Dry Eye Clinic

Dry eye is more than occasional discomfort. It can cause burning, stinging, watering, redness, light sensitivity, blurry vision, and a gritty feeling that makes daily tasks harder. At Rolling Hills Eyecare, our dry eye clinic focuses on identifying what is causing your symptoms so your care plan is based on more than temporary relief.

Many cases of dry eye are linked to poor tear quality, inflammation, or meibomian gland dysfunction. These small glands in the eyelids produce the oil layer of your tears. When they become clogged or do not function well, tears can evaporate too quickly and leave the eyes feeling dry, tired, and irritated.

Signs You May Need Dry Eye Care

You may benefit from a dry eye evaluation if you experience:

Burning, stinging, or scratchy eyes
Watery eyes that still feel dry
Redness or irritation
Blurry vision that changes throughout the day
Contact lens discomfort
Eye fatigue from screen use
Sensitivity to wind, light, or air conditioning

A detailed dry eye evaluation helps us understand the health of your tear film, eyelids, and oil glands. Our eye doctors use advanced diagnostic technology to look at how your tears behave and whether your meibomian glands are contributing to the problem.

Topcon CA-800

The Topcon CA-800 supports detailed dry eye testing by measuring the stability and quality of the tear film. This technology helps us evaluate how well your tears spread across the surface of the eye and how quickly they begin to break down between blinks. By gathering this information, we can better understand whether your symptoms are related to poor tear quality, tear instability, or evaporation-related dry eye.

Tear Break-Up Time

Tear Break-Up Time, also known as TBUT, measures how quickly the tear film breaks apart after blinking. A stable tear film should remain smooth across the eye long enough to keep the surface comfortable and clear.

When TBUT is shorter than expected, the surface of the eye may become exposed too quickly. This can contribute to burning, stinging, blurry vision, watering, and irritation. A shorter tear break-up time can also indicate evaporative dry eye, which is often linked to meibomian gland dysfunction.

MeiboVue Imaging

MeiboVue imaging helps us evaluate the structure of the meibomian glands. These glands produce the oil layer of the tear film, which helps prevent tears from evaporating too quickly.

With MeiboVue, we can look for gland shortening, blockage, dropout, or poor oil flow. This gives us a clearer understanding of whether meibomian gland dysfunction may be affecting your comfort and helps guide a more personalized dry eye treatment plan.

INMODE Forma-I

Forma-I is a bipolar radiofrequency treatment designed to support eyelid and meibomian gland health. It uses controlled heat to gently warm the tissue around the eyes, helping soften thickened oils that can block the glands.

During treatment, the technology delivers consistent warmth to the targeted area. This helps encourage better oil flow from the meibomian glands, which is important for a stable tear film. When the oil layer improves, tears are less likely to evaporate too quickly.

Benefits of Forma-I may include:

Improved meibomian gland function
Better oil flow for a healthier tear film
Reduced dryness, burning, and irritation
Greater comfort during screen use and daily activities
Support for patients with evaporative dry eye
Tightens existing collagen in the skin’s dermal layer
Stimulates the creation of new collagen deep within the dermis

INMODE Lumecca IPL

Lumecca-I is an intense pulsed light treatment used to help manage inflammation related to dry eye. It delivers pulses of light to the skin around the eyes, targeting areas that may contribute to eyelid inflammation and poor gland function.

The treatment works by helping reduce inflammation and supporting healthier meibomian gland performance. For patients with redness, irritation, or inflammatory dry eye symptoms, Lumecca-I may help improve comfort and tear stability.

Benefits of Lumecca-I may include:

Reduced eyelid and skin-related inflammation
Improved comfort for chronic dry eye symptoms
Better support for meibomian gland health
Less redness and irritation
Improved tear film stability over time
Decreased Demodex mites and bacteria on the eyelids

Should I Be Treated For Dry Eye?

The only way to know whether you need dry eye treatment is to schedule a diagnostic exam with Rolling Hills Eyecare. Our team may recommend treatment if testing shows abnormal tear production, poor tear stability, inflammation, or meibomian gland dysfunction that is contributing to dryness on the surface of your eyes.

What Should I Expect During Treatment For Dry Eye?

