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Friday, 8 March 2019

NEW IPL (intense pulsed light) TREATMENT FOR DRY EYE AVAILABLE AT MATHESON OPTOMETRISTS


Matheson Optometrists now provide a new treatment for Dry Eye called IPL(intense pulsed light). In the photo below you can see a patient having the procedure performed.

Using the advanced Lumenis M22 device scientifically controlled pulses of intense red light of only a few milli-seconds duration are applied to the eyelids and upper face.



IPL has been used since 1995 to treat abnormal blood vessels and inflammation in diseases such as Acne Rosacea. It is thought to exert its effects by several different mechanisms:-
·     The abnormal blood vessels in the inflammed lid margin are closed as the IPL light coagelates the oxy-haemoglobin flowing through them. This stops the vessels releasing inflammatory mediators into the meibomian glands in the lid margin.
·     Improved nerve function around the meibomian glands
·     The IPL flash heats up and melts the meibum secretions blocking the glands
·     Kill demodex mites living in the meibomian glands

In addition it is thought that there is a “photo-BioModulation”mechanism due to the red visible and the infra-red IPL light which improves the function at a cellular level which
·     Improves mitochondrial function
·     Improves calcium channel flow
·     Modifies the secretion of inflammation products
·     Suppresses MMP proteolytic enzymes thereby improving the extracellular matrix
All these effects help normalise the tear film


Illustration of application zones 14 pulse sequences per treatment. Usually four sessions are required with between 2 and 3 week breaks between sessions.


This a new and exciting addition to the armoury of products and techniques we now have to treat dry eye, such as  New eye drops like Meibo-Tears that contain phospholipid liposome molecules that help the lipid surface layer of the tear film to the watery component beneath.
·     Combined Fish Oil/Flax Oil supplements such as Theratears Nutrition to improve meibomian secretion quality and quantity and reduce inflammation
·     Punctal Plugs to slow down tear drainage and thereby increase tear volume
·     Amniotic membranes that stimulate corneal healing
For the best possible recommendations we recommend having a full Dry Eye Assessment at one of our practices.

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