Dry Eye Treatment

Dry Eye/Blepharitis Syndrome (DEBS) is a chronic, inflammatory disease of the eyelids caused by an overgrowth of normal bacteria living along the lid and the base of the eyelashes. Anyone can get DEBS at any age, but the prevalence increases with age and with contact lens wear.

Staphyloccocus aureus and staphyloccocus epidermidis bacteria produce a biofilm that builds up over the years and allows the bacteria to greatly increase their densities. Once the population reaches a certain number, genes activate allowing the bacteria to produce toxins (quorum-sensing gene activation.) These toxins penetrate the eyelid tissue causing low-grade chronic inflammation which adversely affects the quality and quantity of tears being produced.

Since the eyelids are difficult to clean, this overgrowth of bacteria, biofilm, and toxins can worsen over the years, eventually causing significant damage to the eyelid and tear glands.

Now, thanks to BlephEx®, your eye doctor can precisely and safely, clean and exfoliate your eyelids and lashes, which should almost immediately improve your symptoms. More importantly, by completely removing the toxins and biofilm along the lid margin, your doctor helps you avoid long-term inflammatory damage to your tear glands, helping to treat or prevent chronic dry eye syndrome. The treatment only takes a few minutes and is well tolerated. Regular treatments can effectively result in a cure of dry eye disease in many patients.

At Burman & Zuckerbrod Ophthalmology Associates, P.C., we offer advanced in-office treatment with Envision by InMode which is designed to treat the root cause of dry eye and blepharitis by improving meibomian gland function.

Envision uses advanced Forma-I radiofrequency (RF) and Lumecca Intense Pulsed Light Treatment (IPL) technology to gently heat and stimulate the eyelids. This controlled heat:

Addresses blocked oil within the meibomian glands
Improves oil flow into the tear film
Reduces inflammation
Enhances overall tear stability

The treatment is comfortable, non-invasive, and performed in the office. Most patients describe a gentle warming sensation during the procedure.

Benefits of Envision Treatment

Targets the underlying cause of dry eye
Improves meibomian gland function
Reduces eyelid inflammation
Enhances comfort and visual clarity
Is an in-office procedure with no downtime

Many patients notice improvement in symptoms within weeks, with continued improvement over time.

Forma-I by InMode for Dry Eye Treatment

At Burman & Zuckerbrod Ophthalmology Associates, P.C. we are proud to offer Forma I radiofrequency (RF) treatment designed to address meibomian gland disfunction, the underlying cause of many cases of dry eye disease.

Using RF, Forma-I gently heats the eyelids and surrounding tissue. Warming this area with focused treatment helps to release blocked oils within your meibomian glands. Releasing these oils helps to stabilize your tear film which can result in longer lasting comfort and results. This treatment also enhances circulation, reducing inflammation and resulting in healthier tear production.

Performed in our office, Forma-I is a comfortable, non-invasive procedure often described as a warm massage around the eyes. The procedure has no downtime and offers a safe and effective option for relieving symptoms of dry eye.

By targeting the root cause rather than just symptoms, Forma-I helps restore the eye’s natural lubrication system and can provide lasting relief.

Lumecca IPL for Dry Eye & Eyelid Rejuvenation

Burman & Zuckerbrod Ophthalmology Associates, P.C. offers Lumecca Intense Pulsed Light (IPL) therapy, an advanced treatment that can improve the symptoms of dry eyes and also enhance the appearance of the eyelids. IPL targets inflammation and abnormal blood vessels associated with meibomian gland dysfunction, helping to restore the tear film, providing longterm comfort.

In addition to its therapeutic benefits, Lumecca stimulates collagen neogenesis. Collagen neogenesis is the production of new collagen within the skin. This process helps improve skin texture, reduce fine lines, and promotes firmer, more youthful looking eyelids.
IPL is a treatment that supports both ocular surface health and cosmetic rejuvenation, offering patients clearer, more comfortable vision along with refreshed, revitalized skin.

Wondering if you might be a candidate for Envision?

Envision treatment may be ideal for you if you:

Have chronic dry eye symptoms
Experience burning, irritation, or fluctuating vision
Have been diagnosed with blepharitis or meibomian gland disfunction
Have not achieved sufficient relief with drops or other procedures

During an office visit we can perform a comprehensive dry eye assessment to determine whether this treatment is right for you.

Personalized Dry Eye Care

Dry eye is a chronic condition that requires a customized approach. We combine advanced diagnostics with state-of-the-art treatments like Envision to develop a plan tailored to your specific needs.

If dry eye or blepharitis is affecting your comfort or quality of life, schedule a consultation to learn how Envision treatment can help.

Eye Ergonomics Tips

Sit about 25 inches, or arm’s length, from the computer screen. Position the screen so your eye gaze is slightly downward.
Many devices now have glass screens with considerable glare. Reduce glare by using a matte screen filter if needed.
Take regular breaks using the “20-20-20” rule: every 20 minutes, shift your eyes to look at an object at least 20 feet away, for at least 20 seconds.
Use artificial tears to refresh your eyes when they feel dry. Consider using a humidifier.
If a screen is much brighter than the surrounding light, your eyes have to work harder to see. Adjust your room lighting and try increasing the contrast on your screen to reduce eye strain.

Hospital & Surgery Center Affiliations

Should you require surgery, our board certified ophthalmologists are affiliated with the following hospitals:

Cataract Specialty Surgery Center – Berkley
Detroit Medical Center - Berry Surgery Center
LASER Institute of Michigan

Information For New Patients

Please note that a complete eye examination may take up to two hours. A trained ophthalmic tech will do a preliminary screening and take a complete health history. The examination will be done entirely by one of our board certified ophthalmologists who may recommend additional testing based on his/her findings. When you come to your appointment please remember to bring eye glasses or contact lenses if you wear them, a complete list of your current medications, the name of your physician who may have referred you to us so that we may send a prompt written report to maintain continuity of care, a driver’s license for identification purposes, all current insurance information and a referral form if applicable.

Insurance and Payments

In order to keep our costs down, payment is expected at the time that services are rendered. You will be responsible for co-pays, deductibles, and fees not covered by your insurance. We accept cash, check, VISA, Discover, American Express, and CareCredit. Our billing associates will be glad to assist you. Please note that it is your responsibility to know the terms of your insurance benefits. We are participating providers for most of the current health insurance plans.

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