In USA treatment is available here: http://kremereyecenter.com/our-procedures/dry-eye-treatment/
Light Pulse Treatment Eases Dry Eyes Thursday, 13 Oct 2011 by Scott Wasserman / FOX 9 News
She is trying out a new treatment called "intense pulse light" treatment, or IPL. The same treatment was once used by dermatologists to treat skin conditions, and doctors later learned it can also help with dry eyes.
"IPL is a therapy where we use light that is absorbed by the oxihemoglobal in the capillaries," said Dr. Y. Ralph Chu. "It helps grow more collagen, but it helps heal the glands in dry eye disease."
Chu said more than 30 percent of his patients suffer from dry eye, and his clinic became one of 14 in the country to offer the service over the summer.
"I think it really helps them see better and live more comfortable lives with their eyes," he said.
Bridget Pond is an avid needleworker who relies on her eyes but struggled with dry eye symptoms for years. Less than two months ago, she went in for her first treatment, and said the method has made a world of difference in just three treatments. [Source
Several studies have identified successful pulsed light treatment of rosacea associated facial erythema and telangiectasia.4-6 We have observed similar results in rosacea patients treated with intense pulsed light for facial erythema and telangiectasia. We have also observed improvement of dry-eye symptoms in these laser treated patients.
These preliminary results indicate a potential use for intense pulsed light treatment for dry-eye. Our initial use of intense pulsed light for dry-eye patients began when a patient rosacea indicated improvement of dry-eye symptoms since receiving IPL treatment.
We suspect IPL treatment improved meibomian gland production due to either meibomian gland stimulation or effectively decreasing telangiectasia. However, additional investigation is necessary to determine the exact effects of the IPL on surrounding tissue.
“One of the key discoveries in the last several years is that we’ve learned dry eye is caused by inflammatory pathways,” says Dr. Chu. “Chronic, low-grade inflammation on the surface of the eye leads to damage to the surface, as well as the tissue that secretes the material that’s needed to keep the eye healthy.”
An Unexpected Side Effect
While RESTASIS, the only U.S. Food and Drug Administration-approved intraocular cyclosporine, is prescribed to reduce inflammation and prompt the natural production of tears, its integration into treatment plans did not solve the riddle of abnormal meibomian gland secretion. Around 2003, ophthalmologists began noticing that patients with chronic dry eye who received IPL therapy as a dermatologic treatment for rosacea were also experiencing a reduction in their dry eye symptoms.
Rolando Toyos, M.D., of Memphis, TN, was the first to quantify the relationship between IPL and chronic dry eye in several clinical studies. The final conclusion theorized that the treatment gently stimulated the meibomian gland, improving the quality of secretions and successfully decreasing the presence of telangiectasia.
Heating the Dryness Out
IPL therapy for dry eye is an effective outpatient treatment. Dr. Chu first cleans the face and places shields on both eyes to protect the lids and lashes. A cooling gel is applied to the eye area skin. Then, Dr. Chu passes the IPL handheld device across the skin, allowing the pulse of energy to heat the meibomian glands. The treatment also seals the delicate blood vessels at the lid.
“One of the pleasant side effects of this procedure is younger, healthier looking skin,” says Dr. Chu. “ It’s an element patients like that, besides improving their comfort and vision, can improve the look of their skin.”
The complete procedure typically lasts less than 15 minutes. Patients receive one treatment every month for four months. Typically, maintenance treatments are needed annually or semi-annually. Results can be seen after the initial treatment and can increase after each session.