At Accuvision Dry Eye, we have designed a comprehensive exam specifically to uncover the underlying causes of your dry eye.

Your visit begins with a detailed questionnaire that evaluates the frequency and severity of your symptoms. Higher scores may indicate chronic Dry Eye Syndrome. Dr. Shah will then review your results with you, take the time to understand your symptoms, and discuss the next steps in your personalized care plan.

Advanced Dry Eye Diagnostics

We use state-of-the-art technologies to precisely diagnose dry eye with our Oculus Keratograph 5M:

  • TearLab Osmolarity Testing – Evaluates tear concentration and stability
  • InflammaDry® Testing – Detects inflammatory markers (MMP-9)
  • Meibography – High-resolution imaging of the meibomian glands
  • Non-invasive Tear Breakup Time (NITBUT) – Measures how quickly tears evaporate
  • Ocular Surface Staining – Highlights damaged cells on the eye’s surface

These diagnostic tools allow us to tailor a treatment strategy that’s as unique as you are.

To ensure the most precise results during your initial exam, we ask that patients:

  • Discontinue all eye drops two hours before the appointment
  • Avoid wearing cosmetics on the day of the exam
  • Remove contact lenses at least four hours prior
  • Refrain from using ocular ointments or gels the night before the exam

TearLab Osmolarity Testing

TearLab measures the salt concentration of your tears to help detect and monitor Dry Eye Disease. Elevated readings or differences between eyes can indicate ocular surface disease, guiding us toward the right treatment for you.

InflammaDry

InflammaDry detects the presence of MMP-9, an inflammatory marker commonly elevated in patients with Dry Eye Disease. Using a small tear sample, this quick test provides results in about 10 minutes, giving our doctors valuable information to guide accurate diagnosis and treatment.

Vital Dye Testing

The slit lamp examination is one of the most important parts of the dry eye evaluation. During this test, your doctor carefully examines the surface of the eye using special dyes such as lissamine green or sodium fluorescein to highlight areas of dryness or damage. The exam also includes an assessment of tear breakup time, providing essential information about the severity and type of Dry Eye Disease.

Meibography

Meibography is an advanced imaging technique that allows your doctor to directly evaluate the structure and function of the Meibomian glands, which are responsible for producing the oil layer of your tears. Damage or loss of these glands is a common cause of evaporative Dry Eye Disease. By capturing high-resolution images of the glands, meibography provides critical insight into the health of your tear film and helps guide the most effective treatment plan.