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Happen to find this. Maybe someone find it useful. Dr Periman is in Seattle.
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Ocular Surgery News U.S. Edition, July 25, 2017 Darrell E. White, MD
The state of dry eye care, part 2
Current treatment of dry eye consists of addressing the health of meibomian glands and
addressing the presence of inflammation.
''Dr Laura Periman (from WA) describes the mechanism of action of IPL as a combination of five elements.
The light intensity itself is anti-inflammatory. Targeting oxyhemoglobin, there is a thrombolytic destruction of telangiectatic blood vessels. Bacterial counts are dramatically lowered by the well-known antiseptic effect of UV light.
Less well understood but equally important is an increase in mitochondrial output in meibomian gland cells and a type of collagen remodeling in the surrounding tissues. It is this (embarrassingly oversimplified) constellation that produces healthier glands and normalizes many tear film characteristics.
No one has done more to develop and promote IPL than Rolando Toyos. Working with Lumenis, he has spearheaded the development of a device that can easily be used in the office (note that in some states only an MD or DO can do the treatment).
The initial program is four treatments lasting 15 minutes each and separated by 3 to 4 weeks.
Depending on the early effects and the severity of the disease, IPL is then repeated at regular intervals.
Cynthia Matossian shares that she likes to have her patients on a three to four per year schedule, and she just works the treatments into her daily clinic schedule.
Dr. Periman often uses IPL after LipiFlow to enhance and extend its effect.
unquote --- from https://www.healio.com
Happen to find this. Maybe someone find it useful. Dr Periman is in Seattle.
Quote
Ocular Surgery News U.S. Edition, July 25, 2017 Darrell E. White, MD
The state of dry eye care, part 2
Current treatment of dry eye consists of addressing the health of meibomian glands and
addressing the presence of inflammation.
''Dr Laura Periman (from WA) describes the mechanism of action of IPL as a combination of five elements.
The light intensity itself is anti-inflammatory. Targeting oxyhemoglobin, there is a thrombolytic destruction of telangiectatic blood vessels. Bacterial counts are dramatically lowered by the well-known antiseptic effect of UV light.
Less well understood but equally important is an increase in mitochondrial output in meibomian gland cells and a type of collagen remodeling in the surrounding tissues. It is this (embarrassingly oversimplified) constellation that produces healthier glands and normalizes many tear film characteristics.
No one has done more to develop and promote IPL than Rolando Toyos. Working with Lumenis, he has spearheaded the development of a device that can easily be used in the office (note that in some states only an MD or DO can do the treatment).
The initial program is four treatments lasting 15 minutes each and separated by 3 to 4 weeks.
Depending on the early effects and the severity of the disease, IPL is then repeated at regular intervals.
Cynthia Matossian shares that she likes to have her patients on a three to four per year schedule, and she just works the treatments into her daily clinic schedule.
Dr. Periman often uses IPL after LipiFlow to enhance and extend its effect.
unquote --- from https://www.healio.com