommended to add extra moisture. However, if moisture drops are not sufficient, Dr. Benjamin may suggest punctal occlusion increase the amount of tears that remain in the eye.
To alleviate dry eye symptoms associated with allergies, it's best to avoid triggers. Failing that, eye drops such as Optivar or Patanol can help alleviate itching and redness. Prescription dry eye therapy, such as Restasis, can also improve the condition. Antihistamines, such as Claritin or Benadryl are effective over-the-counter options. However, overuse of decongestants can create dependence so they should be used sparingly.
Dr. Arthur Benjamin and Dr. Pamela Golchet are considered to be leading authorities on dry eyes. They have several years of experience and training in treating dry eyes patients and helping them overcome this discomforting condition. Additionally, they are skilled in a wide range of ophthalmologic procedures, including glaucoma treatments, laser cataract surgery, traditional cataract surgery and LASIK.
You may put your vision in the best hands by asking the proper questions of a potential LASIK physician using this No-Regrets Guide. We've included our own responses to these inquiries to prevent you from having to conduct an interview. But if you need more explanation or have other worries, let us know! We are at your service.
If you first experience a disaster like dry eye, the fundamental rule and recommendation would be to speak with a skilled ophthalmologist before putting anything in your eyes. Since choosing a treatment requires more pathophysiological understanding than simply purchasing the first eye drops you see.
Pterygium removal is a surgical procedure that removes abnormal tissue growing onto the cornea, often followed by a conjunctival autograft or amniotic membrane graft to support healing and reduce recurrence. This recovery guide explains what to expect after surgery, how to use prescribed ointments and drops, why UV protection is essential, how dry eye management supports healing, and when to contact our office during recovery.
Prokera® Slim is an FDA-cleared biological medical device that uses amniotic membrane to support healing of the ocular surface. This treatment may help reduce inflammation, suppress scarring, and restore damaged eye tissue in conditions such as keratitis, chemical burns, corneal scars, epithelial defects, and severe dry eye. Prokera is placed in the office, worn continuously for several days, and removed by Dr. Benjamin at a follow-up visit.
Valeda Light Delivery System is an advanced treatment for dry age-related macular degeneration, designed to support retinal cells and help preserve visual function. The procedure uses photobiomodulation — low-level light therapy with specific wavelengths — and is performed quickly, without pain, eye drops, injections, or recovery time.
If your vision becomes blurry, hazy, or foggy months or years after cataract surgery, it may be caused by posterior capsule opacification — often called a “secondary cataract.” This is a common and treatable condition, not a return of the original cataract. At Benjamin Eye Institute, Dr. Arthur Benjamin performs YAG laser capsulotomy in the office to quickly and painlessly clear the cloudy capsule behind the lens implant, with no incisions or stitches and clearer vision often restored the same day.
Blepharoplasty is a surgical procedure that rejuvenates the upper and/or lower eyelids by removing excess skin, fat, and muscle. This recovery guide explains what to expect after eyelid surgery, including swelling, bruising, cold compresses, suture removal, activity restrictions, and important instructions to support safe healing and the best possible aesthetic result.
Selective Laser Trabeculoplasty (SLT) is an in-office laser treatment designed to lower intraocular pressure in patients with glaucoma or ocular hypertension. This guide explains how SLT works, what to expect during the procedure, how Dr. Benjamin’s 180° treatment strategy is used, and why SLT may reduce or delay the need for daily glaucoma eye drops.
