Almaty, Astana, Shymkent

Dry Eye Disease Treatment

from 6.600 ₸
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About the service

Dry eye treatment is tailored to the cause of tear-film dysfunction and the condition of the eyelids. Examination guides a care plan whose effect is reviewed at follow-up visits.

Who the service is for

Dryness and the ocular surface

Patients with burning, grittiness, dryness or episodic tearing, especially symptoms that worsen in the evening, during reading or screen work. Patients after refractive or other ophthalmic surgery when ocular-surface dryness persists or interferes with recovery.

Fluctuating vision

People with fluctuating or blurry vision that temporarily clears after blinking when no other obvious cause explains the symptom.

Meibomian-gland function

Patients with meibomian gland dysfunction, chronic blepharitis, obstructed gland orifices or a strong evaporative component.

Allergies and tolerance

Contact-lens users who develop lens intolerance, dryness, redness or shorter comfortable wear time.

Limitations and safety

There is no single contraindication list because the service includes several diagnostic and therapeutic options.

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Stages

Stage 1

History and risk assessment.

The clinician reviews symptoms, screen exposure, contact lenses, medication, previous surgery and systemic disease.

History and risk assessment

Service benefits

Relief from irritation

Selected treatment can reduce burning, grittiness and discomfort associated with tear film dysfunction.

Supporting the corneal surface

Lubrication and inflammation treatment help protect the ocular surface from dryness-related damage.

Stabilising the tear film

Treatment is selected for the dryness mechanism to improve lubrication and reduce excessive tear evaporation when present.

Greater visual comfort

Reducing dryness can make screen use more comfortable and reduce fluctuating blur caused by unstable tears.

Methods comparison · 1

Clinical subtype
Evaporative DED / meibomian gland dysfunction
Aqueous-deficient DED
Mixed DED
Exposure / eyelid-related disease
Symptoms exceed objective signs
What happens
The tear-film lipid component is insufficiently stable and tears evaporate too rapidly.
The lacrimal glands produce an insufficient volume of the aqueous component.
Excessive evaporation and reduced aqueous production coexist.
The ocular surface is insufficiently protected because the eyelids do not close or position normally.
Pain or discomfort may include altered corneal sensation or a neuropathic component.
Decision points
Lid margin, gland openings and secretion, and tear-film stability.
Tear production, ocular-surface findings, medication, systemic and autoimmune factors.
Signs of both mechanisms, so treating one component gives incomplete relief.
Lagophthalmos, eyelid malposition, surgery or facial nerve dysfunction.
Marked burning or pain despite relatively limited dry-eye signs.
Main treatment direction
Lid hygiene, restoration of gland function, lipid-oriented lubrication and anti-inflammatory therapy when indicated.
Tear replacement and prescription treatment; tear-conservation procedures in selected cases.
Combination therapy with staged reassessment.
Surface protection and treatment of the cause; drops alone may be insufficient.
Broader assessment rather than endless switching of lubricants.
Evaporative DED / meibomian gland dysfunction
What happens
Decision points
Main treatment direction
The tear-film lipid component is insufficiently stable and tears evaporate too rapidly.
Lid margin, gland openings and secretion, and tear-film stability.
Lid hygiene, restoration of gland function, lipid-oriented lubrication and anti-inflammatory therapy when indicated.
The lacrimal glands produce an insufficient volume of the aqueous component.
Tear production, ocular-surface findings, medication, systemic and autoimmune factors.
Tear replacement and prescription treatment; tear-conservation procedures in selected cases.
Excessive evaporation and reduced aqueous production coexist.
Signs of both mechanisms, so treating one component gives incomplete relief.
Combination therapy with staged reassessment.
The ocular surface is insufficiently protected because the eyelids do not close or position normally.
Lagophthalmos, eyelid malposition, surgery or facial nerve dysfunction.
Surface protection and treatment of the cause; drops alone may be insufficient.
Pain or discomfort may include altered corneal sensation or a neuropathic component.
Marked burning or pain despite relatively limited dry-eye signs.
Broader assessment rather than endless switching of lubricants.

