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    The pros and cons of the latest dry eye technology

    New Orleans—Over the last few years, there have been several advancements in ocular surface disease diagnostic and treatment technology. Not sure which ones are right for your practice? Milton Hom, OD, FAAO, and Ben Gaddie, OD, FAAO, shared their advice on the latest and greatest dry eye tools at the American Academy of Optometry 2015 meeting in New Orleans.

    Related: Diagnosing and treating dry eye with technology

    Dr. Hom says that industry meetings give ODs the opportunity to discuss their experiences with the latest technologies and treatments.

    “There seems to be a gap of when to use these technologies, how to use these technologies—should we use these technologies on every patient? The thing is that we don’t know the answer,” says Dr. Hom. “My hope is that we can help narrow that gap and shine some light on how to proceed.”

    Keratograph 5m

    The Keratograph 5M from Oculus is a corneal topographer that can conduct a variety of dry eye tests, including non-invasive tear break-up time.

    “It gives you a nice map of what’s happening in terms of break-up—how long it breaks up, the average break-up time, and everything like that,” says Dr. Hom. “And for a patient, showing him these things is very, very impressive.”

    He says also credits the device with bringing meibography to the masses.

    “This is really important because patients don’t really understand why they need meibomian glands or what the purpose of them is—it really is a turning point for them to understand why they’re having symptoms,” says Dr. Gaddie.

    One problem is that the patient has to keep his eye open for a long time, which may be a struggle for someone suffering from dry eye.



    • Unlimited uses

    • Run by techs

    • Costs about $20,000

    • Non-invasive



    • Evolving norms

    • Time consuming (“You could spend an hour doing all the tests, if you wanted to,” says Dr. Hom.)

    • Not covered by insurance

    Next: LipiFlow

    Colleen E. McCarthy
    Colleen McCarthy is a freelance writer based in the Cleveland area and a former editor of Optometry Times. She is a 2010 graduate of the ...


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