Dry Eyes2021-10-05T13:22:47+00:00

What you need to know about dry eyes

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Dry eyes explained

Dry eye refers to any condition of the eye in which you feel that the eyes are dry.

Many conditions can cause symptoms of dryness of the eye. However, actual dry eye is rare and occurs when tear production is deficient.

Your eyes tear film consists of three layers, each of which is equally important but can be affected differently in different conditions.

The innermost layer is a mucinous layer that is produced by special cells in the conjunctiva. The function of the mucin is to act as a wetting agent so that the middle layer of the tear film can evenly moisten the eye surface.

This middle layer of watery tears are produced by the lacrimal gland which is found up under the eyelid. It is this gland that produces tears when we are emotional.

The third and outermost layer of the tear film is an oily secretion from specialised skin glands which are found in a neat row along the edge of the lid just behind the eyelashes. These glands are called meibomian glands. One of the functions of this oil is to coat the surface of the watery layer of the eye, to slow its evaporation.

Meibomian glands can be subject to chronic infection leading to styes.

The tear film contains two antibiotics which the body produces naturally.

Dysfunction of any of the three layers of the tear film can lead to symptoms of dryness. The following can impair the functioning of the tears:

  • Contact lenses or eye drops
  • Some autoimmune diseases such as rheumatoid arthritis can attack the lacrimal glands
  • Eye makeup can compromise the quality of any of the layers and cause a sensation of dryness
  • A tiny bug called Demodex can live in the roots of the lashes and cause irritation

To diagnose dry eye, we will need to perform a comprehensive eye exam and take a detailed history of your general health.

We will also measure the volume and quality of your tears using a Schirmer test.

Other tests may be carried out to determine the surface condition of your eyes and how long it takes for your tears to evaporate.

Correct diagnosis of the exact cause of the symptoms is essential for successful treatment. If the mucin layer is defective, then that issue should be addressed. Sometimes it may be necessary to graft new cells into your conjunctiva to produce fresh mucin, but this is only rarely needed.

If the watery layer is defective, then replacement drops are prescribed as a substitute.

If the problem is in the oil of the Meibomian glands, then you may require a program of meticulous hygiene and antibiotics over a long period.

My-iClinic is financially accessible to anyone who wants the best available treatment

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How it works

There are 3 easy steps to gaining freedom from contacts and glasses
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Call or send us a Facebook message. We’ll respond to any questions you have.

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Book the first step so we can examine your eyes and explain your treatment options.

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REVIVE YOUR EYES

Remember how great it feels to have happy and healthy eyes again.

What do our Cataract patients say?

We are proud to hear we make a meaningful difference to your life

Mr Bolger suggested having cataract surgery on both eyes on the same day and whilst I had concerns, I decided to go ahead. The day after I was able to remove the eye pads and I had perfect vision. I have told many people that it was the best thing I have ever spent my money on. I have needed spectacles or contact lenses since I was 9 years old and now have 20/20 vision with no assistance from spectacles. I would highly recommend the My-iClinic.

Mrs Penelope Carrozza

Just discharged after having monovision cataract surgery in both eyes I am delighted with the outcome. I can see both near and far and have been able to dispense with my contact lenses and glasses. I have been well looked after from my first contact. Mr Bolger was very professional and reassuring and I felt at all times that I was in good hands. I cannot fault the whole experience including the charges, which having researched various alternatives, proved to be very reasonable.

Anne Collins

My-iClinic was recommended to me by 3 different people that had surgery there so I was not nervous. From booking the first appointment, to the surgery for cataract on both eyes, the aftercare instructions and post operation consultation, it was smooth sailing all the way. I was warmly received and was comfortable because I felt I was in safe hands because of the professionalism of the staff, the environment which was very clean with very nice soothing decor, and so many equipments. The whole procedure was explained thoroughly by the team of nurses and technicians and also by the surgeon, Ms Odufuwa. The procedure was painless and quick and my eyesight improved tremendously (like 100%!!!) and I don't need glasses anymore!!! I must thank Ms Odufuwa and her team for the great and efficient service received and I would not hesitate to recommend her and the clinic to my family, friends and associates.

