Dry Eye Disease
Dry eye disease, also known as keratoconjunctivitis sicca, is a multifactorial condition characterized by insufficient tear production or excessive tear evaporation, leading to ocular discomfort and potential visual disturbances. It affects approximately 15% to 40% of the population at any given time.
Causes of Dry Eye Disease
Several factors contribute to the development of dry eye disease:
- Age and Hormonal Changes: Advancing age and hormonal fluctuations, particularly during menopause, can reduce tear production.
- Medical Conditions: Autoimmune disorders such as rheumatoid arthritis, Sjögren’s syndrome, thyroid diseases, and lupus are associated with dry eye symptoms.
- Environmental Factors: Exposure to smoke, wind, dry climates, and prolonged digital device use can exacerbate dry eye symptoms.
- Medications: Certain medications, including diuretics, beta-blockers, antihistamines, and antidepressants, may decrease tear production.
- Ocular Conditions: Eyelid disorders like blepharitis, entropion, or ectropion can disrupt tear distribution.
Symptoms of Dry Eye Disease
Individuals with dry eye may experience:
- A sandy or gritty sensation in the eyes.
- Soreness or irritation.
- Redness of the eyes.
- Blurred vision, especially during reading.
- Sensitivity to light.

Diagnosis of Dry Eye Disease
A comprehensive eye examination is essential for diagnosing dry eye disease. This includes assessing tear quantity and quality, evaluating the ocular surface, and identifying any underlying conditions contributing to symptoms.
Treatment Options for Dry Eye Disease
Management strategies are dependent on the cause and severity of the condition:
- Lifestyle Modifications: Implementing changes like taking regular breaks during screen time, using humidifiers to maintain ambient moisture, and wearing protective eyewear can alleviate symptoms.
- Artificial Tears and Lubricants: Over-the-counter artificial tears can provide temporary relief by supplementing natural tear production.
- Prescription Medications: Anti-inflammatory eye drops, such as cyclosporine or lifitegrast, may be prescribed to reduce ocular surface inflammation.
- Eyelid Hygiene: Regularly cleaning the eyelids and applying warm compresses can help manage associated conditions like blepharitis.
- ZEST (Zocular Eyelid System Treatment): a gentle, in-office procedure that removes debris, bacteria, and biofilm from the eyelid margins to address dry eye and blepharitis.
- Punctal Plugs: Inserting punctal plugs into the tear ducts can slow tear drainage, allowing tears to remain on the ocular surface longer.
- Advanced Therapies: Treatments such as intense pulsed light (IPL) or Lipiflow can address meibomian gland dysfunction, a common contributor to dry eye disease.

Prognosis and Ongoing Management
While dry eye disease is chronic and currently has no cure, appropriate management can significantly alleviate symptoms and improve quality of life. Regular follow-ups with an eye care professional are crucial to monitor the condition and adjust treatment plans as necessary.
If you’re experiencing dry eye symptoms, contact us to organise an appointment. Our experienced optometrists offers advanced diagnostic tools and personalised treatment plans designed to provide long-lasting relief and improve your quality of life. Let us help you find the comfort and clarity you deserve – schedule your consultation today!
ZEST Treatment for Dry Eye and Blepharitis
ZEST (Zocular Eyelid System Treatment) is an innovative, non-invasive procedure designed to address the root causes of dry eye disease and blepharitis. This professional-grade treatment focuses on removing biofilm, debris, and excess oils from the eyelids, which are common contributors to these conditions. ZEST is particularly effective in managing meibomian gland dysfunction, a leading cause of evaporative dry eye.
How ZEST Works
- Deep Cleaning of the Eyelids: Using a specially formulated gel containing natural plant-based ingredients such as okra extract, ZEST effectively eliminates bacteria, debris, and biofilm from the eyelid margin and lash line.
- Stimulation of Meibomian Glands: By clearing blockages in the oil glands, ZEST restores the natural flow of lipids into the tear film, improving tear stability and reducing evaporation.
- Quick and Comfortable: The procedure is performed in-office, typically lasting about 10–15 minutes, with no downtime or discomfort.
Benefits of ZEST
- Restores a healthy ocular surface environment.
- Reduces inflammation associated with blepharitis and dry eye.
- Provides long-lasting relief from symptoms such as redness, irritation, and gritty sensation.
- Safe and suitable for most patients, including those with sensitive eyes.
Why Choose ZEST?
ZEST offers a gentle yet effective alternative to traditional eyelid scrubs or harsh cleaning methods. As part of a comprehensive dry eye management plan, ZEST can significantly enhance overall ocular health and improve quality of life.
For more information about ZEST and how it can help manage dry eye and blepharitis, contact our clinic to schedule a consultation.