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Dry Eye Center

TearCare Eyelid Thermal Treatment

TearCare is an in-office treatment for meibomian gland dysfunction that uses thin, flexible heating strips applied to the outside of the upper and lower eyelids. They warm the lids to a controlled temperature for fifteen minutes while the eyes stay open and blink naturally, which helps the melted oil move toward the gland openings; the clinician then expresses each gland by hand at the slit lamp. It is one of several thermal treatments for meibomian gland dysfunction; the evaluation determines which is right for you and whether it is offered at our offices.

Medically reviewed by Dr. Bavand Youssefzadeh, DO

Treats
Meibomian gland dysfunction
Session
15 minutes of heat, then manual expression
Eyes
Open and blinking during heating
Improvement
Over 2 to 6 weeks; repeated roughly yearly

How TearCare works

Single-use flexible strips with an embedded heating element adhere to the skin of the upper and lower lids and are connected to a small controller that holds them at a therapeutic temperature for fifteen minutes. Because nothing covers the eye, the patient blinks normally throughout, and each blink applies natural pressure to the warmed glands. After the heating phase, the clinician uses a purpose-made instrument at the slit lamp to express the softened oil from each gland, clearing the blockages while seeing exactly what comes out.

What the treatment is like

The strips feel like a warm compress that stays warm. You can sit back with your eyes open or closed. The expression stage, after numbing drops, involves gentle pressure along each lid margin and takes a few minutes; it is the part patients notice most and is well tolerated. There is no downtime, and mild lid tenderness settles within a day.

Results and maintenance

Glands resume secreting over the following weeks, with most patients reporting improvement by four to six weeks. Published studies report that TearCare improves gland function, tear break-up time and symptoms, with effect often lasting several months or longer, after which a repeat session can maintain it. Home care between treatments prolongs the benefit.

Choosing between thermal treatments

TearCare, LipiFlow and radiofrequency all address the same problem in different ways. TearCare suits patients who prefer open-eye treatment, whose lid anatomy makes an inner-lid device less comfortable, or whose glands the clinician wants to express directly under the microscope. The evaluation determines which approach is right for your glands and whether it is offered at our offices, and the choice is explained.

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.

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Frequently Asked Questions

The heating phase is pleasant. The manual expression, done with numbing drops, involves firm pressure on the lids for a few minutes and is tolerated well by most patients.

Compresses rarely reach or hold the temperature needed to melt thickened oil, and they do not include expression. TearCare does both under control. Compresses remain useful for maintenance afterward.

Generally not. If it is recommended and offered, the cost is quoted in writing at the evaluation, and FSA and HSA funds can generally be used; our team can confirm your coverage.

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