Dr. Fishman has dedicated his research and clinical practice to working with patients with mild-to-severe dry eye disease. Dr. Fishman offers both in-office and video consultations (for California and international residents) on managing dry eye disease.
What many don't realize about dry eyes is that it is a disease and can stay with you for years to decades, slowly impinging on your life. Moreover, dry eyes can be a sign of other diseases including autoimmune disease, endocrine disorders, and gastrointestinal disorders. For some patients, severe dry eye disease is part of a pain syndrome that involves more than just the eye. As such, Dr. Fishman performs a holistic evaluation and treats dry eye disease using not only classic dry eye therapies, but also therapies "borrowed" from Neurology, Otolaryngology and Dermatology.
Dr. Fishman has a special interest in treating the ongoing symptoms of dry eye and is running 2 clinical trials involving dry eye disease. One investigation involves light sensitivity and photophobia and the other clinical trial deals with a novel method to measure gene expression in dry eye patients.
Dry eye disease is often multifactorial and demands a highly individualized approach. Dr. Fishman will spend a tremendous amount of time to work with you to individualize a treatment plan including in-office solutions for lasting comfort. If you are a sufferer of dry eye, make a consultation appointment with Dr. Fishman and ask him which treatments are right for you.
In-depth analysis of your diet, blood work, and gut microbiome.
Start with the basics on diet and nutrition: Anti-inflammatory diet and one enriched with Omega-3 FA supplementation (speak to your doctor before starting any oral medicines).
The Endoret® (prgf®) technology for autologous eyedrops. Early studies suggest that PRGF biological therapies allow for ocular tissue repair and regeneration.
Intense Pulsed Light (IPL) followed by Manual Eyelid Expression
BlephEx is a painless in-office procedure performed by Dr. Fishman, not a technician. A BlephEx® handpiece is used to very precisely and carefully, spin a medical grade micro-sponge along the edge of your eyelids and lashes, removing scurf and debris and exfoliating your eyelids.
Miboflow followed by Manual Eyelid Expression - An in office treatment that gives a penetrating heat treatment to the glands in the eyelids.
Prokera Amniotic Membrane - a healing membrane placed directly on the eye for several days to facilitate intensive healing of hard to treat conditions.
Demodex Imaging - An eyelash removed and observed microscopically in office to determine if you have an overgrowth of demodex contributing to dry eye.
A Tea Tree lid cleanser that rids eyelids of demodex overgrowth.
Punctal Plugs - Small plugs placed in the tear drainage ducts of the eye to prevent the loss of tears.
Xiidra and Restasis - Prescription eye drops.
BostonSight Scleral Contact Lenses - A large contact lens that is placed on the eye while filled with saline, keeping the eye moist at all times. Often the last line of defense for crippling dry eye.