Dry Eye Treatment · Monroe Township, NJ
Relief that
actually lasts.
Burning, gritty, watery, irritated eyes aren't something to just live with. Dr. Miglani finds the real cause of your dry eye disease and treats it — not just the symptoms.
Sound familiar?
The everyday symptoms of dry eye.
Video Library
Dry eye, explained simply.
Short videos covering the treatments and questions patients ask most.
Dry Eye Explained
What's actually happening to your eyes.
Dry eye disease happens when your eyes don’t produce enough tears, or produce tears of poor quality that evaporate too fast. Either way, your eyes lose the stable layer of moisture they need to feel comfortable and see clearly.
It’s one of the most common reasons people visit an eye doctor — and one of the most under-treated, because most people try to manage it themselves with drops from the pharmacy long before finding the real cause.
- Meibomian gland dysfunction — the tiny glands in your eyelids that produce the oil layer of your tears become blocked or underperform.
- Screen time — reduced blink rate during prolonged phone, computer, and tablet use.
- Environment — dry, heated indoor air, wind, and seasonal allergens.
- Contact lens wear — daily lens use can disrupt the natural tear film over time.
- Age and hormonal changes — tear production naturally declines with age, more so after menopause.
- Certain medications — antihistamines, blood pressure medications, and antidepressants can reduce tear production.
Over-the-counter drops add moisture back to the eye, but they don’t address why your eyes stopped producing enough good-quality tears in the first place — so the relief is temporary, and symptoms come right back.
That’s why a proper dry eye evaluation starts with a workup: checking your tear film, oil gland function, and blink pattern, and identifying which of the several underlying causes is driving your symptoms. Only then can we build a treatment plan that actually resolves the problem, not just masks it for a few hours.
Dry Eye Treatments We Offer
A treatment plan built around your cause.
Once we know what's driving your dry eye, we match you to the treatments that actually address it.
IPL (Intense Pulsed Light) Therapy
Light-based treatment that reduces inflammation and clears blocked meibomian glands at the root.
LipiFlow
A gentle in-office device that applies heat and pressure to unclog oil glands and restore natural tear flow.
In-office gland expression
Clears blocked meibomian glands to restore the oil layer of your tears.
Prescription dry eye drops
Anti-inflammatory drops that treat the underlying cause, not just symptoms.
Punctal plugs
Small, painless inserts that keep your natural tears on the eye longer.
Warm compress therapy
A simple in-office or at-home routine to loosen blocked oil glands.
Nutritional & lifestyle guidance
Diet, screen habits, and environment changes that support tear production.
Is dry eye a permanent condition?
How long until I feel relief?
Do I need a referral to be seen?
Will insurance cover my treatment?
Dr. Shefali Miglani is an Optometric Physician with over 20 years of private practice experience, dedicated to finding the real cause of dry eye disease — not just prescribing another bottle of drops.