For patients beyond the reach of artificial tears and warm compresses, severe dry eye requires structured medication management. Our ophthalmologists coordinate prescription therapy, autologous serum tears, and adjuncts — with in-person partners when in-office procedures are needed.
Conditions we treat
- Severe evaporative dry eye and MGD
- Aqueous-deficient dry eye
- Sjögren's-related dry eye
- Post-LASIK chronic dry eye
- Graft-versus-host ocular disease
- Neurotrophic keratopathy (early stage)
Our approach
Severe dry eye is a chronic disease. We treat it like one — with structured longitudinal care rather than rotating through over-the-counter drops:
Prescription therapy
Cyclosporine, lifitegrast, varenicline nasal spray, and topical corticosteroid courses managed over time.
Adjunct coordination
Autologous serum tears, scleral lens referral, IPL/RF coordination, and punctal plug planning with local providers.
Lid and surface care
Structured at-home protocols, lid hygiene, and demodex management when relevant.
How it works
- 1
Initial visit
Comprehensive dry eye history, symptom scores (OSDI, SPEED), and current regimen review.
- 2
Treatment plan
Layered medication strategy with clear escalation criteria.
- 3
Monthly follow-ups
Telehealth visits to titrate medications and track symptom scores.
- 4
In-person coordination
We arrange office-based testing or procedures with a partner clinic when needed.
Is this right for you?
Best for
- Patients with severe symptoms despite over-the-counter regimens
- Patients on chronic prescription dry eye therapy seeking specialist oversight
- Patients in regions without dry-eye-specialist access
Not the right fit
- Acute red eye, infection, or vision loss (urgent in-person care)
- Patients without a recent comprehensive eye exam
- Patients seeking primary in-person procedural care (we coordinate, not perform)
Frequently asked questions
Can dry eye really be managed over telehealth?
Medication management, symptom tracking, and care coordination translate well to telehealth. We pair virtual visits with periodic in-person exams at a partner clinic.
How long until medications work?
Cyclosporine and lifitegrast typically take 6–12 weeks. Varenicline nasal spray often works within days. We set expectations clearly upfront.
Do you handle scleral lenses?
We coordinate with local scleral lens specialists. Severe dry eye often benefits from scleral lenses as part of a layered approach.
What about autologous serum tears?
When indicated, we coordinate with compounding pharmacies and your local lab to arrange them.
Ready to start?
Schedule a free 15-minute discovery call to see if this program fits your needs.