Welcome to the Heartland Dry Eye Center

Why choose Heartland Eye Consultants for your dry eye care?

Time
We take the time to listen to you. We understand that dry and irritated eyes are frustrating, unrelenting, and often times overlooked. Therefore, we spend as much time as it takes to understand your symptoms, carefully evaluate your entire ocular surface, and then explore all treatment options to devise a therapy targeted to your individual needs.

Talent
Our doctors have been trained at the highest levels of the optometric profession and have over 35 years of experience treating dry eye disease. They are perennial lecturers at various professional conferences nationwide and serve as adjunct clinical professors at several optometry schools.

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Technology
Heartland Eye Consultants is on the cutting edge in the use of technology in the diagnosis and management of dry eye disease. We employ the use of the OCULUS Keratograph® 5M, TearLab® Osmolarity System, InflammaDry®, various dyes for ocular surface evaluating, and research verified questionnaires to quantify your dry eye symptoms.

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What is Dry Eye Disease?

According to the International Dry Eye Workshop (DEWS II Study):

“Dry eye is a multifactorial disease of the ocular surface characterized by a loss of homeostasis of the tear film, and accompanied by ocular symptoms, in which tear film instability and hyperosmolarity, ocular surface inflammation and damage, and neurosensory abnormalities play etiological roles.”

In essence, chronic dry eye occurs when your eyes do not produce the right quantity or quality of tears. The symptoms of dry eye include the following:

  • General discomfort
  • Burning
  • Grittiness/scratchiness
  • Itching
  • Eye fatigue or heaviness
  • Redness
  • Watering
  • Blurry and/or fluctuating vision
  • Sensitivity to light
  • Excessive use of over-the-counter eye drops

How severe is your dry eye?

Download and complete our dry eye questionnaire. If your total score from the “Frequency” and “Severity” questions is more than 6/28, you likely have dry eye.

SPEED questionnaire

What should you expect at your initial dry eye evaluation?

  • TearLab® is an instrument that measures the osmolarity or the concentration of specific particles within the tears of your eyes. A high osmolarity is highly indicative a dry eye.
  • InflammaDry® is a measurement of the number of enzymes in the eye that exist when moderate to severe inflammation is present. Dry eye sufferers tend to have chronic inflammation in their eyes that causes redness and irritation.
  • Vital dyes are specific colored dyes that are placed in the eye in order to assess small areas of surface damage. These dyes can highlight areas and patterns of surface cellular damage that help us diagnose your underlying cause of your dry eye.
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  • Meibography is the infrared imaging of the oil producing glands within the eyelid. If these glands are damaged or dying, your eye will have a difficult time producing enough quality oil to cover the eye and contribute to a healthy tear composition.
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  • Meibomian gland expression is the manual and gentle squeezing of the oil glands in the eyelid in order to assess the quality of the oil inside. Poor quality oil leads to damage to the gland itself as well as to dry eye.
  • Photography of all of the features of the front of your eye will be used to educate you on the findings of the exam as well as serve as a tool to track progress in your treatment.
TearScience LipiFlow Logo
LipiFlow treatment

For patients with MGD, TearScience® LipiFlow® significantly improves gland secretions and ocular surface symptoms including dry eye and less frequent or blurry vision.

  • The treatment is non-invasive procedure performed in the comfort of your doctor’s office, only takes 12 minutes and can have long-lasting results
  • After initial anesthetic drops, no drugs required for TearScience® LipiFlow® treatment
  • Long-lasting results—many can see the continued benefit up to 12 months
  • 400,000 treatments worldwide—and growing

Just 1 treatment increases mean gland secretion 3-fold and reduces more than 50% dry eye symptoms.

Treatment also increased patient comfortable contact lens wear time by approximately 4 hours on average per day.TearScience® LipiFlow® treatment prior to cataract surgery improves mean dry eye symptoms and vision-related function scores post-surgery. We also have MiBo ThermoFlo for patients that treats the surface of the lids. Our Doctors that specialize in Dry Eye Syndrome will determine what treatment is best for your eyes. Choose TearScience® LipiFlow® and Heartland Eye Consultants dry eye specialists to manage and treat your Dry Eye Syndrome.  Call us today for your consultation! Because Eye Health Starts at the Surface.

