Relieve dry, sore, and irritable eyes and enjoy more comfort

Discover how we can treat your dry eyes so that you can enjoy life without distraction

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Useful information about dry eye treatment

  • Dry eye disease is one of the most common, chief-complaints presenting in clinical practice, with a prevalence of up to 50% of the population.
  • Evaporative dry eye, as a result of meibomian gland dysfunction (abnormal functioning of the oil glands on the top and bottom eyelid margins), is thought to be the biggest contributing factor.
  • Female gender, increasing age, Asian ethnicity and autoimmune diseases such as Sjogren’s syndrome and endocrine disorders such as diabetes mellitus and thyroid disease.
  • Dry eye is a multifactorial disease of the ocular surface characterized by a loss of homeostasis or natural balance of the tear film, and accompanied by ocular symptoms, in which the tears film is not stable on the eye’s surface and the tears can become salty and of poor quality. Ocular surface inflammation and damage can result over time.
  • Contributing causes include aging changes, medications (both eye drop and oral medications), hormonal changes, eye allergies, eye surgery, contact lens use and neurological conditions and digital device use.

In the clinic, a comprehensive dry eye diagnostic workup includes:

  • Dry Eye Related Symptom Questionnaires, General Health and Medication History, Eye History, Previous Dry Eye Treatment History
  • Tests of tear film quality and quantity
  • Examination of the eyelids, lid margins and ocular surface usual the slit lamp biomicroscope and digital imaging devices and staining of the eye’s surface tissues using short-acting vital (non-toxic) surface dyes
  • Examination of blinking patterns and completeness

Dry eye syndrome is a chronic and typically progressive condition. Depending on its cause and severity, it may not be completely curable. But in most cases, dry eyes can be managed successfully, usually resulting in noticeably greater eye comfort, fewer dry eye symptoms, and sometimes sharper and more stable vision as well.

Restoration of tear film quality and quantity is the ultimate goal in the management of dry eye disease. Determining whether the major cause(s) of an individual’s dry eye is predominantly to aqueous tear deficiency or to evaporative causes such as meibomian gland dysfunction, or both, is critical in helping select the most appropriate management strategy.

Recognised, validated and approved treatments include:

  • Education regarding the condition, its management, treatment and prognosis
  • Modification of local environment and behaviours- increased oral hydration, blink training, removing eye makeup thoroughly, eye lid cleaning, taking frequent breaks during digital device use, use of desk side and bedside humidifiers
  • Education regarding potential dietary modifications (including oral essential fatty acid supplementation)
  • Identification and potential modification/elimination of causative systemic and topical medications
  • Ocular lubricants of various types including lipid-based lubricants, gels and ointments and non-preserved
    ocular lubricants to minimize preservative-induced toxicity
  • Tear conservation using punctal occlusion/cautery and moisture chamber spectacles/goggles
  • In-office, physical heating and expression of the meibomian glands
  • In-office intense pulsed light therapy
  • Prescription drugs to manage dry eye disease including topical antibiotic or antibiotic/steroid combination applied to the lid margins, topical corticosteroid (limited-duration use), topical secretagogues, topical immunomodulatory drugs (such as cyclosporine and lifitegrast), oral macrolide or tetracycline antibiotics, oral secretagogues, autologous/allogeneic serum eye drops, Manuka honey eye drops
  • Therapeutic contact lens options: soft bandage lenses and rigid scleral lenses
  • In advanced cases of dry eye disease surgical interventions such as amniotic membrane grafts, corrective eyelid positional surgery and tarsorrhaphy may be considered.
What is dry eye disease?

Dry eye disease is a chronic condition that occurs when you do not produce enough tears or the tears are of poor quality. It typically affects women more than men but can be a real problem for both men and women. Types of dry eye disease include the following:
Meibomian gland dysfunction causing poor tear quality and high tear evaporation rates; and aqueous tear deficiency with or without an underlying autoimmune disease.

What factors worsen symptoms of dry eye?

Low humidity environments (dry, windy weather, air-conditioning) increase tear evaporation from the surface of the eye. Activities that reduce blink rate and completeness such as screen based digital devices. Taking medications orally that reduce tear production such as anti-histamines, some blood pressure medications, anti-depressant and antianxiety medications, oral contraceptives and hormone replacement therapy and acne medications such as isotretinoin.

My eyes are watery but I have been told I have dry eye – why is this so?

Ironically, an early symptom of dry eye can be watery eyes. Under lower humidity conditions, an unstable tear film can evaporate quickly exposing the eye’s surface tissue and ocular surface feedback mechanism results increased tear production.

Additionally, chronic dry eye is associated with inflammation of the eye’s surface tissues and this can retard the drainage of the tears from the eye leading to an overflow of tears onto the lids.

Can Dry Eye Be Cured?

Dry eye is a chronic progressive condition in most cases. Treatment can improve signs and symptoms but not cure the condition. Ongoing management with home-based based and clinic-based treatments may be required in moderate to severe dry eye cases.

Can I lose vision from dry eye?

Yes. In moderate to severe cases of dry eye, fluctuations in vision are common.

