Lacrifill for Dry Eye Relief | Specialty Vision

Lacrifill is a revolutionary gel treatment for dry eye that enhances tear retention and comfort. Our network of leading eye care specialists can help assess if this innovative solution is suitable for your needs.

Table of Contents

Lacrifill for Dry Eye & Overview of Lacrifill Treatment & What Is Lacrifill and How Does It Work? & Mechanism of Action & Clinical Studies and Benefits

Lacrifill is a novel gel treatment designed specifically to relieve dry eye symptoms by enhancing tear retention. This treatment works by temporarily blocking the tear drainage channels within the eyelids, allowing your natural tears to keep your eyes comfortably lubricated. With effects lasting up to six months, Lacrifill offers a longer-lasting relief compared to traditional eye drops or plugs.

Lacrifill is a cutting-edge treatment option that uses a cross-linked hyaluronic acid derivative to fill the lacrimal drainage system. By gently occluding the puncta—small openings in the eyelids—Lacrifill minimizes tear drainage and helps maintain a robust tear film on the ocular surface. This process not only enhances natural tear retention but also offers immediate and sustained relief from discomfort associated with dryness, irritation, and burning sensations.

At its core, Lacrifill is formulated to be biocompatible and adaptable to the patient’s unique anatomy. The cross-linked hyaluronic acid is engineered to be soft yet firm enough to adhere to the delicate walls of the canalicular system, ensuring that the gel remains in place for long durations. Because hyaluronic acid naturally retains moisture, it forms a protective barrier that helps stabilize the tear film and reduces tear evaporation.

In essence, Lacrifill acts as a temporary plug that boosts tear retention and helps soothe the ocular surface, making it an excellent alternative for those who do not achieve sufficient relief with standard therapies alone.

Here’s the thing: our eyes are designed to produce tears continuously, but in conditions such as dry eye, tears either evaporate too quickly or drain away before they can adequately moisturize the surface. Lacrifill addresses this imbalance by filling the canalicular system with a specialized gel that gently obstructs tear drainage. This blockage allows for increased contact time between the tear film and the eye’s surface, which results in significant symptomatic improvement.

The treatment process involves the following key steps:

  • Application: A small amount of Lacrifill is injected into the lower punctum using an applicator or cannula after administering a topical anesthetic.
  • Tear Retention: Once in place, the gel conforms to the anatomy of the canalicular system, temporarily reducing tear outflow and maintaining a moist ocular surface.
  • Extended Relief: The effects endure for approximately six months, reducing the need for frequent artificial tear applications.

This method is both comfortable and efficient, making it a popular choice among our eye doctors for providing dependable, long-term relief from dry eye symptoms.

Single-Site Open-Label Study & HaLF DOME Trial – Randomized, Controlled, Double-Masked  & Benefits of Lacrifill for Dry Eye & Long-Lasting Relief & Enhanced Comfort

Recent clinical studies have provided promising data on the effectiveness of Lacrifill for treating dry eye. In one single-site, open-label study involving 74 participants who were dissatisfied with artificial tears, patients received bilateral injections of Lacrifill in the lower canaliculus. The treatment was evaluated using various measurements such as the Schirmer test, tear break-up time (TBUT), and tear meniscus height.

Key outcomes from the clinical study include:

  • Schirmer Test Improvement: Patients demonstrated an average increase of about 3.67 mm in tear production after 3 months, with mean scores nearly doubling compared to baseline.
  • Tear Break-Up Time (TBUT): There was an 87% improvement in TBUT, indicating a more stable tear film and reduced tear evaporation.
  • Tear Meniscus Height: Measurements showed a 57% increase at 3 months, which contributes to enhanced ocular lubrication over time.

Furthermore, patients reported significant symptomatic relief. In a telephone questionnaire conducted 6 months after the procedure, 63% of respondents noted that their eyes felt better, and 57% felt that their eyes remained wetter throughout the day. Importantly, the study documented a high tolerance for the treatment, with the vast majority of patients experiencing no significant side effects.

Another pivotal randomized, controlled, double-masked clinical trial, known as the HaLF DOME trial, further supports Lacrifill's efficacy and safety profile. In this study involving 157 patients, those treated with Lacrifill showed a remarkable 63% increase in Schirmer scores at 3 months and nearly a 67% improvement at 6 months. Additionally, over 83% of the Lacrifill-treated patients experienced a meaningful reduction in dry eye symptoms according to the Ocular Surface Disease Index (OSDI) scores.

Lacrifill offers multiple advantages that make it a superior option for patients struggling with dry eye symptoms. These benefits make Lacrifill a compelling choice, especially for patients who have not achieved satisfactory relief with conventional treatments. It also provides an attractive option for perioperative management of dry eye, ensuring that patients maintain ocular moisture before and after surgical procedures.Here are some of the standout benefits:

One treatment can provide benefits for up to six months, reducing the constant need for artificial tear supplements.