What Is the OptiLight by Lumenis & How Can It Manage Your Dry Eye?

Dry eye disease is a widespread and common issue for up to 49 million Americans. This chronic condition can have a significant impact on your quality of life, causing a foreign body sensation in your eyes, pain, blurry vision, and dry or watery eyes. Untreated, it can even lead to further eye health complications.

Despite these constant detrimental effects on quality of life, many dry eye sufferers are not aware that they’re suffering from dry eye disease or that real treatments exist. Instead, they just live with the discomfort.

At Heartland Eye Consultants, we are committed to helping our patients achieve the relief they need from dry eyes by utilizing the most effective modern dry eye technology and diagnostic methods. We use an Oculus Keratograph to perform non-invasive tear break-up, perform tear film measurements, and conduct Meibographies.

Our practice utilizes a TearLab and InflammaDry — the TearLab measures the osmolarity of tears and the Inflammadry measures MMP-9 (an inflammatory enzyme for dry eye). We also use special dyes to assess the surface of the eye and perform careful slit-lamp examinations to determine the etiology of dry eye disease for our patients.

We’re proud to offer OptiLight by Lumenis to our patients, specially designed for dry eye management.

What Is OptiLight by Lumenis?

OptiLight by Lumenis is a light-based, non-invasive treatment done in the area below the eyes to manage dry eye. The first and only IPL FDA-approved for dry eye management.

The treatment is safe, gentle, and is backed by more than 20 clinical studies.

How Does It Work?

OptiLight uses precise pulses of light to reduce the inflammation that is typically associated with dry eye disease, improve tear break-up time, and increase meibomian gland functionality.

This application can significantly relieve dry eye indicators and has a multi-factorial effect, including:

  • Increasing tear break-up time
  • Reducing the amount of demodex mites and bacteria living around your eyes
  • Eliminating blood vessels that contribute to inflammation
  • Improving meibomian gland functionality

What to Expect Before Your Treatment

Prior to your first appointment, ensure that you are avoiding direct sun exposure and tanning beds — also make sure to wear sunscreen when you are outside. Avoid wearing makeup or skin products near the treatment area on the day of your appointment.

You should expect to be at our office for about 2 hours; this encompasses the complete dry eye assessment and all testing. We will spend the time to get a thorough patient history and determine the cause of your dry eyes.

During Your Treatment

This treatment is fast and simple. During the treatment your doctor will apply a coupling gel on the treatment area and cover your eyes with shields.

As light is applied to the skin, you may experience a warm sensation. The treatment is gentle with minimum discomfort. The treatment itself will only take 10–15 minutes.

OptiLight is often followed by meibomian gland expression.

After Your Treatment

Our staff has a great amount of experience in treating dry eyes and can get you back to your daily routine as quickly as possible — after the conclusion of your treatment session, you will be able to return to daily life with no discomfort. You may notice some redness near the treatment area, but this is completely normal and will subside. OptiLight treatment is non-intrusive and will not require a long period of rest immediately following your appointment.

Part of Your Custom Treatment Plan

A course of treatment typically includes 4 sessions spaced 2–4 weeks apart. If you have completed all 4 treatment sessions, you will be recommended to attend regular maintenance treatments every 6–12 months. You and your eye doctor can discuss the frequency of treatments at your initial consultation — it is possible that you may require more treatments than other patients due to certain factors.

Will the OptiLight by Lumenis Work for Me?

While OptiLight by Lumenis is an effective dry eye management solution, we want to make sure it’s right for you. We do not recommend this treatment if you:

  • Suffer from aqueous deficiency dry eye (rather than evaporative dry eye or meibomian gland dysfunction)
  • Have a history of keloid scarring
  • Have severe scarring around your eyes

Ultimately, your doctor is the only person who can determine whether this option is right for you. During your next appointment, ask us if you are a good candidate for OptiLight by Lumenis.

You Don’t Have to Live With Dry Eye Anymore

Dry, irritated eyes can be managed with a new treatment that brings comfort and can restore quality of life. Visit your eye doctor to get an accurate diagnosis and a treatment plan tailored to your needs.

Having Vision Problems?

Contact the experts at Heartland Eye Consultants.