I have performed this thermal pulsation procedure since October 2012 and have found it to be a useful adjunct in the management of dry eye. It is important for patients to understand that the treatment is not a cure and that the amount of symptomatic improvement they will have is dependent on how advanced the disease… Read the full article
Category: Dry Eye
LipiFlow- Putting a Lid on Evaporative Dry Eye (Pt. 2)
The technology features an interferometer that measure the thickness of the lipid layer and evaluates the ocular surface via digital images. It is helpful to both patients and physicians when low readings are measured and documented in patients wiht non-obvious MGD. The thermal pulsation system applies controlled warmth (up to 42.5 degrees celcius) to the… Read the full article
LipiFlow- Putting a Lid on Evaporative Dry Eye (Pt.1)
Dry eye is ubiquitous. Its causes are manifold and varied and include long-term contact lens wear, medications, aging, pregnancy and meibomian gland dysfunction (MGD). MGD is now recognized as the leading cause of dry eye. MGD is commonly associated with inflammation and pouting glands, but is most often “non-obvious” without any signs of inflammation noted… Read the full article
Common Questions about LASIK (Pt. 2)
How Long Will the Correction Last? Once your eye has stabilized, usually in two to three months, your correction is permanent. If you eventually need eyeglasses for reading after that, it would be the result of the normal aging process. What about Risks and Complications? It is not unusual for people considering LASIK to experience… Read the full article
Common Questions about LASIK (Pt. 1)
LASIK surgeons are accustomed to having patients as questions. Part of the physician’s role is to educate you as thoroughly as possible. Many LASIK centers offer written material designed to address your questions. Other LASIK centers show short videos that explain the procedure in detail. However, if you still have questions, or just want to discuss… Read the full article
Your Consultation (cont’d, pt.2)
Your Medical History When you meet with your surgeon for the first time, he or she will want to get a sense of your overall health and the health of your eyes. It is important for your surgeon to know everything about your medical history. Some systemic diseases- like rheumatoid arthritis and lupus- certain healing disorders,… Read the full article
Will I need other treatments if I have LipiFlow for Dry Eye?
LipiFlow is not a cure and the the amount of symptomatic relief you will experience is dependent on how advanced your disease is prior to treatment. Patients with mild to mild/moderate disease get significant relief of symptoms from LipiFlow alone. Those with moderate to moderate/sever disease often get relief of symptoms with LipiFlow plus other… Read the full article
What Kind of Results Can I Expect From LipiFlow
LipiFlow is an excellent addition to our treatment armamentarium for evaprative dry eye. However, it is not a cure and is effective for about one year. Whether or not you need to continue other treatments (punctum plugs, doxycycline, warm compresses) will depend how advanced your disease is. Patients with mild to early moderate disease may… Read the full article
Boston Magazine’s Top LASIK surgeon/ Ophthalmologist
Dr. Ernest W. Kornmehl, M.D.,F.A.C.S. is selected as a Top Laser Surgeon and Laser Center in Boston Magazine’s Top Doctors issue 2011.
Dry Eye and Lasik: Management
Dry eye is very common and has multiple causes. There is no cure for dry eye but it can be managed so the patient is comfortable and does not have fluctuating vision. Management of dry eye must be achieved before LASIK or cataract surgery is performed. All forms of corneal refractive surgery (LASIK, PRK) and cataract surgery exacerbate dry eye… Read the full article