Start with a dry-eye evaluation
See how tear-film, eyelid, and gland findings guide the treatment plan.
Treatment depends on whether dryness comes from tear quantity, gland dysfunction, eyelid inflammation, or more than one cause. A dry-eye evaluation guides the choice of home care, prescription therapy, or in-office treatment.

Your surgeon: Dr. Shehzad Batliwala, DO, MGM · Board-Certified Ophthalmologist
None of these are deal-breakers, they're reasons to look at the alternatives. We'll tell you straight at consultation.
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Dry eye can come from low tear production, poor tear quality, eyelid inflammation, meibomian gland dysfunction (MGD), blepharitis, contact-lens wear, screen-heavy work, medication effects, or systemic disease. Treating every case with the same bottle of drops misses the point.
Your plan may include preservative-free lubricating drops, prescription anti-inflammatory therapy, lid hygiene, warm compresses, omega-3 discussion, meibomian gland support, IPL Eye Treatment, blepharitis treatment, or referral coordination when a systemic condition is contributing.
Dry eye isn't one condition, so it isn't one treatment. Instead of starting with a bottle of drops, we work the problem in a deliberate order - find the cause, then treat it at the source.
A focused dry-eye evaluation looks at how much tear you produce, how quickly it evaporates, the health of your meibomian (oil) glands, and any eyelid inflammation or surface damage. The goal is to identify which mechanism is actually causing your symptoms - because that determines everything that follows.
Based on the cause, your plan may combine preservative-free lubricants, prescription anti-inflammatory drops, lid hygiene and warm compresses, omega-3 support, or meibomian gland therapy. Each piece targets a specific part of the tear film rather than masking symptoms.
When drops and home care aren't enough - often when meibomian gland dysfunction or ocular rosacea is the driver - in-office treatments such as IPL can address the inflammation at the eyelid margin directly, restoring healthier oil-gland function.
Dry eye is chronic, so we don't treat it once and walk away. We measure your response across follow-ups and adjust the plan - and if you're preparing for LASIK, SMILE, or cataract surgery, we stabilize the surface first so your measurements and healing aren't compromised.

We examine the ocular surface, eyelids, tear film, and meibomian glands to identify whether your issue is tear quantity, quality, inflammation, or a combination.

Treatment is shaped around the findings: drops when they help, lid hygiene when the lids are driving symptoms, in-office treatment when gland dysfunction is the source.

Most plans include a simple home rhythm that helps the gains from in-office treatment last longer.

Dry eye changes over time. We monitor symptoms and exam findings, then adjust if you need more support or maintenance therapy.

We identify whether symptoms are driven by tear production, tear quality, gland dysfunction, inflammation, or eyelid disease, then build the plan.

Lubricating drops help symptoms; chronic dry eye usually needs a structured plan that supports the tear film at the source.

When meibomian gland dysfunction or ocular rosacea is the driver, IPL Eye Treatment may be part of the plan.

A stable tear film matters before LASIK, SMILE, cataract surgery, and lens replacement. We treat dry eye first so measurements and healing aren't compromised.
See how tear-film, eyelid, and gland findings guide the treatment plan.

Dr. Shehz is a double board-certified vision correction surgeon who completed ophthalmology residency at Dean McGee Eye Institute and pursued advanced refractive training. He performs every surgery at Visionary Eye personally and leads the diagnostic plan used to decide whether a procedure is appropriate.
5.0 Google rating from 92 reviewsCost, coverage, and payment options depend on the procedure and your plan. We review the estimate before treatment. Our Affordability page explains financing and payment options.
We don't sell session packages you might not need. Your plan is built around what your eyes actually require - nothing more. Cash, FSA/HSA, or 0% APR financing all work.
What patients say
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Picking the right procedure is a diagnosis question, not a marketing one. If your eyes are better served by a different path, we'll tell you.
Care takes place at our Plano office. See the drive and visit details from your city, then confirm your consultation, driver, and follow-up plan with our team before choosing a surgery date.
All DFW visit guidesExplore cost, recovery, and candidacy at your own pace.
Compare evaporative and aqueous-deficient dry eye, the tests that separate tear quality from tear quantity, and why many patients have a mixed pattern.
Read articleLearn why dry eyes can produce excessive watering, how meibomian gland dysfunction destabilizes tears, and when allergy, blockage, infection, or another cause should be checked.
Read articleLearn how lash collarettes, lid-margin findings, and gland imaging help distinguish Demodex blepharitis, MGD, and other causes of eyelid inflammation.
Read articleGlasses on the nightstand. Contacts fighting you at the gym. The menu blurring at dinner. You don't have to live with it. Come find out what's possible for your eyes.