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Michael Gagnon, M.D. Website Appointments 5575 W Las Positas Blvd Suite 240 Pleasanton CA 94588 Tel. 925-460-5000 Fax 925-460-5040
28 Fenton St Livermore CA 94550 Tel. 925-449-4000 Fax 925-606-6603
Biographical information Certified by the American Board of Ophthalmology: Yes Subspecialty: Cornea and External Disease Medical school: Creighton University (grad. 2001) Residency Program: Wake Forest (grad. 2005) Fellowship: University of Utah, Moran Eye Center Approx. percentage of practice dry-eye related: 50% Opinion What is the most frequent cause of dry eye amongst patients you have treated? The most frequent cause of dry eye is evaporative dry eye. Most of my patients have a component of blepharitis or lid disease that also needs to be treated. What advice do you most frequently find yourself giving to dry eye patients? I often advise my patients to switch from preserved drops to non-preserved drops. I also have patients increase their Omega 3 intake, fish oil, and flaxseed oil, as well as improve their meibomian gland hygiene. I find the Rice Bags to be very effective in treating meibomian dysfunction. Do you have a dry eye "hot button"? Meibomian gland dysfunction is often overlooked. I find the Rice Bags as well as topical steroids and low dose Doxycycline/Minocycline to be effective in treating these patients. I have also had success with Azasite. Tear break-up time is also extremely helpful. I also like to use the Ocular Surface Disease Index. What makes you exceptionally well qualified to help dry eye patients? I completed a corneal and external disease fellowship and have dedicated a significant amount of my study and practice to dry eye. I check tear production, tear film stability and perform vital staining. What are some of your favorite products for dry eye (Rx, OTC, consumer)? I like to use non-preservative tears, Omega 3 nutrition, low dose Tetracycline and Restasis. I will use punctal cauterization and autologous serum tears in more severe cases.
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