Dry Eyes

Your eyes feel scratchy, gritty and dry. You’ve experienced blurred vision or sensitivity to sunlight. Computer work, reading, or driving exacerbates the symptoms. If eye drops or warm compresses never seem to provide enough help, you may have a chronic condition know as Evaporative Dry Eye.

Evaporative dry eye occurs when the water in the tears evaporates faster than normal, due to an insufficient lipid (oil) layer on the tear film. This deficiency of oil may result from a blockage in the oil-producing glands in the eyelids, known as Meibomian Gland Dysfunction (MGD).

Dry Eye Relief – LipiFlow May Be The Answer

In a clinical study, 79% of patients reported improved overall dry eye symptoms (ranging from 10% to 100% improvement) within four weeks of a single LipiFlow treatment. LipiFlow Thermal Pulsation technology applies heat to the inner eyelids and gentle pressure, releasing lipids from the Meibomian glands. The procedure is fast, virtually painless, and takes place right in a doctor’s office.

The doctors at Shady Grove Eye and Vision Care were the first doctors in the Washington DC Metropolitan area ever to treat patients using the LipiFlow technology. We are regional leaders in treating dry eyes using LipiFlow and other technologies. Determining the cause of your dry eye is a crucial step in recommending the appropriate treatment option. Your Doctor will evaluate your symptoms, tear film and gland function to determine the underlying cause of your Dry Eye symptoms. It’s important to treat this chronic disease early, to avoid permanent loss of gland function, additional cell damage, or visual deterioration. Candidates for LipiFlow can complete treatment immediately.

What is LipiFlow?

For many people, LipiFlow means relief. LipiFlow treats the leading cause of Evaporative Dry Eye, not just the symptoms.

The LipiFlow Thermal Pulsation System is a revolutionary way to treat Evaporative Dry Eye caused by Meibomian Gland Dysfunction (MGD). Opening and clearing blocked glands allows the body to resume the natural production of lipids (oils) needed for the tear film. The result may eliminate the uncomfortable symptoms associated with Evaporative Dry Eye.

In other words, you stop thinking about your eyes. Because over time they no longer bother you, you can get on with your life.

How Does LipiFlow Work

LipiFlow Thermal Pulsation technology applies controlled heat to the inner eyelid, and mild intermittent pressure releasing lipids from the blocked Meibomian glands. It does this without damage to the glands or the delicate structures of the eye. LipiFlow treats the upper and lower eyelids simultaneously.

The procedure, performed in a doctor’s office, is virtually painless and some patients consider it somewhat like a spa experience. In some cases, treatment can be performed the same day as your evaluation.

Patient undergoing LipiFlow procedure

In a clinical study, 79% of patients reported improvement of their overall dry eye symptoms within four weeks, ranging from 10% to 100% improvement.

Is LipiFlow Right for You?

LipiFlow technology can be found across the US and Canada, so those suffering from Evaporative Dry Eye are never very far from relief.

A licensed optometrist will perform a series of evaluations to determine the likely cause of your dry eye.

If your symptoms are more than mild, the first test will use the exclusive LipiView Ocular Surface Interferometer. If you’ve ever had a comprehensive eye exam, LipiView will be similar.

LipiView captures images of the tear film, processing 14 million pixels per second – more than a billion data points in total. This non-invasive process takes less than 5 minutes, and provides your doctor with information to further assess your tear film.


Will LipiFlow Help With Symptoms of Dry Eyes After LASIK surgery?

LipiFlow might be the answer if you are suffering symptoms of dryness after having laser vision correction surgery. While eyedrops provide temporary relief, if you have undiagnosed eyelid disease, you may benefit from LipiFlow treatment and, in many cases, not need to put eyedrops in as frequently or eliminate the need for eye drops altogether.

Frequently Asked Questions About LipiFlow Dry Eye Therapy

Q: How do I find out if what I have is Evaporative Dry Eye?
A: Your doctor can conduct a series of evaluations and determine whether or not Meibomian Gland Dysfunction and Evaporative Dry Eye are contributing to your chronic dry eye.

Q: If I have Evaporative Dry Eye, what can I do about it?
A: In the past, the doctor may have sent you home and asked you to apply warm washcloths to your eye every day. You can still do so and continue omega supplements and drops. But, today you also have the option of using the LipiFlow Thermal Pulsation System, your doctor can address a leading cause of Evaporative Dry Eye during a single, in-office treatment.

Q: Does It Hurt?
A: In a clinical study, the average discomfort/pain score during treatment on a scale of 1-10 was 1.4 ± 1.4, which equates to awareness of heat and pressure without pain. For further information talk to your doctor.

How do I prepare for my LipiFlow exam?

1. 12 hours Before LipiFlow/LipiView exams (excludes 1 month follow ups)

  • Discontinue all eye drops and warm compresses; No ointments for 24 hours
  • Discontinue contact lens wear
  • Discontinue oral antihistamines up to 1 week following LipiFlow

2. LipiFlow and LipiView day (morning of)

  • Discontinue any eye makeup or facial moisturizers around eyes
  • Bring your eye drops to the appointment & expect to go to the pharmacy after the exam for prescription eye drops
  • Show up 30 minutes early unless told otherwise

3. After LipiFlow

  • Begin your post-operative drops upon returning home, or no later than 2 hours after procedure
  • Begin your eye drops as prescribed by your doctor
  • Restart preservative-free artificial tears and/or ointments
  • Follow dry eye checklist; see you in 4-6 weeks after the procedure!

In Case of Emergency

We are available to our patients day and night. If you have a problem or questions after hours, please call our office number (830) 896-2600 to get instructions for the doctor on call. If it is a true emergency, please go to the nearest emergency room.

For non-emergency question and problems, please call our office during regular hours. Our office staff will take the appropriate information and distribute it to the doctor. Please give detailed information so the doctor will be able to evaluate your needs as quickly and thoroughly as possible.

Office Hours

Our regular office hours are Monday - Friday 8:30 am. to 5:30 p.m. Appointments during the noon hour are available with some of our doctors. During the weekdays we offer full service, including procedures and minor surgeries.


All visits to our office are by appointment only. Our receptionist will inquire of your medical concerns in order that sufficient time be set aside on the appointment schedule. Please give them adequate information and note your insurance provider or if you do not have an insurance provider at this time.