How IPL works on the eye
IPL was developed in dermatology for rosacea and vascular skin conditions. The observation that treated patients' dry eye improved led to its adaptation for the eyelids. The light is absorbed by hemoglobin in the small abnormal vessels of rosacea, heating and closing them, which cuts off the supply of inflammatory mediators to the lid margin and the glands. The pulses also warm the meibomian glands, thin their contents, and appear to reduce the demodex mites and bacteria that colonize inflamed lids. The combination calms the lid margin and lets the glands function.
The treatment
Protective shields are placed over the eyes and a cooling gel is applied to the skin below them. The handpiece delivers a series of pulses across the cheeks, nose and lower lids, felt as a brief warm snap. Each eye takes a few minutes, and the glands are usually expressed at the slit lamp immediately afterward while they are warm. The skin may be slightly pink for an hour. Sun protection is used for a few days, and the treatment is not suitable for very dark skin types or recently tanned skin, because of the light's absorption by melanin.
Results
Improvement is cumulative across the course. Published studies in rosacea-related MGD report improved gland secretion, longer tear break-up time and reduced symptoms in many patients after a course of sessions, with benefit maintained by a session every six to twelve months. Many patients also notice an improvement in their facial rosacea. IPL is often combined with a thermal gland treatment and with anti-inflammatory drops for the best result.
Who it suits, and who it does not
Patients with rosacea, visible telangiectasia at the lid margins, or evaluation findings of inflammatory MGD are the best candidates. IPL is not used in patients with dark or tanned skin, on medications that cause photosensitivity, or with active skin infection near the eyes. The evaluation determines whether IPL is right for you and whether it is offered at our offices.
Is this right for your eyes?
Nothing on this page is a diagnosis. Whether this is the right choice for you is decided by a full examination at one of our 4 offices: Pasadena, Huntington Beach, Woodland Hills and Beverly Hills.
About this content: This page was written with the assistance of AI tools and reviewed for medical accuracy by Dr. Bavand Youssefzadeh, DO. It is general information, not medical advice, and does not replace an eye examination. Individual results vary. Read our medical disclaimer.
