Dry Eye Syndrome

Ocular Surface Disease

Keratoconjunctivitis sicca (KCS) or ocular surface disease (OSD) has become one of the most prevalent issues within any eye care practice around the world. Hundreds of world renown experts have studied, defined and written thousands of articles about multiple aspects of OSD. Simply defined, OSD is an imbalance in tears. The reasons for the imbalance or tear dysfunction can be many.

Dr. Shenouda and the incredible team at Signature Ophthalmology understand that preparing the ocular surface for any eye treatment is important since an imbalance in your tear film can impact the results of your eye treatment. Understanding your journey in how you use your eyes is important so that we are able to address both symptoms and signs that can help you achieve optimal results.

Identify – Diagnose – Treat

You can get started today by knowing your SPEED Score!  The Standardized Patient Evaluation of Eye Dryness (SPEED) Questionnaire gives us at lease 1 measure of how your eyes feel.

Next, we will evaluate multiple areas in and around the eyes that can give us a detailed analysis of your vision, eyes, eyelids, eyelashes, cornea and many other areas. Below is a short list of some of the diagnostic testing and evaluation we look at:



  • Tear Breakup Time
  • Tear Meniscus Height
  • Superficial Punctate Keratitis
  • Tear Evaporation
  • Damage

Treatments may include:

Eyelids & Eyelashes

  • Intense Pulsed Light (IPL) for Dry Eyes
  • iLux
  • Blephex
  • Chalazion Surgery
  • Punctal Plugs


  • Prescription Medication (Restasis, Xiidra etc…)
  • Conjunctivochalasis Surgery
  • Amniotic Membrane

At-Home Therapy

  • Moist Heat Compresses
  • Sleep Masks
  • Eyelid Scrubs
  • Artificial Tears

Based on these findings we can provide you a roadmap to relief and recovery on your dry eye journey.

Step 1 of 2

Dry Eye Appointment Request