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         Palisades Office:
         910 Via de la Paz
         Pacific Palisades, CA
         (310) 454-5521
         Studio City Office:
         12229 Ventura Blvd.
         Studio City, CA
         (818) 623-8900
        
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  What is Dry Eye Syndrome? 
  
  
    
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 | Dry Eye is 
          actually a collection of symptoms that make up an eye condition 
          that stems from an imbalance in the quantity or quality of tears. 
          These symptoms include dry, red, gritty, and even watery eyes. Often, 
          Dry Eye sufferers report the feeling of something foreign within the 
          eye or eye strain.  What Causes Dry Eye Syndrome?
The moisture level in the eye is maintained by the 
          balance of tear production and tear loss through drainage and 
          evaporation. When this balance is not sustained, dry spots appear 
          on the surface of the eye and cause irritation.   Can 
          Watery Eyes Be a Symptom of Dry Eye Syndrome?
Yes. As odd as it sounds, many 
          Dry Eye sufferers experience ‘wet eyes’ due to the tear glands 
          overproducing watery or reflex tears to compensate for a lack of a 
          balanced tear film. |  
        
          |  How Do 
          Tears Function?
Tears bathe and lubricate the eyes. 
          Each time you blink, new tears are formed in the several glands 
          located around each eye. A healthy tear film consists of a 
          delicate balance of three layers:  Outer Lipid (Oily) Layer 
          - which reduces evaporation of the watery layer of 
          tears.
  Middle 
          Aqueous (Watery) Layer  - which consists of 98% water, and 
          cleanses the front surface of the eye.
  Inner 
          Mucin (mucus) Layer  - which stabilizes the tear film.
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          |  Can Dry Eye Syndrome 
          Affect My Ability to Wear Contact Lenses?
Yes. Dry Eye Syndrome is the leading cause 
          of contact lens intolerance or discomfort. Contacts can cause 
          tears to evaporate from the eyes causing irritation, protein deposits, 
          infection and pain. | 
 |  |   How is Dry Eye Syndrome Diagnosed?
 Dr. Sawusch can perform some simple in-office 
diagnostic tests to evaluate the quality and quantity of your tears. General 
health, medications and environmental factors will be a consideration in 
diagnosing Dry Eye.   How is Dry Eye Syndrome Treated?
 Depending on the causes, Dry Eye Syndrome can be 
treated as a temporary problem or a lifelong disease requiring long-term 
treatment. Either way, tears must be conserved or replaced in order to 
provide relief.  Replacing the Tears:
 Artificial tears are probably the most common 
form of treatment for Dry Eye Syndrome. These will provide temporary relief, 
but usually have to be applied several times per day 
  
    |  Conserving the Tears: In cases of persistent Dry Eye symptoms, permanent, 
    reversible closure of the tear duct or punctal occlusion, may be the 
    best solution. Punctal occlusion allows you to retain your own, natural 
    tears without the bother or expense of constantly replacing the tear film 
    with artificial tears. |  |  
    |  How Can Punctal Occlusion Help Me Keep My Natural Tears? 
    Punctal occlusion acts very much like a stopper in a sink. 
    When the punctal opening is closed, tears stay on the eye longer. There are 
    two basic methods of tear duct closure:   Cautery . 
  Punctum Plugs
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 |   What are Punctum Plugs? 
 Punctum Plugs are small, soft silicone implants, 
about the size of a sesame seed, which are non-surgically inserted into the 
natural tear drain opening (the "punctum"). The entire procedure can be 
performed in Dr. Sawusch's office within a few seconds. Many patients report 
immediate relief from Dry Eye symptoms. Although silicone plugs are 
considered a permanent treatment for Dry Eye, Dr. Sawusch can easily remove them 
if necessary, although this is rarely required.  |