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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 — and most under-treated — eye conditions. It's also one of the easiest to oversell. Here's how we run the clinic so you get the first without the second.

The method

Measure. Start small. Re-measure.

  1. Measure first

    Meibography imaging of your oil glands, tear-film breakup timing, and a validated symptom questionnaire — so treatment targets your actual mechanism.

  2. Start conservative

    Nearly everyone begins with the foundation plan. In-clinic treatment is added for the gland patterns it demonstrably 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 baseline, on screen, with you.

An optometrist examining a patient's tear film and eyelid glands at the slit lamp
Slit-lamp + meibography: the assessment looks at your glands, not just your symptoms.

Treatments + realistic expectations

What each treatment costs — and what it honestly does.

Foundation plan — lid hygiene + home therapy

included with assessment

A written routine: heat, lid cleaning, blinking habits, environment changes, and drop guidance matched to your tear-film findings.

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

In-clinic thermal expression

$195 / session

Controlled heat to melt blocked meibomian-gland oil, followed by manual expression of the glands.

Expect this Relief typically lasts months, not forever — one to two sessions a year is a common rhythm. If your glands are largely atrophied on imaging, 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 improve gland function, over 8–12 weeks.

Expect this Good evidence for meibomian-gland dysfunction, especially with rosacea — but it helps many patients, not all, and it manages the condition rather than curing it. We re-assess after session two and stop if you’re not responding. Most insurance plans don’t cover it; we’ll 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, counterintuitively, 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 — which for many patients costs nothing further to follow.

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