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Zelenak Eye Institute · Wixom, Michigan

Dry Eye Treatment in Michigan — Diagnosis and Relief for Dry Eye Disease

Dry eye disease is one of the most common eye conditions affecting adults. There are multiple causes and multiple effective treatments — the key is finding the right approach for your specific type of dry eye.

Board-Certified Ophthalmologist Dry Eye Diagnosis & Treatment MGD & Evaporative Dry Eye Care Wixom, MI · serving Metro Detroit

Dry eye disease is a complex condition that affects millions of adults, yet many patients go years without proper diagnosis or treatment because they either assume their symptoms are normal or do not realize effective treatment options are available. The reason one treatment does not work for every patient is that dry eye disease has several distinct underlying causes, and the best treatment depends on identifying which type you have.

At Zelenak Eye Institute in Wixom, Michigan, Dr. Zelenak evaluates and treats all types of dry eye disease for patients throughout Novi, Northville, Livonia, Brighton, Walled Lake, and the broader Metro Detroit area. After a thorough evaluation, he will recommend the treatment approach most likely to give you lasting relief.

There are many excellent dry eye treatment options that patients are often not aware of. If you have been suffering with dry eyes and have only tried over-the-counter drops without relief, there is a good chance a more effective solution exists for you.


Recognizing Dry Eye

What Are the Symptoms of Dry Eye Disease?

Dry eye symptoms vary from mild to significantly disruptive. Many patients are surprised to learn that watery eyes can actually be a symptom of dry eye disease — the excessive tearing is a reflex response to the irritation caused by the underlying dryness.

Stinging, burning, or scratchy sensation
Redness and irritation
Sensitivity to light
Blurry or fluctuating vision
Watery or excessively tearing eyes
Difficulty with prolonged screen use
Discomfort wearing contact lenses
Feeling of something in the eye
Dryness after LASIK surgery

Types of Dry Eye

What Types of Dry Eye Disease Are There?

Understanding the type of dry eye is essential because different types respond to different treatments. Dr. Zelenak evaluates each patient carefully to identify the underlying cause before recommending a treatment plan.

Evaporative Dry Eye

The most common type, usually caused by meibomian gland dysfunction (MGD). The meibomian glands in the eyelids produce the oil layer of the tear film, which prevents tears from evaporating too quickly. When these glands become blocked or stop functioning properly, the tears evaporate faster than normal, leaving the eye surface inadequately lubricated.

MGD often causes eyelid inflammation and irritation in addition to dryness, and is frequently underdiagnosed because patients focus on the dryness rather than the eyelid issues driving it.

Aqueous Deficient Dry Eye

This type occurs when the eye simply does not produce enough tears. It becomes more common with age and is also associated with autoimmune disorders such as Sjogren's syndrome, as well as certain medications, chemotherapy, and prior radiation treatments for cancer.

Treatment focuses on supplementing the tear volume and reducing inflammation of the tear-producing glands.

Contact Lens-Induced Dry Eye

Contact lenses, particularly when worn longer than recommended or slept in, can cause chronic irritation to the corneal surface. Poor contact lens hygiene can also lead to serious complications including infectious corneal ulcers. Patients experiencing dry eye related to contact lens use should be evaluated to determine whether lens type, wear schedule, or care routine needs to be modified.

Neurotrophic Keratitis

A less common but important cause of dry eye involving reduced corneal sensitivity due to nerve damage. This can result from certain viral infections, damage to the trigeminal nerve, or from refractive procedures such as LASIK. Reduced corneal sensation means the blink reflex is diminished, leading to inadequate tear distribution and surface damage.


Who Gets Dry Eye

Risk Factors for Dry Eye Disease

Dry eye disease is extremely common and can affect patients of all ages, though certain factors increase the likelihood of developing it.

Age
Tear production naturally decreases with age. Dry eye is especially common in adults over 50.
Female Sex
Women are more likely to develop dry eye, particularly due to hormonal changes during pregnancy, menopause, and oral contraceptive use.
Screen Use
Extended screen time reduces blink rate, leading to faster tear evaporation and dry eye symptoms.
Medications
Antihistamines, decongestants, antidepressants, blood pressure medications, and others can reduce tear production.
Autoimmune Disease
Conditions such as Sjogren's syndrome, rheumatoid arthritis, and lupus are strongly associated with dry eye disease.
Environment
Dry climates, air conditioning, heating, wind, and smoke all accelerate tear evaporation and worsen dry eye symptoms.

Treatment Options

What Is the Best Treatment for Dry Eyes?

There is no single best treatment that works for every patient, because dry eye has multiple underlying causes. The good news is that after a proper evaluation, Dr. Zelenak can identify which approach is most likely to work for your specific type of dry eye and adjust as needed.

