TearCare
TearCare for dry eye and blocked oil glands.
TearCare is an in-office dry eye treatment for meibomian gland dysfunction (MGD). Soft, flexible patches are placed on the outside of your eyelids and deliver steady, controlled heat that melts the thickened oil in blocked glands. Right after, your doctor clears the glands by hand so healthy oil can flow again.
You can keep your eyes open and blink normally during treatment. The heating portion takes about 15 minutes, and most people go right back to their day.
Who TearCare is for
- Evaporative dry eye from blocked oil glands (MGD)
- Burning, gritty or tired eyes that don’t improve with artificial tears and warm compresses
- Repeat styes and chalazia
- Contact lens wearers whose lenses get uncomfortable
- Patients preparing for cataract surgery or LASIK whose tear film needs improving
What to expect
- We confirm MGD with an exam, tear breakup time and, at East Lake, meibography
- The TearCare patches are placed on your upper and lower eyelids
- About 15 minutes of gentle heat while you relax with your eyes open
- Your doctor expresses the glands at the slit lamp
- A home care plan and a follow-up visit to check your glands
What the research shows
In the SAHARA randomized trial, published in 2023, a single TearCare treatment improved dry eye signs and symptoms, with results comparable to six months of twice-daily cyclosporine drops (Restasis). Results vary, and many patients combine TearCare with lid hygiene and prescription drops.
How often
Many patients notice relief after one treatment. Because MGD is long-term, some patients repeat TearCare periodically. We’ll recommend a schedule based on how your glands respond.
Common questions
What is TearCare?
TearCare is an in-office dry eye treatment. Flexible patches warm the eyelids to melt blocked oil in the meibomian glands, and your doctor then clears the glands by hand.
Does TearCare hurt?
Most patients find the heat soothing. Gland expression can feel like pressure for a moment. Your eyes stay open and you can blink normally.
How long does TearCare last?
Many patients feel relief for months. MGD is long-term, so some patients repeat treatment, and home care helps it last.
Is TearCare covered by insurance?
TearCare may not be covered by insurance. We’ll explain the cost before treatment. HSA and FSA cards are accepted.
TearCare or Restasis?
They work in different ways. TearCare clears blocked oil glands; cyclosporine drops like Restasis reduce inflammation. Many patients do best with a combination, and we’ll recommend what fits your exam.
More answers are in our Patient FAQ.
Medically reviewed by Dr. Christopher Tumolo, O.D., L.D.O. · Last reviewed
Sources
- Ayres BD, et al. A randomized, controlled trial comparing TearCare and cyclosporine ophthalmic emulsion for dry eye (SAHARA). Clin Ophthalmol. 2023
- Nichols KK, et al. The international workshop on meibomian gland dysfunction: executive summary. IOVS. 2011
- Craig JP, et al. TFOS DEWS II Report Executive Summary. Ocul Surf. 2017
This page is general education, not a diagnosis. Same-day appointments are available during office hours.
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