Olukemi Thomas

I can fully recommend My-iClinic as they are professional and extremely friendly. I was very nervous about having my cataract surgery and extremely anxious. However, upon arrival I was made to feel completely at ease and Mr Bolger put all my concerns to rest. I would highly recommend him to anyone. I would like to thank the whole team who saw me through this especially Matt and Pawel. Thank you everyone at my-iClinic!

Maureen Smart

I came to My-iClinic to have my cataract operation. The receptionist was professional and friendly as were the staff who performed the tests necessary for my consultant appointment. The booklet I was given to read was so informative I had very few more questions to ask. On the big day I was reassuringly prepared for the op which has been extremely successful. Thank you

Louise Edwards

Mr Bolger (My-Clinic) was recommended to me by a friend of mine, who is an eye surgeon, to be the best hand in the country. My experience came true to expectation. I am extremely happy with the result of my cataract operation by Mr Bolger and the excellent post-op care. I am also grateful to Mr Bolger’s surgical team and staff at My-Clinic.

Nancy Ghazi

I was delighted with the results of my surgery for cataract performed by Ms Bola Odufuwa. She explained every detail of the procedure to reassure me at every step as I was apprehensive at first. After surgery, I was amazed to see how bright and clear everything was immediately. Her precise instructions on how to care for my eyes post operatively ensured that I had a rapid and successful recovery. I cannot thank her enough and feel totally rejuvenated. Ms Odufuwa had been recommended to me by a friend who had been successfully treated. I too would highly recommend her to anyone.

Kofo Anjori

I could not be happier with my “new eyes” (cataract surgery). I was very nervous and the team at the centre all went out of their way to put me at my ease. I found my consultation with Mr Bolger reassuring as he was able to it the risks into perspective. I am pleased I trusted his advice to have both eyes operated on at the same time. I can now see how unbalanced I would have been for weeks if I had had one eye operated on at a time.

Julie Graham

Excellent service as on previous visits. Just had cataract implant surgery by Mr. Bolger. All gone very smoothly. (Clinic took great, sympathetic care of my 97 year old mother earlier too.) All staff at the clinic are totally professional but friendly and accessible. You can call them if you have concerns without feeling you are a nuisance. Care is taken over hygiene and Covid security and the clinic is well equipped for running many different eye tests. I always recommend them to my friends as I have only had good experiences there.

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Articles and videos to help you understand your eyes better

Learn more about the conditions we treat
Learn more

Links to more information about eye conditions…

Educate yourself further by reading the links below

The NHS has provided an excellent overview of glaucoma, including causes, tests, and treatments. Click here for more information.

The National Eye Institute provides a walkthrough of a cataract condition with examples of what your vision may look like, as well as treatment options. Click here for more information.

The National Eye Institute provides a great amount of information regarding macular degeneration. Click here for more information.

For the NHS guide to long-sightedness, click here.

For the NHS guide to short-sightedness, click here.

About Our London Eye Clinic Experts

Meet the My-iClinic founders, Mr John Bolger and Ms Bola Odufuwa. Two consultant eye surgeons who made it their life goal to make your life better.

bola

Bola Odufuwa

Consultant Ophthalmologist
Clinic Director
MBBS DO FRCS (Ed) FRCOphth MSc

Bola Odufuwa is a consultant ophthalmologist at The Royal Free Hospital and My-iClinic. Her specialities include cataract, glaucoma, paediatric, and laser refractive surgery. Bola has had extensive training at Moorfields Eye Hospital, London, where she gained expertise in the management of various eye conditions.

Bola Odufuwa’s special interests include optimal refractive outcomes following cataract surgery, non-penetrating glaucoma surgery, and assessment eyesight in children with special needs: particularly dyslexia and autism.

john

Mr John Bolger

Consultant Ophthalmologist
Clinic Director
FRCS DO FEBOS -CR

John Bolger is a Consultant Ophthalmologist and Clinic Director at My-iClinic. His specialities include ophthalmology, laser refractive surgery (SMILE, Presbyond, LASIK, PRK, PTK), refractive lens exchange (RLE), cataract surgery, glaucoma treatment and macular degeneration.

Over the course of his career, John Bolger has carried out over 35,000 cataract operations, 20 of which were for eye surgeons. He has also taught over 1500 young ophthalmologists worldwide as they begin their surgical careers.

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