Surface

Houston | LASEK | Dr. Yee | Procedures

The ocular surface is comprised of the cornea, epithelium, tears, and eyelids. An imbalance or infection in any of these areas can cause an array of problems, including chronic dry eye, corneal ulcers, and pterygia build-up. As a cornea external disease researcher/physician/surgeon, Dr. Yee offers the most effective, leading-edge procedures and solutions for the diagnosis, treatment, and ongoing care necessary to bring balance and health back to the ocular surface.

INTENSE PULSED LIGHT (IPL)

Back in 2003, an ophthalmologist offering IPL treatments for aesthetic purposes, like age spot and sun damage removal, made a surprising discovery: His IPL patients with ocular surface disorders began reporting that their dry eye symptoms were improving. After numerous studies and research, it was established that there was a direct correlation between the delivery of gentle, targeted, pulses of light and the reduction, elimination and prevention of many dry eye symptoms and disorders.

IPL improves symptoms three ways. One: acts as a powerful warm compress on the eye. Two: cuts off the blood supply feeding the inflammatory mediators in the meibomian gland. Three: improves the pumping mechanism within the meibomian gland for better functionality. Patients undergo a four- to six-treatment regimen and can return for maintenance therapy if needed. IPL can be performed on patients with Fitzpatrick skin type 1 and 2. Dr. Yee will treat some type 3 patients, only after a test spot has been performed and no discoloration of the skin occurs.

Dry eye patients who undergo IPL treatments can expect, in addition to immediate relief from their symptoms, improved skin tone and return of a healthier, more youthful glow. As side effects go, you can’t ask for better! Finally, for all of Dr. Yee’s chronic dry eye sufferers, IPL offers a happy ending.

PUNCTAL PLUG

If drops are not providing sufficient dry eye relief, plugging of the tear (punctal) duct is a quick, effective next step. Punctal plugs are very tiny (smaller than a grain of rice), biocompatible devices that are inserted into the tear ducts, creating a dam effect to retain moisture thereby helping keep the ocular surface hydrated and nourished and dry eye symptoms at bay.

There are two types of plugs: temporary, dissolvable plugs made of collagen and semi-permanent plugs typically made of silicone. Temporary plugs are generally used as a first course of treatment to quantify their effect on your dry eye symptoms or as a preventative measure to protect against dry eye after refractive surgery. The procedure itself takes less than a minute to perform in the comfort of Dr. Yee’s office.

AUTOLOGOUS SERUM

For his patients suffering from severe cases of dry eye, Dr. Yee may prescribe autologous serum drops. He custom formulates the drops by mixing your blood (drawn during your appointment) with saline solution. The components of the serum mimic those found in tears, thereby providing more essential nutrients to the eye versus artificial, synthetic drops.

CORNEAL ULCER TREATMENTS

A corneal ulcer is a sore, infection or trauma-related injury to the epithelial (outermost) part of the eye. Treating corneal ulcers and infections depends on the cause – bacterial or viral infection such as herpes, fungal, parasitic; inadequate eyelid closure; abrasion; severe dry eye; excessive contact lens wear – and more. It is extremely important to treat corneal ulcers as early possible. Left untreated, they can permanently damage the cornea.

Antibiotic drops are usually the initial course of treatment in bacterial cases. More specific antibiotic, antiviral, or antifungal eye drops are prescribed as soon as the cause of the ulcer has been identified. Corticosteroid eye drops may be used to reduce inflammation in certain conditions. In the case of severe ulcers where permanent damage has been incurred, corneal transplantation may be the last hope for a return to improved vision and quality of life.

MEIBOMIAN GLAND DUCT PROBE

This new method of relieving the obstruction of oil flow from the meibomian gland is an exciting advancement in the treatment of chronic dry eye conditions, such as blepharitis. In this procedure the eyelid is first numbed and then tiny, stainless steel probes are used to break up adhesions and fibrotic bands within the duct. There are 20-30 ducts in each eyelid and patients are often suffering from tender and sore lids, so treatment may need to be performed in stages. Benefits include increased lubrication, decreased light sensitivity, and relief from lid tenderness.

PTERYGIA AUTO-GRAFT

Pterygium is an elevated growth on the conjunctiva – the clear mucous membrane lining the inside of the eyelids. For most, the pterygium remains static and is treatable with lubricant drops. But in cases where conservative treatment is not working or the pterygium becomes active and invades the cornea, Dr. Yee may perform pterygia auto-graft surgery. In this technique, clarity to the cornea is restored by removing the pterygia and grafting the area with tissue that has been painlessly removed from underneath the upper eyelid. This “auto-graft” (self-transplant) prevents re-growth by filling the space where abnormal tissue could take hold.

Schedule an Appointment | Dr. YeeContact Dr. Yee for a free consultation to learn more about his practice, the surface procedures he preforms, and how he can change your life.