Chronic dry eye - comprehensive treatment in Delhi
Consultation scheduling, insurance coordination and post-op follow-up handled by a dedicated care coordinator.
The most common causes of dry eye in Delhi
Dry eye disease is not a single condition - it is a spectrum of disorders affecting tear film stability. The most common cause in urban India is meibomian gland dysfunction (MGD): the oil-producing glands in the eyelids become blocked, the oily layer of the tear film breaks down too quickly, and tears evaporate faster than they can be replenished.
- Meibomian gland dysfunction (MGD) - most common cause
- Prolonged screen use / reduced blink rate
- Contact lens wear
- LASIK surgery (temporary dry eye in some patients)
- Autoimmune conditions (Sjögren's syndrome, rheumatoid arthritis, lupus)
- Thyroid eye disease
- Low humidity environments - air conditioning, heating, flights
- Certain medications (antihistamines, antidepressants, oral contraceptives)
- Post-menopausal hormonal changes
- Vitamin A deficiency
Recognise the symptoms
What our dry eye evaluation includes
Tear break-up time (TBUT)
Measures how quickly the tear film breaks apart between blinks. Normal is >10 seconds. Dry eye patients typically <5 seconds.
Schirmer's test
Assesses baseline tear production - a filter paper strip placed on the lower lid for 5 minutes measures total aqueous production.
Meibography
Infrared imaging of the eyelid to visualise meibomian gland structure. Shows gland dropout - a key measure of MGD severity.
Corneal staining
Fluorescein and rose bengal dyes reveal areas of epithelial damage on the corneal and conjunctival surface - indicating severity and location of dryness.
Blink analysis
Assessment of blink rate and blink completeness - incomplete blinks leave the lower cornea exposed and are a major driver of dry eye in screen users.
Osmolarity testing
Tear osmolarity is the gold-standard biomarker for dry eye disease. Higher osmolarity = more severe dry eye.
From artificial tears to gland therapy - we find what works
Warm compresses + lid hygiene
First-line treatment for MGD. Daily warm compresses soften meibum, lid massage expresses blocked glands. Simple but effective when done consistently.
Preservative-free artificial tears
Sodium hyaluronate or carboxymethylcellulose drops used 4 - 6x daily. Preservative-free formulations are essential for regular long-term use.
Omega-3 supplementation
High-dose EPA/DHA omega-3 (2 - 3g/day) improves meibum quality and tear stability over 3 months. Strong evidence base for MGD-driven dry eye.
Cyclosporine eye drops (Restasis / Ikervis)
Anti-inflammatory prescription drops for moderate-severe dry eye. Reduce inflammation in the lacrimal glands. Begin to work in 3 - 6 months.
Punctal occlusion
Temporary or permanent plugs inserted into the tear drainage canal (punctum) to keep tears on the eye surface longer.
In-clinic thermal pulsation / meibomian gland expression
Heated, pulsed compression of the eyelids to clear blocked meibomian glands. Single treatment provides 6 - 12 months of improvement for many MGD patients.
Autologous serum eye drops
Serum prepared from the patient's own blood - contains growth factors, vitamins and immunoglobulins that support corneal healing. For severe, refractory dry eye.
Scleral contact lenses
Large-diameter rigid lenses that vault over the cornea and hold a reservoir of fluid on the eye surface. Transformative for severe dry eye or post-LASIK dry eye.
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Get a proper dry eye evaluation at Eye Veda
Our cornea specialist will assess your tear film, meibomian glands and corneal health - and give you a personalised management plan, not just another bottle of drops.