Read our blog  Check us out on yelp!    Our Pinterest Profile  Visit us on facebook  Tweet with us on twitter     

East Main Vision Clinic emerges as one of the premier Dry Eye Clinics in the Pacific Northwest.

Every day Dr. Day and his Dry Eye Specialist, Kari, evaluate patients who have symptoms ranging from mild to extreme dryness; advanced technology allows them to diagnose and treat Dry Eye Disease.

Dry eye or Tear Dysfunction means that your eyes do not produce enough tears or that you produce tears that do not have the proper chemical composition. The tears your eyes produce are necessary for overall eye health and clear vision.


There are many causes for dry eye. Often, dry eye is part of the natural aging process. It can also be caused by blinking or eyelid problems, medications like antihistamines, oral contraceptives and antidepressants, a dry climate, wind and dust, general health problems like arthritis or Sjögren's disease, and chemical or thermal burns to your eyes.


If you have dry eye, your symptoms may include irritated, scratchy, dry, uncomfortable or red eyes, a burning sensation or feeling of something foreign in your eyes and blurred vision. Excessively dry eyes may damage eye tissue, scar your cornea, or make contact lens wear difficult.


Dry eye cannot be cured, but we can prescribe treatment so your eyes remain as healthy as possible. Some treatments that we might prescribe include:

  • Blinking more frequently
  • Using a humidifier at home or at work
  • Sleeping with an eye mask that has a moisture chamber
  • Using artificial tears and using a moisturizing ointment, especially at bedtime
  • Fish oil (omega 3) supplements
  • Small plugs inserted in the corner of the eyes to slow tear drainage
  • Prescription eye drops for dry eye such as Restasis
  • A prescription eye lid cleanser that allows for better oil secretion of the eye lid glands

What is Dry Eye Disease? - Video Library via Pacific Cataract & Laser Institute



Dr. Day may also order a diagnostic test called a TearLab that determines the level of osmolarity, or salt content, in your tears.

TearLab is a very quick, non-invasive laboratory test that is performed during the pretesting portion of your annual eye exam. This test is ordered for patients who have moderate to severe dry eye symptoms. This test is billed to your medical insurance and may be subject to a deductible. Please ask your technician for more information if this test is ordered for you.

East Main Vision Clinic is one of the first clinic's in the Northwest to offer TEAR LAB testing! For more information, visit or call our office to schedule a Dry Eye Evaluation.

If you have chronic dry eye, more extensive testing may be ordered for you. In order to provide you with the best possible care, you may be invited back for an appointment with our Dry Eye Specialist who will perform additional tests to determine the deficiency that is causing your symptoms. This visit will be billed to your medical insurance and may be subject to a deductible. These diagnostic tests may include:

  • The OCULUS Keratograph®5M, which is an advanced corneal topographer with a color camera for imaging of the surface of your eyes including the tear layer. This instrument allows us to view your meibomian glands, your tear evaporative rate, and other layers of tear film that can contribute to tear film dysfunction and dry eye disease.
  • InflammaDry® is a quick, non-invasive, in-office test that identifies inflammatory markers and aids in diagnosing the cause of your tear film dysfunction. The test takes less than 10 minutes and results are available immediately.

In addition to diagnostic testing, we offer several effective treatments for tear film dysfunction.


  • LipiFlow is a treatment for evaporative dry eye that is caused by a lack of normal oils in the tear film. These oils, (lipids) are important because they prevent the evaporation of tears from the surface of your eyes. This dysfunction is caused by Meibomian gland disease, which blocks the lipids from your tears. Expression treats the glands that are blocked, allowing the lipids to be released back into your tear film. Treatment is a painless, heated eyelid massage that takes 12-15 minutes.

  • Prokera® Amniotic Membrane is a biologic corneal bandage that is inserted onto the surface of your eye like a contact lens. The membrane remains in place for 4 days and allows for natural regeneration of corneal tissue. Many patients who have severe dry eye, have had multiple surgical procedures, corneal dystrophies, recurrent corneal erosions, and many other debilitating eye disorders have found months or even years of relief with Prokera®.


Do you think you may have Dry Eye Disease or Tear Film Dysfunction?


Have you been diagnosed with any of the following conditions?
Sjogren's Syndrome Thyroid Disease Rosacea Lupus
Fibromyalgia Gastric Ulcer Rheumatoid Arthritis


Do you use any of the following?
Contact Lenses RX drops for Glaucoma
Over the Counter drops (ex: artificial tears) RX drops for allergies (ex: antihistamine)
RX drops for eye disease (ex: Restasis)

Nutritional supplements (ex: Omega 3, Flaxseed Oil)


Symptoms you may have experienced?
Dryness Pain or discomfort Redness      Watering
Foreign Body
Light Sensitivity Excessive blinking Discharge Itching
Contact Lens
Grittiness Stinging



If you answer Yes to any of the above symptoms, or have been diagnosed with one of the mentioned conditions, you may be at risk for developing tear film dysfunction.

If left untreated, Dry Eye symptoms can often continue to intensify. 
Call to schedule a Dry Eye Evaluation if you are suffering from any of the above symptoms. 253-770-2732