Chronic damage to the surface of the eye can lead to superficial ocular surface damage which can resolve completely with treatment.

More severe chronic damage can lead to corneal scarring, increased risk of sight threatening eye infection and poorer outcomes from eye surgery procedures.

Is there anything I can do to prevent getting dry eye?

Yes. Increasing your oral hydration, increasing your Omega 3 intake in your diet, reducing your exposure to dehydrating temperature-controlled environments and removing eye make up well.

Take the first step to get more clarity from your vision and confidence in your life

Book a consultation, and one of our Brisbane eye experts will guide you towards the very best treatment for your eyes so you can get the results you’re looking for

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Expert options to treat cataracts and other eye conditions in Brisbane

If you can see yourself below, we can help you

Treat your
cataracts

Glasses are ineffective once cloudy vision starts getting in the way.1As the cataracts advance, c., 2021. As the cataracts advance, can my glasses be made stronger periodically until I decide it is time for surgery?. [online] American Academy of Ophthalmology. Available at: <https://www.aao.org/eye-health/ask-ophthalmologist-q/glasses-cataracts> [Accessed 16 June 2021]. Activities that you once enjoyed, like reading and walking can become a tiring challenge.

Fortunately, with cataract surgery, we can easily remove those grey clouds from your vision so that you can resume life as usual with your favourite pair of specs.

Learn more about standard cataract surgery.

Treat cataracts AND reduce your dependence on glasses

Being forced down the route of cataract surgery isn’t great. Still, if you’ve ever fancied reducing your need for glasses, it could be a blessing in disguise. Lifestyle and laser cataract surgery can remove your cataracts and give you a visual enhancement tailored to your unique needs and lifestyle.

Learn more about lifestyle cataract surgery and laser cataract surgery.

Halt the progression of your glaucoma

Having a sight-threatening condition like glaucoma can be scary. Early detection and treatment are often critical for preserving a good level of vision, but knowing the treatment options can be confusing.

We understand the severity of the situation and are here to guide you towards the right treatment for your unique eyes.

Learn more about glaucoma treatment.

Find help for another eye problem

Any issue with your eyes can be exhausting and stop you from engaging in activities you enjoy.

Fortunately, we’ve built an impressive reputation for the treatment of many complex eye conditions including keratoconus, age-related macular degeneration, diabetic retinopathy, central serous chorioretinopathy (CSCR) and ocular surface disease.

Learn more about our full range of eye treatments.

How to get help from our team of eye experts

Get the expert eye treatment you need in 3 easy steps

Step 1 – Reach out

Give us a call on: 3725 0222 and we’ll guide you towards an initial consultation.

Book a consultation

Step 2 – We’ll meet

During your initial consultation, we will take a detailed medical history and examination to make an accurate assessment of the issue at hand.

Step 3 – Your vitality restored

We will treat you at one of our state-of-the-art Brisbane eye clinic facilities, with the aim of giving you the optimism and confidence to re-engage with life. 

Our expertise has helped thousands of Queenlanders rejuvenate their eyes

“Very friendly and professional staff. Dr Russell is extremely informative and has a really positive presence. The doctor and all of the staff ensured all my questions were answered fully. I left the surgery feeling as if I’d been really well cared for.”

Suzanne Cooper

“The staff are all friendly and helpful.”

Alana Jenkins

“Dr Russell and the entire team should be commended for their genuine care and personal attention. They made every possible effort to explain and clarify the treatment required and made sure I was comfortable through the consultation treatment.”

Xerxes Meher

“Dr Russell is my hubby’s specialist for years. We love him. Such a kind person and always spends time to explain everything.”

Zita Farczadi Kershaw

“Many thanks for your care and skill and a big thanks to all your staff for their friendly care and professionalism shown each time I have visited.”

Henry Ellison

“My wife came to see Dr Russell today and we wanted to say thank you to all the staff for the kind and professional service. We are also extremely grateful for Dr Russell’s generosity when it came to us paying for the consultation. We wanted to reach out and say thank you so much!”

Troy and Liana Todd

We have replaced the images of real patients who provided these testimonials to protect their privacy.

Our Brisbane eye specialists

We are dedicated to providing you with the best possible eye health and vision outcomes

Dr Nick Toalster, MBChB, FRANZCO

Specialist ophthalmic surgeon

I am an ophthalmologist with advanced training in cataract, corneal and glaucoma microsurgeries. As both an optometrist and an ophthalmologist, I am particularly well placed to lead the emerging field of eye disease management.

More about Dr Toalster

Dr. Matthew Russell, MBChB, FRANZCO

Brisbane Eye Surgeon

I am a specialist ophthalmic microsurgeon, internationally trained retinal surgeon, medical retinal diseases specialist, and cataract surgeon. With a career that spans over 15 years, I have mastered the ability to achieve precise results with the aim of helping patients regain their confidence and youthful energy.

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Dr Judy Ku, MBChB, FRANZCO

Specialist ophthalmic surgeon

I am a specialist in glaucoma, cornea & external diseases and cataract surgery. I am passionate about assisting my patients to achieve their full visual potential. I feel extremely privileged to have the opportunity to restore sight and to improve people’s quality of life.

More about Dr Ku