Ocular surface · 6 min read

Desert dry eye is real — here's how to treat it like it is.

Las Vegas has one of the harshest evaporative-stress environments in the U.S. for the tear film. Most local dry-eye care is still "drops and good luck." Ours won't be.

This is a working draft. The full article will publish at opening — a brief preview below.

The Vegas climate, in numbers

Relative humidity averages 15–30% across the year. Outdoor temperatures spike past 105°F for stretches of summer. Daily UV index sits in "very high" or "extreme" for most of April through October. That's a combination that drives tear-film evaporation, meibomian gland dysfunction, and surface inflammation faster than virtually any other major U.S. metro.

Drops alone don't fix this

Artificial tears are symptomatic relief. They're not a treatment plan. A real dry-eye workup separates aqueous-deficient dry eye from evaporative dry eye, identifies meibomian gland dropout, and matches a treatment plan to the underlying mechanism.

What a proper workup looks like

  • Patient questionnaire (OSDI / SPEED)
  • Tear break-up time (TBUT)
  • Meibography on indication
  • Osmolarity testing where clinically warranted
  • Lid margin and gland expression evaluation
  • Corneal staining with fluorescein / lissamine green

Full article publishes at opening. If you're struggling with dry eye now, get on the waitlist — we'll prioritize dry-eye consults in our first weeks.

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