Assessing and measuring dry eye and defining its cause is integral to finding the correct solution. Many people have tried multiple treatments with little success and may have be suffering with symptoms for years. Our clinic is one of the few that can measure tear quality as well as production to help delineate the best treatments. Medical treatments and innovative interventions include cleaning of the eyelid glands (Meibomian gland blepharotomy), IPL or Intense Pulsed Light treatment to orbital area to improve tear production. Other adjucts include eyelid procedures such as permanent punctual occlusion, permanent and temporary lateral tarsorrhaphy, and lid tightening for loose eyelid adherence (Floppy Eyelid Syndrome).