Dry Eye Treatment

Fargo Dry
Eye Center

Complete dry eye disease management. In many dry eye cases, the problem is not a shortage of tears but a shortage of oil in your tear film. Small glands in your eyelids produce the oily layer that stops tears evaporating. When those glands block up, tears evaporate within seconds of blinking.

  • We diagnose which tear layer is failing
  • Treatment targets the cause, not just symptoms
  • In-office Envision by InMode treatment
  • Dedicated specialty dry eye clinic
Eyes on 45th dry eye treatment center
Comparison showing an irritated dry eye

Dry Eye Symptoms

What dry eye
actually feels like

Dry eye doesn’t always feel like “dry.” Many patients come in with symptoms they never connected to their tear film.

When these glands become clogged or dysfunctional, the watery part of your tears evaporates far too quickly. This leaves the surface of the eye exposed, leading to inflammation, irritation, and the symptoms of dry eye disease.

  • Excessive tearing: the reflex response to inadequate tear quality
  • Burning or grittiness
  • Dandruff or flaking around the eyelids
  • Sore, red, inflamed eyes & lids
  • Eyelids that are difficult to open in the morning
  • Reduced contact lens wear time
  • Light sensitivity
  • Inconsistent vision throughout the day
Person experiencing eye discomfort

The Science

Why it happens

Your tears are made of three distinct layers: water, mucin/protein and a crucial outer layer of oil, produced by the lid meibomian glands.

How Your Tear Film Works

That is why drops help for a few minutes and then stop working: they replace the water, not the oil. We diagnose which part of your tear film is failing, then treat that specific cause.

Dry Eye Risk Factors

  • Ageing
  • Meibomian gland dysfunction
  • Medications
  • Increased screen time
  • Underlying medical conditions
  • Environment, wind, dry air, allergens & pollution
  1. 1

    Drops and lid care

    Good-quality artificial tears and daily hygiene to manage mild symptoms.

  2. 2

    Prescription & Non RX therapies

    Medicated eye drops designed to reduce inflammation and naturally increase tear production. Oral supplements, hot packs, & lid scrubs.

  3. 4

    Gland expression

    Once the oil has been warmed and softened, we express the glands manually to clear the blockage and let the oil flow again.

  4. 5

    RX Punctal plugs

    A punctal plug is a small injectable hydro gel product placed in the tear drain at the inner corner of the eye to increase tear volume.

Dry Eye Treatment

How we treat dry
eye symptoms

We find out which part of the tear film is failing before treating it. Options run from lid hygiene and prescription drops through to in-office treatment with Envision by InMode, and punctal plugs to keep the tears you produce on the eye for longer.

Person managing dry eye symptoms while using a computer

Envision by InMode

Envision by InMode is an in-office, three-stage treatment for dry eye disease caused by inflammation and blocked oil glands. Heavenly brings over 20 years of experience in surgical and medical eye care to the team that supports these treatments.

What to know

  • Three coordinated treatment stages
  • Forma-i heat followed by gland expression
  • Lumecca-i Intense Pulsed Light (IPL)
  • For inflammatory and gland-related dry eye
Forma-i radiofrequency treatment handpiece

Stage 1:
Radiofrequency
heat with Forma-i

Forma-i applies gentle radiofrequency heat to the upper and lower lids. That warmth softens the hardened oil blocking the meibomian glands so it can be removed during the next stage.

Forma-i heats the lid area to 43°C: warm enough to soften hardened oil in the glands, and gentle enough that most patients find it comfortable. It is FDA-cleared, takes under 30 minutes, needs no drops or downtime, and is safe on all skin tones.

The controlled heat also stimulates collagen and can tighten the skin around the lids while the glands are being prepared for expression.

Stage 2: Gland
expression

Heating softens the thickened oil, but it does not reliably remove the blockage by itself. The softened oil must be physically expressed from the meibomian glands so they can begin releasing healthier oil into the tear film.

A trained technician uses a gland-expression tool along the lid margin to apply controlled pressure and clear the softened material. This step helps restore the oily layer that slows tear evaporation.

Lumecca-i intense pulsed light handpiece

Stage 3: Intense
Pulsed Light (IPL)
with Lumecca-i

Lumecca-i uses Intense Pulsed Light (IPL) around the eye area to target inflamed blood vessels along the lid margin that can contribute to clogged glands. This helps calm inflammation involved in inflammatory and gland-related dry eye. It does not treat every cause or form of dry eye.

Lumecca-i also reduces bacterial growth along the lid margin. By addressing these inflammatory triggers after the glands have been cleared, this stage helps reduce recurrence of gland-related blockages; it cannot guarantee that every recurrence will be prevented. The same technology is approved for treatment on the face, neck, and backs of the hands. Response and timing vary from person to person.

The treatment experience

Envision sessions are performed in-office. Here’s what to expect:

  1. 1

    Quick, in-office procedure

    Treatments typically take less than 30 minutes from start to finish.

  2. 2

    No drops or downtime

    You won't need numbing drops, medications, or any recovery time after a session.

  3. 3

    Designed for all skin tones

    The FDA-cleared technology can be used across all skin tones after a dry eye evaluation.

  4. 4

    Results reviewed with you

    Your response is reviewed over the course of treatment so the plan can be adjusted when needed.

Home Care

What you can do at home

These steps can help, and they work better alongside professional treatment, not instead of it.

  • Use a warm compress
  • Clean your eyelids twice a day
  • Add more omega-3 to your diet
  • Choose preservative-free drops rather than “get the red out” drops
  • Take breaks from screens
  • Blink more often when reading or using a screen
  • Drink more water
  • Wear sunglasses outdoors
  • Use an eye ointment at night
  • Run a humidifier in dry rooms
  • Consider vitamin A, B12, and D

Frequently Asked Questions

What are common symptoms of dry eye?

Dry eye may cause burning, grittiness, redness, fluctuating vision, light sensitivity, or watery eyes. Similar symptoms can have other causes, so an eye care professional can help assess them.

What happens during a dry eye evaluation?

Your clinician may discuss your symptoms and health history and examine your tear film, eyelids, and eye surface. Testing is selected based on your needs; appointment length varies, and the clinic can confirm when you schedule.

Should I wear my contact lenses to my appointment?

Bring your lenses and their packaging or prescription details. Whether you should wear them beforehand depends on the evaluation, so ask the clinic when booking.

Can over-the-counter drops help dry eye?

Artificial tears may ease some mild symptoms, but the right option depends on the cause and frequency of symptoms. Avoid “get the red out” drops unless a clinician recommends them, and seek advice if symptoms persist.

Does insurance cover dry eye testing or treatment?

Coverage varies by plan, test, and treatment. Contact your insurer and the clinic; the clinic can confirm which services may be billed and any expected costs.

When should I follow up about dry eye treatment?

Follow-up timing depends on your symptoms and treatment plan; your clinician will recommend when to return. Sudden vision changes or significant eye pain need prompt medical evaluation.

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