The Dry Eye Clinic was established by Dr. Nicole Zangler in January, 2016. The clinic provides expert services delivered by a six-membered team every Monday. Treatment for dry eye depends on its causes and severity so it is very important to be examined by an eye doctor trained to diagnose and treat this condition. Both the quantity and quality of tears need to be taken into account when diagnosing dry eye.

Dry eye is a common eye condition. The discomfort and vision problems it causes can severely affect your quality of life. It is more common in women than men and tends to occur more often in middle-aged and older adults than younger people. But because dry eye has many causes, including medications and medical conditions, it can happen to almost anyone.



What will be done during the dry eye evaluation

Evaluation of the eyes and surrounding tissues for signs of conditions other than dry eye that may be complicating the picture such as allergy, infection, skin conditions, etc.

Dry eye has 2 main types.

  • Evaporative – The most common type is Evaporative Dry Eye – Tears are made up of three layers: oil, water and mucus…each layer serves a purpose in keeping the eye lubricated. In Evaporative Dry Eye the oil layer (outer surface of the tear film) is deficient (quantity and/or quality) allowing the tears to evaporate too quickly or not spread evenly on the eye. This is usually due to eyelid inflammation or Blepharitis. In an attempt to correct itself, the lacrimal glands produce more aqueous (watery) tears, which do not adhere well to the eye and often run down the cheek.
  • Aqueous deficiency – Aqueous Deficient Dry Eye – The eye does not produce enough aqueous tears due to reduced function or damage to the lacrimal glands from inflammation or as a side effect of certain medications.

Possible treatment for Dry Eyes

BlephEx

  • BlephEx® – is a new, in-office procedure
    that allows your doctor to take an active role in treating dry eye and blepharitis. BlephEx® removes excess bacteria, biofilm and bacterial toxins, the main causes of inflammatory dry eye and lid disease. With regular treatments, patients finally
    enjoy a life free from the chronic and irritating symptoms associated with dry eye and blepharitis.
  • LipiflowLipiFlow is a new treatment for dry eye caused by tears evaporating too fast. This type of dry eye is called evaporative dry eye, and is caused by blockage in the eyelids’ oil-producing glands, or Meibomian glands. LipiFlow is a 12-minute procedure done in your doctor’s office.


Our Dry Eye Team

Dr. Nicole Zangler: A Yorkville native, and graduate of Pennsylvania College of Optometry (PCO), is a third generation optometrist and co-owner of Brenart Eye Clinic. Nicole Zangler, O.D. Practices as an optometrist and is a member of the American Optometric Association, Illinois Optometric Association, and Tear Film and Ocular Surface society. She is dedicated to helping individuals who suffer from dry eye disease.

Dr. William Fagman:
Dr. William S. Fagman, a Chicago native, attended the University of Wisconsin majoring in zoology. He graduated in 1969 with a Bachelor of Arts degree. He then attended Northwestern University Medical School in Chicago, Illinois and graduated with a doctorate of medicine. Dr. Fagman joined the staff of the Brenart Eye Clinic as ophthalmologist in 1989. In addition to his expertise in cataract and laser vision surgery, he began performing facial aesthetic procedures in 1996.

Tia Bodi COT – A Minnesota native, graduated from Wartburg College in Iowa. Tia has been in the eye care industry for over 10 years and is currently a Certified Ophthalmic Technician and lid hygienist. Her interests are hunting, fishing and spending time with her family.

Danielle Whicker COA – Danielle grew up in Aurora and has worked for Brenart Eye Clinic for 10 years and is currently a Certified Optometric Assistant and lid hygienist. Her passions include baking cakes and spending time with her two kids and husband.

Joanna Bentz – specializes in skincare services to complete and enhance the work of Dr. Fagman. Joanna brings her 10 plus years of experience and dedication to the field as a licensed esthetician and lid hygienist. Her passions include gulf, reading, yoga, and hanging out with her family.

Mary Melik
– Has been working for Brenart Eye Clinic for over 35 years as the Doctors’ liaison. Mary is currently a Certified Optometric Assistant and Ophthalmic coding specialist. Mary enjoys grilling outside during the summer, reading, and spending time with her family.


Testimonials from patients with results (HIPAA Compliant)


Blepharitis:   Video–Blepharitis:overview
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