The gel’s formulation ensures a soft, comfortable fit in the canalicular system, conforming to each patient’s unique anatomy.

Improved Tear Film Stability & Promotion of Ocular Surface Healing & High Tolerability & Ease of Administration & Procedure and Safety of Lacrifill

By retaining natural tears, Lacrifill stabilizes the tear film, which helps reduce irritation and the risk of corneal damage.

The protective, hydrating properties facilitate the repair of the corneal epithelium, which can be damaged in chronic dry eye cases.

With minimal discomfort during administration and few reported side effects, Lacrifill is well tolerated by a wide range of patients, including those with sensitive eyes.

The in-office procedure is quick and straightforward, often performed using just topical anesthetic without the need for injections or sutures.

If you're tired of dry eye discomfort, contact one of the expert eye care practices listed with Specialty Vision today. Our network features top optometrists and ophthalmologists who can assess your condition and determine if Lacrifill is the right solution for you. Schedule an appointment now to get started on your path to relief.

Application and Insertion Process & Safety and Tolerability of Lacrifill & How long does Lacrifill last? & Is the procedure painful? & Can Lacrifill be repeated?

The application of Lacrifill is designed to be efficient and minimally invasive. During the procedure, our eye doctors begin by administering a topical anesthetic to ensure your comfort. Following anesthesia, the Lacrifill gel is injected gently into the lower punctum using a precision cannula.

The process is quite similar to performing routine lacrimal irrigations, making it an easily adoptable procedure in any eye care setting. The detailed but straightforward steps of the procedure are as follows:

  • Preparation: The applicator or cannula is attached securely and primed with a small volume of Lacrifill gel.
  • Insertion: With the patient's eye adequately numbed, the lower punctum is identified, and the gel is carefully injected into the canaliculus.
  • Observation: The procedure is halted when the gel begins to reflux slightly, indicating that the canalicular system is adequately filled.

This method of insertion is both precise and comfortable, with most patients experiencing minimal discomfort. Because Lacrifill fills the canaliculus entirely, it provides an optimal seal to reduce tear drainage while being reversible if adjustments are necessary. The gel’s unique cross-linked structure ensures that it remains in place until its gradual resorption at the end of the six-month period.

Safety is a crucial factor when it comes to any ocular treatment, and Lacrifill has demonstrated an excellent safety profile in multiple studies. The unique properties of cross-linked hyaluronic acid make Lacrifill both biocompatible and gentle on the eye’s tissues. Clinical studies have shown that most patients experience little to no discomfort during and after the procedure, with reported pain scores remaining very low.

In one study, only a small percentage of patients, approximately 1 in 20, experienced minor discomfort during the insertion process. Overall, adverse effects were minimal, with only isolated instances of slight eye irritation or transient increases in corneal staining. Importantly, Lacrifill does not have the external components that can sometimes attract bacteria; it stays completely inside the canalicular system, reducing the risk of infections or complications associated with external plugs.

Given these findings, our eye doctors confidently recommend Lacrifill as a safe and well-tolerated treatment option for patients with dry eye symptoms, even among those with sensitive ocular tissue. The reversible nature of the treatment also adds a layer of reassurance, enabling repeat treatments without long-term adverse effects.

The effects of the treatment are designed to endure for up to six months, offering extended relief from dry eye symptoms.

Lacrifill is inserted using a minimally invasive technique with topical anesthetic, which means that most patients experience very little discomfort—in fact, reported pain levels have been very low in clinical studies.

Yes, if the effects wane over time, the procedure can be safely repeated to maintain tear retention and symptom relief.

Who is an ideal candidate?

Lacrifill is most beneficial for patients with reduced tear production, unstable tear film parameters, and significant dry eye symptoms, including those preparing for ocular surgeries.

Lacrifill for Dry Eye Relief | Specialty Vision

If you're tired of dry eye discomfort, contact one of the expert eye care practices listed with Specialty Vision today. Our network features top optometrists and ophthalmologists who can assess your condition and determine if Lacrifill is the right solution for you. Schedule an appointment now to get started on your path to relief.

Common Questions

The effects of Lacrifill typically last up to six months, providing long-term relief from dry eye symptoms.
Patients often experience little to no discomfort during the procedure, thanks to the use of a topical anesthetic.
Yes, if the effects wear off, the Lacrifill treatment can be safely repeated to maintain tear retention and alleviate symptoms.
Lacrifill is ideal for individuals experiencing reduced tear production, unstable tear film, or significant dry eye symptoms, as well as those preparing for eye surgery.
In clinical studies, Lacrifill demonstrated minimal adverse effects, with most patients experiencing no significant discomfort or complications following treatment.
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Lacrifill for Dry Eye Relief | Specialty Vision

Lacrifill offers a novel, long-lasting treatment for dry eye, enhancing tear retention and comfort. Find a specialist near you at Specialty Vision.

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