Dry Eye and MGD

You are probably looking here due to the reputation of our Dry Eye Spa. We know you want answers and can assure you that you have come to the right place. Your frustration ends here!

The Brill Eye Difference is that we are dry eye specialists that actually make a diagnosis of why you have a dry eye before prescribing any drops, drugs or fancier procedures like LipiFlow, BlephEx, Amniotic Membranes, or Scleral Contact Lenses.

Yes, there is a lot more to having a dry eye than just using Visine and rewetting your eyes all day. In fact, half of our dry eye patients complain of constantly tearing eyes.

Take our Dry Eye Test!

86% of Patients with Dry Eye Have MGD and It’s treatable

Research has determined that the leading cause of eye discomfort for over 86% of patients with dry eye is related to blockage of the tiny glands in our eyelids known as meibomian glands, and not necessarily due to a lack of tear production. When you blink, the glands release this essential oil that acts as the front line of protection for the tears, lubricating the surface of the eyes.  When these glands become blocked, production of the necessary oils to protect the watery layer on the tear film is compromised thus causes this watery layer to evaporate and leave the eye surface exposed.


The clinical science behind MGD as the primary cause of dry eye and its treatment is supported by over 25 years of scientific research. Gland blockages can be removed to restore proper gland function and reduce the progression of MGD, provided your gland structure is healthy. LipiFlow is the only FDA cleared treatment that properly heats the inside and outside of the eyelids while providing a gentle massaging action to properly remove gland blockages. Most patients receiving treatment notice improvement with symptoms over time  but may need regular treatment every 1-2 years. The treatment is virtually painless and takes less than 12 minutes.
Learn more about Dry Eye & MGD

Other Treatment Options

Tears are necessary for overall eye health and clear vision. When tear production and drainage is not in balance, dry eye can occur. Dry Eye and MGD can also decrease tolerance for dry environments, such as the inside of an airplane.  Treatment options range depending on the diagnosis. BlephEx, for example is a deep cleansing procedure that exfoliates the eyelid. In other cases, lubrication eye drops, prescription medication or bandage contact lenses may be appropriate. Schedule a Dry Eye Evaluation with us today to find out the best treatment option for your specific needs.

Here are the steps we use to take care of your dry eye problem:

  • You will fill out the Standard Patient Evaluation of Eye Dryness Survey (SPEED).  
  • If your score is greater than 6, you have dry eyes, also called Meibomian Gland Dysfunction or MGD for short.
  • We will collect a detailed medical history, including medications that make your eyes dry.

Click Here to Take The Dry Eye Test


Schedule a dry eye evaluation. Tests will be done to look at your…

  • Blink pattern
  • Lipid layer thickness
  • Presence of the meibomian oil glands in you eyelids
  • Photographs of the oil gland structure and look for atrophy of the glands
  • Eyelid closure and eyelid seal
  • Tear Breakup time and stability
  • Tear Osmolarity. The saltier your tears, the more evaporation you have
  • Staining of the eye with fluorescein and lissamine green for inflammation
  • Tear aqueous production with phenol red thread testing for adequate moisture
  • Screening for ocular allergies, viruses, bacteria, and mite infestation of the eyelids


Discuss treatment modalities depending on the diagnosis

  • BlephEx exfoliative eyelid deep cleansing procedure
  • LipiFlow thermal pulsation procedure
  • Anti-inflammatory steroid eye drops
  • Restasis or Lifitegrast
  • Lubrication eye drops
  • Bandage contact lenses
  • Amniotic membrane use for enhanced healing
  • Scleral contact lenses for corneal surface protection and better vision


Discuss what to do to make sure the MGD heals and does not progress further

  • Specific Omega-3 supplements
  • Blink instructions
  • Eyelid cleansing procedures
  • Lubrication eye drops
  • Ongoing professional care and monitoring
  • Refit into contact lenses that are better for dry eyes

It’s complicated. Let us simplify the process and end your suffering!  Contact us today.


  • Dry Eye Meibomian Gland Dysfunction
  • Allergy
  • Infection: Viral, Bacterial, Fungal, Parasitic
  • Abrasion: Chemical, Mechanical
  • Foreign Body
  • Systemic conditions
  • Contact lens over-wear

The best way to determine what the cause of your red eye is to have a professional determination.  Your relief is only a diagnosis away!  Contact us today.