We begin by discussing your symptoms, medical history, medications, contact lens wear, screen use, environmental factors and previous treatments. Understanding how and when your symptoms occur is an important part of identifying the underlying cause.

Using the Topcon TERA Dry Eye Platform we objectively assess the health and stability of your tear film, including:

• Non-invasive Tear Break-Up Time (NITBUT)

• Tear meniscus height (TMH)

• Lipid layer assessment

• Average blink rate and blink quality

• Conjunctival redness analysis

These measurements help us understand how well your tear film is functioning before treatment is recommended.

Read more about the Topcon TERA Dry Eye Platform

Healthy meibomian glands are essential for a stable tear film.

Using infrared meibography we assess:

• Meibomian gland structure

• Gland loss (dropout)

• Blepharitis

• Eyelid margin health

• Signs of blocked glands

• Demodex (where present)

• Meibomian gland dysfunction (MGD)

This helps determine whether evaporative dry eye is contributing to your symptoms.

Read more about meibography

When indicated, a Schirmer's test is performed to measure tear production.

This helps determine whether aqueous-deficient dry eye may be contributing to your symptoms and allows us to distinguish between different types of dry eye disease.

At the end of your appointment, we explain all of your findings in detail and review your imaging together.

Unlike a standard eye examination, our goal isn't simply to tell you that you have dry eye—it is to identify why you have dry eye.

Your treatment plan is tailored to your individual diagnosis and may include:

• IPL

• Meibomian gland expression

• Blephasteam

• ZEST

• Punctal plugs

• Lacrifill

• Home care

• Nutritional advice

• Follow-up monitoring