• Blepharitis - Inflammation of eyelid margins causing redness, flaking, and irritation. Often linked to bacteria or rosacea.
• Demodex - Microscopic mites in lash follicles, seen as "dandruff" at lash bases. Cause itching, inflammation, and resistant blepharitis.
• Meibomian Gland Dysfunction (MGD) - Blocked or poorly functioning oil glands leading to rapid tear evaporation and unstable tear film. Very common in screen users, contact lens wearers, and aging adults.
• Allergies - Can mimic or worsen dry eye with itching, watering, and lid puffiness. It's important to distinguish and properly treat this confounding disease entity.
• Lagophthalmos - Incomplete eyelid closure during blinking or sleep, leaving eyes exposed.
• Cosmetic Habits - Waterline eyeliner, lash glue/extensions, and not fully removing makeup can all block glands and cause inflammation

• Tear film becomes unstable (from lack of oil or water)
• The eye's surface dries out
• The body responds with inflammation
• Inflammation damages tissue and glands
• Symptoms worsen→ cycle repeats
• That's why we focus on breaking the cycle, not just masking symptoms.

These are patients we see every day:

• Women, especially post-menopausal
• People with heavy screen time
• Contact lens wearers
• Those with Botox, lash extensions, or eyelid surgery
• Patients using medications like antihistamines or antidepressants
• Individuals with autoimmune or hormonal conditions​​​​​​​

Many dry eye patients won’t describe their symptoms using the word “dry.” Instead, they say:

• "My eyes feel gritty or burn."
• "My vision gets blurry at the end of the day."
• "I'm constantly using drops, but they don't help."
• "My eyes water all the time."
• "They feel tired, like I need to close them."​​​​​​​

We don't just treat symptoms we address the root causes with a layered approach:

• At-home care Warm compresses, lid hygiene, omega-3s, and skincare designed for eye health.
• Spa treatments - Professional eyelid cleansing, tear gland heating, and gentle oil gland expression.
• Advanced therapies - OptiLight (IPL) for inflammation and redness, OptiLift (DMST + RF) for muscle tone and lid function.