We excited to present the IPL (Intense Pulse Light), known to help with rosacea, skin discoloration and now dry eye disease. The IPL helps photo-rejuvenate the skin and help the function of the meibomian glands of the eyelids, helping improve the quality of the meibum produced. The treatment is not covered by insurance. We are pleased to offer it for dry eye disease (DED protocol) or full face (rosacea protocol including DED). Please call for pricing. You may need multiple treatments (4-6 total) to achieve optimal results and then maintenance treatments once yearly.
IPL stands for Intense Pulse Light. It is a treatment that has been around for decades in the world of dermatology to treat rosacea. Dr. Toyos discovered that his dry eye patients were also improving when they had IPL for their face and over the years, has developed a dry eye disease protocol to help patients with dry eye disease (DED) with a component of meibomian gland dysfunction (MGD).
The meibomian glands are located in your eyelids and produce the meibum (or the oily layer) of the tear film that prevent the tears from evaporating. MGD occurs when the meibomian glands are obstructed or inflamed. In patients with either facial or ocular rosacea, the eyelids have abnormal dilated blood vessels (telangiectasia) that bring more inflammation to the surface of the eyelid and can cause dysfunction of the meibomian glands. IPL cause photocoagulation of those abnormal blood vessels and photorejuvenation of the skin cells. It also causes dilation of the meibomian glands and liquification of the obstructed meibum. After the IPL treatment, we follow the DED protocol to manually express the meibomian glands or in combination with the Lipiflow treatment. Patients generally feel some relief even after one session (upto 89% of patients had improvements in symptoms)1.
Dr. Pradhan is pleased to offer the Lumenis M22 for IPL given the safety features with contact-cooling which make it safe and comfortable. It also has different filters which allow it to be used for different purposes including the dry eye disease protocol, full-face rosacea as well as skin discoloration. The dry eye disease protocol involves treatment from one side of the face to the other including the lower lids as well as Meibomian gland expression afterwards. The upper lids benefit from the treatment although they are not treated directly with the IPL and all four lids are expressed after the treatment. The treatment generally takes approximately 20-30 minutes. Your eyes are covered the entire time to prevent any damage directly to your eyes. The IPL also has the ability to kill bacteria and even kill demodex and has been shown to help blepharitis as well. If you have blepharitis, it will be important to remove the crusting with the BlephEx procedure prior to treatment with the IPL.
The studied protocol for dry eye disease with the IPL involves treating for 4 initial treatments approximately 3-5 weeks apart and then once annually.
Dr. Pradhan is leading the way for dry eye treatment options available by offering IPL for dry eye disease. Both the IPL and the Lipiflow treat the underlying cause of evaporative dry eye disease with meibomian gland dysfunction. The IPL works on the inflammatory blood vessels and is only safe for certain skin types and works best in patients with ocular or facial rosacea. The Lipiflow heats, unclogs and expresses the obstruction of the meibomian glands and can be used in all skin colors/types. With a dry eye evaluation, Dr. Pradhan can tell you which one is better for you or whether a combination treatment would produce the best results.