Methods comparison · 2

Method
Environmental and visual-habit changes
Lubricating eye drops
Lid hygiene / massage
Prescription anti-inflammatory / secretagogue therapy
Punctal or lacrimal outflow occlusion
Physiotherapy
Primary goal
Reduce evaporation and triggers.
Rapidly improve ocular-surface lubrication and comfort.
Improve meibomian gland function and the tear-film lipid component.
Target inflammation or tear production.
Reduce drainage of the patient’s own tears.
Adjunctive stimulation or tissue treatment when prescribed.
Most useful when
Screen use, dry air, infrequent blinking, wind and smoke.
Mild to moderate symptoms and as adjunctive therapy.
Evaporative DED and MGD.
Moderate to severe disease and persistent objective findings.
Selected patients with aqueous deficiency.
When a clinician identifies a role within the combined plan.
Key limitation
Does not replace treatment of inflammation, MGD or marked aqueous deficiency.
Often symptomatic; formulation should match mechanism and tolerance.
Not a universal treatment for isolated aqueous deficiency; active inflammation changes the plan.
Requires clinician selection, monitoring and attention to adverse effects.
Should not be used automatically before mechanism and inflammation are assessed.
Expected benefit and course depend on the specific modality; it does not replace core therapy.
Environmental and visual-habit changes
Primary goal
Most useful when
Key limitation
Reduce evaporation and triggers.
Screen use, dry air, infrequent blinking, wind and smoke.
Does not replace treatment of inflammation, MGD or marked aqueous deficiency.
Rapidly improve ocular-surface lubrication and comfort.
Mild to moderate symptoms and as adjunctive therapy.
Often symptomatic; formulation should match mechanism and tolerance.
Improve meibomian gland function and the tear-film lipid component.
Evaporative DED and MGD.
Not a universal treatment for isolated aqueous deficiency; active inflammation changes the plan.
Target inflammation or tear production.
Moderate to severe disease and persistent objective findings.
Requires clinician selection, monitoring and attention to adverse effects.
Reduce drainage of the patient’s own tears.
Selected patients with aqueous deficiency.
Should not be used automatically before mechanism and inflammation are assessed.
Adjunctive stimulation or tissue treatment when prescribed.
When a clinician identifies a role within the combined plan.
Expected benefit and course depend on the specific modality; it does not replace core therapy.

Book an appointment

Book an ophthalmology consultation and ocular-surface assessment at KazRIED to identify the mechanism of dryness and determine an appropriate treatment pathway. If the dedicated dry-eye module is needed, confirm its availability at the selected branch when booking.

Book an appointment

Procedure prices

Service name Price
Dry eye syndrome module (per eye) from 6 600 ₸
Ophthalmology consultation (per consultation) from 12 000 ₸
Ophthalmology consultation: high-category physician / more than 10 years of experience (per consultation) from 14 500 ₸
Eyelid massage (per eye) from 1 000 ₸
Laser therapy (per procedure) from 1 000 ₸
Magnetic-field treatment (per procedure) from 1 800 ₸
Our services, payable in installmentsTake care of your vision today and pay for our services in installments. Choose installment terms and a payment schedule that suit you.

Our doctors

A team of experienced doctors across specialties.

All doctorsThe full list of doctors is available here!

Dry eye disease: causes, treatment, and monitoring

Dry eye disease is a multifactorial disease of the ocular surface involving loss of tear film stability. Increased evaporation, insufficient aqueous tear production, inflammation, epithelial damage, and altered sensitivity may coexist.

What causes dry eye?

  • In evaporative dry eye, eyelid condition and the function of the meibomian glands, which contribute the tear film’s lipid component, are particularly important.
  • In aqueous-deficient dry eye, tear production and possible systemic causes of reduced secretion are assessed.
  • In mixed disease, several mechanisms coexist, so one category of eye drops may be insufficient.

