For more advanced cases, there is an exciting new technology known as Low Light Level Therapy (LLLT). This treatment is done in office, does not produce heat, and is safe for all levels of skin, with no risk for skin cancer. LLLT is used specifically in the case of Meibomian Gland Dysfunction (MGD). As mentioned earlier, the meibomian glands produce the outermost oily layer of the tears. This is the part that meets the air and is most susceptible to evaporation. MGD occurs when the product of the gland loses its viscosity and goes from the consistency of olive oil (normal) to the consistency of string cheese. Obviously, string cheese would not spread or protect well on the outer surface of the tear layer. Eventually, as gland production deteriorates, the glands can become impacted and completely obstructed.
Prior to the LLLT, there was no effective treatment for the later stages of MGD. LLLT uses light emitting diodes (LEDs) emitted in the infrared spectrum, to target the mitochondria (energy powerhouse) inside the individual cells. This cell specific interaction excites the movement of molecules inside the meibomian glands, with the result of softening the impacted meibum. This response is akin to placing a stick of butter directly from the refrigerator into the microwave oven for about 10 seconds. In this example, the butter is now much easier to spread on your morning toast. Medically, this means that the newly softened product of the glands is now much easier to digitally express, and therefore, much easier to reclaim the normal function of the previously impacted glands. In my experience so far, with this new cutting-edge technology, this has been a ray of light and a Godsend for chronic MGD sufferers. There is now light at the end of the tunnel if you suffer from these persistent quality of life changing symptoms.

For consultation contact our office to make an appointment with Dr. Battani to evaluate your dry eye symptoms and devise a treatment plan to address your individual needs.