Your treatment will depend on what is causing your dry eye symptoms. We may recommend in-office treatments such as Envision by InMode, along with at-home care, eyelid hygiene, artificial tears, or other supportive therapies. The goal is to improve tear quality, support gland function, and reduce irritation.

Will I Need To Follow Any Special Instructions During Treatment?

Yes, we will provide instructions based on your specific treatment plan. This may include avoiding certain skincare products before treatment, keeping the eyelids clean, using recommended eye drops, or following a daily routine to support long-term dry eye relief.

What Is Envision By InMode?

Envision by InMode is an advanced in-office platform used to help treat dry eye related to meibomian gland dysfunction and inflammation. It includes technologies such as Forma-I and Lumecca-I, which are designed to support healthier eyelid function, improve oil flow, and reduce dry eye symptoms.

How Does Envision By InMode Work?

Envision by InMode works by targeting the underlying factors that often contribute to dry eye. Forma-I uses radiofrequency energy to gently heat the eyelid area and support better meibomian gland function. Lumecca-I uses intense pulsed light to help reduce inflammation and support a healthier tear film.

How Long Does The Treatment Take?

Treatment time can vary based on the therapy being performed and your specific needs. Envision by InMode treatments take about 30-40 minutes and are completed during a scheduled office visit.

How Many Treatments Do I Need?

The number of treatments depends on the severity of your dry eye, the condition of your meibomian glands, and how your eyes respond. Most patients need about 4 treatment sessions for best results, while others may benefit from ongoing maintenance care.

Is Envision By InMode Covered By Insurance?

Because many advanced dry eye treatments may be considered elective or non-covered, this is typically a cash-paid procedure, with treatments averaging around $500. Rolling Hills Eyecare can review your options and help you understand any out-of-pocket costs before treatment. The goal of treatment is to improve dry eye symptoms and reduce the need for long-term dependence on drops, which can cost around $2,000-$2,400 per year and may be needed continuously without more targeted care.

Are There Any Side Effects To Envision By InMode?

Some patients may experience temporary redness, warmth, tenderness, or mild swelling around the treated area. These effects are usually short-term.

Is Envision By InMode Safe For Everyone?

Envision by InMode may not be right for every patient. Certain skin conditions, medical histories, medications, or eye health concerns may affect whether treatment is recommended. A dry eye evaluation helps determine if this option is safe and appropriate for you.

How Long Do The Results Of Envision By InMode Last?

Results vary by patient. Some people experience improvement for several months, while others may need maintenance treatments to help keep symptoms under control. Dry eye is often a chronic condition, so long-term management may be recommended.

What Is The Difference Between Envision By InMode And Other Dry Eye Treatments?

Traditional dry eye treatments often focus on temporary symptom relief, such as lubricating drops. Envision by InMode is designed to address common underlying causes of dry eye, including meibomian gland dysfunction and inflammation. This makes it a more targeted option for certain patients.

What Is The Success Rate Of Envision By InMode?

The success rate of Envision by InMode is high. Most people who have the treatment experience significant improvement in their dry eye symptoms. In trials at other offices they are seeing anywhere from a 85%+ success rate in their patients symptoms.

What Are The Age Requirements For Envision By InMode?

Envision by InMode is safe for most people over the age of 18.

What Are The Pre-Treatment Requirements For Envision By InMode?

Before treatment, there are no specific pre-treatment requirements for Envision by InMode. However, we may ask you to arrive with clean skin, avoid makeup or certain skincare products, and follow any instructions specific to your treatment. Our doctor may also ask you to stop using certain medications, such as aspirin or ibuprofen, before treatment. Your eye doctor will review these steps before your appointment.

What Are The Post-Treatment Requirements For Envision By InMode?

After treatment, you may be asked to avoid certain skincare products, sun exposure, or eye makeup for a short period. We may also recommend specific eye drops, eyelid care, or follow-up visits to support your results.

How Long Does It Take To See Results From Envision By InMode?

Some patients notice improvement after a few days after treatment, while others may experience gradual changes over time. Because dry eye often develops from ongoing gland dysfunction or inflammation, results may continue to improve as treatment progresses.

Is Envision By InMode A Permanent Solution For Dry Eye?

Envision by InMode is not a permanent cure for dry eye. Dry eye is often chronic and may require ongoing care. However, treatment can help improve comfort, support better meibomian gland function, and reduce symptoms as part of a long-term dry eye management plan.