For adults frustrated by persistent dry-eye symptoms that over-the-counter drops never fully solve, Grapevine Vision is the optometry clinic that takes dry eye seriously and delivers sustained relief. We achieve this by screening every adult with the Ocular Surface Disease Index, listening carefully to each patient’s history, and building step-by-step therapy plans that combine prescription options, tailored home routines, and regular progress check-ins. This method turns chronic irritation into calmer, clearer vision—and the confidence that your eye comfort is finally under expert care.
What should you know about dry eye disease?
Dry eye disease (DED) is defined as “a multifactorial, symptomatic disease characterized by a loss of homeostasis of the tear film and/or ocular surface, in which tear-film instability, hyper-osmolarity, ocular-surface inflammation/damage, and neurosensory abnormalities play etiologic roles.
Symptoms of dry eye include
Redness or eyes that appear irritated and bloodshot
Consistent burning or tingling sensations in the eyes
Eyes that feel itchy or as if they have something in them
Increased sensitivity to bright lights or sunlight
Excessive tearing, or eyes that always appear watery
There are many potential causes of dry eye. In some cases, the cause is obvious, such as environmental irritants or short-term inflammation. Some of the other causes of chronic dry eye problems include:
Disease of the meibomian glands
Blepharitis
Allergies
Defects that affect the eyelid or shape of the eye
Certain medications
Abnormal eye pressure
Deficiency of aqueous fluids
What methods help us understand and manage your dry eye disease?
In every eye exam at Grapevine Vision, we incorporate a few brief metrics to understand your ocular surface:
Your ocular surface disease index is scored, which gives us an objective baseline of dryness symptoms and helps us track your progress over time.
We estimate your daily screen hours & correlate exposure to symptom severity to help shape our lifestyle coaching.
Evaluating your tear break-up time reveals whether evaporation – not tear volume – is driving discomfort and we explore methods to reduce this.
We also review your medication list – some medications cause decreased tear production, decreased blink rate, or destabilized hormones important for gland function. This information can broaden our understanding of your symptoms.
With these datapoints, we personalize a plan to manage your symptoms. Some of the typical treatments include OTC hydration therapy, prescription eye drops to combat inflammation, preserving oil gland function and ensuring proper eyelid hygiene. For moderate-severe or neuropathic disease, we consider incorporating oral antibiotics, serum tears, non-aqueous ocular lubricants, scleral lenses, amniotic membranes or neuromodulators.
