Treating Dry Eye Disease and Blepharitis

BlephEx® is a new, in-office procedure that allows your doctor to take an active role in treating dry eye and blepharitis.  BlephEx® removes excess bacteria, biofilm and bacterial toxins, the main causes of inflammatory dry eye and lid disease. Below are some frequently asked questions on BlephEx®:

1. How does BlephEx work?

Answer: Blepharitis and Dry Eye Disease is caused by a low-grade, chronic inflammation of the eyelids, that gets worse throughout a patient’s lifetime, damaging the glands that produce normal tears and eventually leading to blepharitis and dry eye disease.

BlephEx is a doctor’s treatment that removes the source of inflammation by cleaning off the biofilm from the lid margin, like a dentist removing plaque during a teeth cleaning. This biofilm is produced by the normal bacteria living on the lid margin, so it will eventually return to cause inflammation again, so the treatment should be repeated every 4 to 6 months.

2. Does insurance cover the cost?

Answer: No, BlephEx is a brand-new treatment for dry eye and is not covered by insurance. It is a private pay procedure but will typically be less expensive than a years’ worth of prescription drops, artificial tears, ointments, copays, etc., that have little to no effect on your disease.

3. How soon will I notice a difference?

Answer: It really depends on the stage of your blepharitis/dry eye disease and how many years you have had it. Many patients feel a difference before they leave the doctors practice. But if you have sustained significant damage to your tear glands, it may take months before you notice a difference. Some people need multiple treatments before they begin to feel better. Vigilance and repeat treatments are the key to treating, curing and then preventing recurrence.

4. How common is blepharitis or dry eye disease?

Answer: It has been estimated that up to 2/3 of all patients walking into an eye doctor’s office have some level of lid margin disease.

5. How many times should I have the BlephEx procedure performed?

Answer: Just like the mouth is full of bacteria and needs constant and regular hygiene to prevent gingivitis, so do the eyelids need constant and regular hygiene to prevent blepharitis and dry eye disease. It is recommended that BlephEx be repeated every 4 months for an active disease, and every 6 months for contact lens wearers. This keeps the number of bacteria to a minimum, and helps prevent a reformation of the biofilm. If the treatments are stopped, the biofilm will reform, the chronic inflammation will return, and the tear glands will once again be damaged.

6. Does BlephEx hurt?

Answer: Your doctor will put in numbing drops which make the treatment very well tolerated. Most patients report a tickling sensation.

7. Will BlephEx treatment interfere with my glaucoma medicines?

Answer: No, it is recommended you continue all your other drops that any eye doctor has you on.

8. Can I perform BlephEx at home?

Answer: No, due to the proximity of the eye, BlephEx is only to be performed by a professional eye care specialist or trained staff, in an office or hospital setting.

9. I wear contact lenses. Should I have a BlephEx procedure on my eyelids?

Answer: Yes. Contact lens wearers are 10 times more likely to develop an early biofilm and will get inflammatory damage to their tear glands much earlier in life. Having regular BlephEx treatments performed every 6 months will keep your tear glands healthy and help you avoid a condition known as “Contact Lens Intolerance”, a condition in which the eye begins to reject the wear of a contact lens due to constant exposure to the inflammatory factors of the biofilm.

10. Are there any side effects?

Answer: The main side effect is that your eyes are going to feel better than they have felt in years. You just had a 30, 40, 50, even 60-year-old biofilm removed from your eyelid. You will finally be able to blink more easily without your lids feeling sticky. Most patients say that they feel a slight irritation afterwards along with a little bit of redness that typically resolves within a few minutes or hours. After all, you just had your biofilm removed from your eyelids for the first time!

For more information on Dry Eye disease and BlephEx treatments visit or BlephEx®.  Call Griffin Eye Center toll free 888-570-5789.