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Sightline Optometry

Dry-eye assessment · $150 · 45 min

Dry eye is a mechanism, not a life sentence or a sales funnel.

Burning, watering, gritty mornings, blur that comes and goes by late afternoon. It's one of the most common eye conditions, and one of the most under-treated. It's also one of the easiest to oversell. Here's how we run the clinic so you get real care without the sales pitch.

The method

Measure. Start small. Re-measure.

  1. Measure first

    Imaging of your oil glands, tear-film timing, and a standard symptom questionnaire, so treatment targets what is actually going on.

  2. Start conservative

    Nearly everyone begins with the foundation plan. In-clinic treatment is added only for the gland patterns it clearly helps.

  3. Re-measure, then decide

    Follow-up imaging shows whether things are moving. Treatment that isn’t working gets stopped, not extended.

The clinic is led by Dr. Maya Krishnan, OD. Dry-eye assessments book into her days, and your follow-up imaging is compared side by side with your first scans, on screen, with you.

Dr. Maya Krishnan examining a patient's eye up close with an exam instrument
Dr. Krishnan leads every assessment: your glands first, then your symptoms.

Treatments + realistic expectations

What each treatment costs, and what it honestly does.

Foundation plan: lid care + home therapy

included with assessment

A written routine: heat, lid cleaning, blinking habits, changes at home and work, and drop guidance matched to your tear-film results.

Expect this Most patients start here, and many never need more. It costs discipline, not money. We’d rather it work than sell you a machine.

In-clinic thermal expression

$195 / session

Controlled heat to melt blocked oil in the eyelid glands, followed by gentle manual clearing of the glands.

Expect this Relief usually lasts months, not forever. One or two sessions a year is a common rhythm. If imaging shows your glands are largely gone, we’ll show you and explain why this won’t help much.

IPL: intense pulsed light series

$175 / session · typical course of 4

Light pulses along the lower lids and cheeks to calm inflammation and help the glands work, over 8 to 12 weeks.

Expect this Good evidence for gland dysfunction, especially with rosacea. It helps many patients, not all, and it manages the condition rather than curing it. We re-check after session two and stop if you’re not responding. Most insurance plans don’t cover it, and we say that upfront too.

The standing rule of this clinic: treatment that isn’t measurably working gets stopped, not extended. Nobody here is paid by the session.

Sound familiar?

The assessment is worth it if…

  • Your eyes burn or feel gritty by mid-afternoon, most days
  • You’ve cycled through three drugstore drops and none of them hold
  • Your vision blurs, then clears when you blink hard
  • Contacts that used to be fine now feel like sandpaper by dinner
  • Your eyes water constantly, which (oddly enough) is often dry eye

And the honest counterpoint: if your symptoms are mild and occasional, a good preservative-free drop and screen-break habits may be all you need. We’ll tell you that at a regular comprehensive exam without charging you for a dry-eye workup.

Next available this week

Book the assessment. Keep your skepticism.

A dry-eye assessment with Dr. Krishnan is $150, includes gland imaging, and ends with a written plan. For many patients, that plan costs nothing more to follow.

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