Using advanced technology and diagnostic tools such as Keratography, TearLab®, and InflammaDry®, Dr. Miller can develop a custom treatment plan for patients who experience dry eyes. Dr. Miller believes in adopting the latest and safest technology in order to provide his patients with the most effective, comfortable treatment available. To learn more about our dry eye technology, or to schedule an appointment with Dr. Miller, call our West Orange, NJ office today.
Our technology helps us make an accurate diagnosis and recommend an effective treatment strategy.
Diagnosing Dry Eye
Dr. Miller has several cutting-edge tests to help diagnose dry eye syndrome:
Keratography is a non-invasive technology that analyzes the cornea, the tear film, and the meibomian glands of the eyelids. It is extremely effective for detecting blockages in the glands, responsible for evaporative dry eye, poor quality tear film and/or decreased tearing. Keratography is also utilized to document tear break-up time, imaging of the meibomian glands, which allows the doctor and patient to visualize the health of the glands, and is helpful in assessing hard to fit rigid contact lenses.
The TearLab System®
The TearLab® system helps detect dry eye syndrome by measuring the osmolarity of patients’ tears. Osmolarity refers to the amount of salt in tears. High osmolarity is an indicator of dry eye syndrome. The test provides specific results for that day and can be used to monitor patients over time. Subsequent testing can reveal how the cornea is responding to the specific treatment modality.
To perform the test, the technician uses a small handheld device to collect a microscopic tear sample from the outer corner of each eye. It is completely painless and requires no anesthetic. The tear sample is then tested and within seconds the osmolarity value is displayed.
InflammaDry® is another low-cost, painless, and easily administered test performed in our office. It detects the inflammatory marker called MMP-9. If the test is positive, the patient may be prescribed Restasis or Xiidra. This simple four-step test takes about 15 minutes to complete. The technician uses a small cartridge with a cotton swab to collect a microscopic tear sample from inside the lower eyelid. Definitive test results are read within minutes as positive or negative, after which a treatment plan is discussed.
Dr. Miller believes in adopting the latest and safest technology in order to provide his patients with the most effective, comfortable treatment available.
Treatment of Dry Eye
Dr. Miller treats blepharitis/dry eye with the relatively new technology called MiBo Thermoflo® and Intense Pulsed Light (IPL).
MiBoFlo treatment is a spa-like, heated, lid massage applied to closed eyes. The heat helps liquefy the contents of the meibomian glands, allowing the secretions to flow more freely, improving the quality of the patient's tears. The first treatment takes approximately 12 minutes per eye and a follow-up appointment is recommended in between the 2nd and 3rd treatments. Treatments should result in thinner, clearer oils produced by the meibomian glands.
Intense Pulsed Light (IPL) Photorejuvenation Solution is another exciting technology for treatment of blepharitis/dry eye, Rosacea, pigmentation, age/sun spots, fine lines, wrinkles and overall skin appearance. IPL is quickly becoming the number one treatment for blepharitis/dry eye. These light pulses are set at a precise, specific energy and frequency level, which stimulates the meibomian glands and help them recover their function.
Contact Us for an Appointment
Dr. Miller has the experience and sophisticated diagnostic testing and treatment technologies necessary to analyze your symptoms, identify the cause and provide effective treatment with lasting relief. If you would like to schedule an appointment with Dr. Miller, or have questions about the technology we use, contact our office today.