What are the treatment goals?

Treatment aims to improve tear film quality and stability, protect the cornea and conjunctiva, and reduce burning, grittiness, redness, and fluctuating vision.

Two goals matter: relieving discomfort and addressing the disease mechanism. Lubricating drops may relieve symptoms without fully addressing the cause of ocular surface instability.

How is treatment selected at KazRIED?

KazRIED describes medical, surgical, and physiotherapeutic approaches. The need for each is determined individually after an examination.

The plan may include:

  • adjustments to environmental conditions and visual workload;
  • tear replacement and prescription therapy;
  • treatment of eyelid disease and meibomian gland dysfunction;
  • physiotherapy and selected surgical methods when indicated.

More invasive methods are considered for persistent symptoms, specific disease mechanisms, or complications.

When should the treatment plan be reassessed?

  • Drops provide only brief relief: evaporation, inflammation, and meibomian gland function are assessed.
  • Dryness develops during contact lens wear: the clinician determines whether wear can continue, the schedule should change, or another correction should be used temporarily.
  • Symptoms worsen after surgery: the epithelium, corneal sensitivity, inflammation, and tear film stability are assessed.
  • Dry mouth, joint symptoms, or other systemic complaints are present: investigation for a systemic condition and shared care with another specialist may be needed.
  • Meibomian gland dysfunction is confirmed: eyelid hygiene, massage, and other methods may be prescribed according to severity and eyelid margin condition.
  • Marked tear deficiency persists: the clinician may discuss reducing tear drainage or other treatment steps appropriate to the clinical situation.

What is the role of individual procedures?

Eyelid massage may be used for meibomian gland dysfunction when prescribed by a clinician.

Laser therapy and magnetic field therapy are listed as general physiotherapy procedures. Their suitability for dry eye disease and the specific treatment course require confirmation by the clinician.

How is the outcome assessed?

The outcome is assessed through subjective comfort and changes in ocular surface findings over time. Treatment is adjusted when necessary.

Conditions that may feel like “dryness” are also excluded: infectious keratitis, allergic inflammation, corneal injury, eyelid malposition, and neuropathic pain.

If symptoms are substantially greater than the clinical signs or persist after ocular surface recovery, the clinician may broaden the diagnostic assessment.

What is included in the treatment cost?

The consultation, diagnostic module, medications, and individual procedures do not automatically constitute a single treatment course at one price. The treatment components are determined by the clinician’s prescriptions.

Facts and offers

Kazakhstan’s first specialized ophthalmology institute, operating since 1933.

Modern diagnostics and surgery using world-class equipment.

Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.

More than 30,000 operations and around 270,000 consultations annually.

Related services

Frequently asked questions

What is dry eye disease?
Dry eye is a multifactorial symptomatic disease involving loss of homeostasis of the tear film and/or ocular surface. It may cause dryness, burning, grittiness, redness, tearing, visual discomfort and fluctuating vision.
Why can dry eye cause watery eyes?
Ocular-surface irritation can trigger reflex tearing. A large tear volume does not necessarily mean that the tear film has a normal composition or remains stable between blinks.
Is dry eye caused only by low tear production?
No. Dry eye may be aqueous-deficient, evaporative or mixed. Meibomian gland dysfunction is a common contributor to evaporative disease because disruption of the lipid layer increases tear evaporation.
How is the type of dry eye determined?
The clinician assesses symptoms, the cornea and conjunctiva, tear-film stability, blinking, tear production, eyelid margins and meibomian glands. Ocular-surface staining, tear break-up testing and other tests may be used when indicated.
What does dry-eye assessment usually include?
Testing is individualized and may include symptom assessment, slit-lamp examination, corneal and conjunctival staining, tear-film stability, tear production and evaluation of the eyelids and meibomian glands. Additional tests are used when indicated.

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