  • Artificial tears and lubricating eye drops: The most accessible starting point. Preservative-free formulas are generally best for patients who use drops frequently. Different drop formulations work better for different types of dry eye — Dr. Zelenak can recommend the most appropriate one for you.
  • Warm compresses and lid hygiene: For patients with meibomian gland dysfunction, applying warm compresses to the eyelids daily helps melt and express thickened oils blocking the glands. Gentle lid scrubs help keep the lid margin clean and reduce eyelid inflammation.
  • Omega-3 fatty acid supplements: Oral omega-3 supplements have been shown in clinical studies to improve the oil quality secreted by the meibomian glands, reducing evaporative dry eye over time.
  • Prescription anti-inflammatory drops: Medications such as Restasis and Xiidra target the inflammatory component of dry eye disease and help restore normal tear production. These are particularly effective for aqueous deficient dry eye driven by chronic inflammation.
  • Punctal plugs: Tiny dissolvable or permanent plugs inserted into the tear drainage channels of the eyelid to keep tears on the surface of the eye longer. A simple in-office procedure that can provide significant relief for patients who do not produce enough tears.
  • In-office meibomian gland treatments: Procedures that apply controlled heat and expression to the meibomian glands to restore proper oil secretion. These are particularly effective for moderate to severe MGD that has not responded to at-home warm compress therapy.
  • Contact lens modification: Switching to daily disposable lenses, adjusting wear schedules, or transitioning to glasses can significantly reduce contact lens-induced dry eye symptoms.

After a little experimenting, Dr. Zelenak can almost always find a treatment approach that provides meaningful relief. If you have been living with dry eye symptoms and have not found a solution, please come in — there is very likely an option that will help.


Why Dr. Zelenak

Dry Eye Care for Patients Throughout Metro Detroit

Patients with dry eye disease throughout Wixom, Novi, Northville, Livonia, Brighton, Walled Lake, and the greater Metro Detroit area choose Zelenak Eye Institute because Dr. Zelenak takes the time to properly diagnose the underlying cause before recommending treatment.

  • Thorough evaluation: Identifying your specific type of dry eye before recommending treatment — not a one-size-fits-all approach
  • Full range of treatment options: From over-the-counter guidance to prescription medications and in-office procedures
  • MGD and evaporative dry eye expertise: The most common and most frequently undertreated type of dry eye
  • Contact lens dry eye management: Evaluating and modifying lens wear for patients with contact lens-related symptoms
  • Full-service practice: Also providing comprehensive eye exams, glaucoma care, and cataract surgery at our Wixom office
  • Conveniently located in Wixom, MI: Easily accessible for patients from Novi, Northville, Livonia, Walled Lake, Brighton, and surrounding Metro Detroit communities

Schedule a Dry Eye Evaluation Today

If you are suffering from dry eyes, burning, redness, or eye irritation, do not just reach for another bottle of drops. Come see Dr. Zelenak and find out what is actually causing your symptoms and what will actually help.

Wixom, MI Novi, MI Northville, MI Livonia, MI Walled Lake, MI Brighton, MI Metro Detroit, MI
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Office Hours:  M - F  8am - 5pm
Phone:  (248) 232-1777​​
Fax :  (248) 232-1778
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Zelenak Eye Institute

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Zelenak Eye Institute
​28004 Center Oaks Ct. Ste 200
Wixom, MI 48393
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  • Home
  • About Us
    • Dr. Jonathan Zelenak DO
    • About Our Office
    • Join Our Team
  • Services Offered
    • Comprehensive Ophthalmology
    • Custom Cataract Surgery
    • Compare Lens Options >
      • J&J TECNIS Odyssey
      • J&J TECNIS PureSee
      • J&J TECNIS Symfony
      • J&J TECNIS Eyhance Toric
      • Bausch & Lomb enVista Envy Trifocal
      • Bausch & Lomb enVista Toric
      • Alcon PanOptix Pro
      • Alcon PanOptix
      • Alcon Vivity
      • Alcon AcrySof IQ Monofocal
    • Laser Floater Treatment
    • Glaucoma Treatment
    • Diabetic Eye Disease
    • Macular Degeneration
    • Dry Eye Treatment
    • Service Area
  • Patient Resources
    • Patient Portal
    • Cataract Surgery Frequently Asked Questions
    • Cataract Surgery Drop Sheet
    • Patient Forms >
      • HIPAA & Consent to Treat
      • Dilating Drops Consent
      • Refraction Financial Agreement
    • Practice Policies
    • Privacy Policy
  • Contact Us
  • Pay Online