Our Location & Hours

Our Location & Hours

Optometrist, San Ramon, Optometric Center & Eyewear Galleria

2551 San Ramon Valley Blvd.
Suite #101
San Ramon, CA 94583 View Map

 
Monday--Thursday: 9:00am - 6:00pm
Friday: 10:00am - 5:00pm

* Exams 9am-5:15pm Mon-Thurs; 10am-4pm Fri

Dry Eye Center of Excellence


Dr. Johnson and Dr. Duong have established a new center to address dry eyes at the Optometric Center & Eyewear Galleria.  86% of all dry eye is evaporative in nature due to Meibomian Gland Dysfunction (MGD).  The meibomian glands are located at the base of the eyelashes and are responsible for secreting the oily layer of the tear film.  When these glands are not functioning properly, the oily tear layer rapidly evaporates causing blurred vision, irritation and burning.  It is important that dry eye is treated early to prevent loss of gland function.

tear lab

 

Dry Eye Testing

Oculus1 Tear lab


Meibography – Specialized scan used to evaluate the structure of the glands at the base of the eyelashes (meibomian glands).  Meibomian gland dysfunction is the most common cause of dry eye.  

TearLab Osmolarity – Hand-held device containing a specialized micro-chip to measure the salt concentration in a sample of tears.  This is an objective measurement to determine the level of severity of dry eye.  The higher the salt concentration, the more severe the dry eye.  

NIKBUT – Non-invasive way to measure the amount of time it takes for the tears to evaporate from the surface of the eye. 

Tear Meniscus – Evaluates the tear film quantity to monitor the effectiveness of dry eye treatment. 

Fluoroscein – Using a specialized blue light, allows for visualization of any defects on the front surface of the eye not seen in normal illumination. 

Anterior Photo – High-definition camera used to document injuiries, lesions, or freckles on the front surface of the eye.  


Treatment and Products

 Depending upon the severity of dry eye disease, one or all of the following treatments will be prescribed:

Artificial Tears – Non-preservative artificial tears are recommended for dry eye disease.  The lack of preservatives will prevent the eyes from further irritation.  

Heat Pad – This is prescribed for patients that have meibomian gland dysfunction (MGD).  MGD occurs when the orfices at the base of the eyelashes are clogged causing the oily layer of the tear film (meibum) to evaporate at higher than normal rate.  Heat is applied to the upper and lower lids to increase the viscosity of meibum being secreted to stabilize the tear film.
 
Expression and Debridement – The process of using specialized instruments to open clogged meibomian glands. Once the glands are open, a special brushed called BlephExTM is  used to clear the debris from the orfices of the meibomian glands. This will increase your meibomian gland function and prevent your eye from drying up.

Punctal Plugs – The tears that you naturally produce can be retained on the eye by blocking the passage of where your tears drain.  There are small openings called puncta that can be “plugged” using small inserts to help reduce the need for artificial tears.
 
Scleral Lenses – These specialized lenses are designed to fit on the white part the eye called the sclera.  In between the lens and the eye lies a liquid reservoir which bathes the front surface of the eye providing relief from dryness and irritation.  Scleral lenses are fit when traditional eye drops and medication do not relieve the signs and symptoms of dry eye.  
 
Omega-3 – Studies show that supplements containing Omega -3 fatty acids decrease the symptoms of dry eye disease. Not all Omega-3 supplements are created equal. Therefore, our doctors recommend Pure Encapsulations; a FDA-Inspected, hypoallergenic supplement that contains no fillers.  
 
Good sources of Omega – 3s include sardines, salmon, cod, and herring.

HypoChlorTM – Antibiotic spray that is applied to the base of the eyelashes to remove debris that can be blocking the pores at the base of the eyelashes. 

Doxycycline – Oral antibiotic medication used to reduce inflammation on the front surface of the eye. Used in conjunction with other dry eye treatments. 

LotemaxTM – Anti-inflammatory eye drop used to reduce inflammation on the front surface of the eye on a short-term basis and as needed. 

RestasisTM – Anti-inflammtory eye drop used to reduce inflamation of the lacrimal gland and help produce more tears.  This medication is used for the long-term and takes about 4-6 weeks to achieve effectiveness. 

ClaridexTM – Eyelid wipe that contains tea-tree oil to eradicate demodex (mites) that live on the base of the eyelashes. The mites can cause dry eye and ocular irritation. 


Our Location & Hours

Optometrist, San Ramon, Optometric Center & Eyewear Galleria

2551 San Ramon Valley Blvd.
Suite #101
San Ramon, CA 94583 View Map

 
Monday--Thursday: 9:00am - 6:00pm
Friday: 10:00am - 5:00pm

* Exams 9am-5:15pm Mon-Thurs; 10am-4pm Fri