Are Dry Eyes Disrupting Your Day?

Come visit Dr. Jaccoma and Dr. Federico for your treatment for dry eyes in Portsmouth, NH and Stoneham, MA

Dry eye symptoms can be mild to debilitating, and very frustrating. If you are suffering from dry eye syndrome our doctors at Excellent Vision have the solution for you. Dry eye syndrome is a chronic condition and the management of it is an ongoing process, but our dry eye treatments make management much easier. If you are suffering from dry eye syndrome call our office today!

Excellent Vision's Dry Eye Center & Aesthetics services are led by Edward Jaccoma, M.D. who specializes in the diagnosis and treatment of dry eye disease.

Together with his experienced staff, Dr. Jaccoma provides comprehensive diagnostic and treatment services to manage symptoms of ocular conditions and restore eye health.

Dr. Jaccoma also performs cosmetic eyelid procedures to improve vision and enhance the overall look of the eyes. His practice even offers treatments for reducing the appearance of wrinkles and rejuvenating the skin.

Symptom Checklist

Symptom Checklist

If you experience any of the symptoms below, you may have the condition known as Dry Eye. Please read the above information and see our doctors for an evaluation and treatment.

  • Dry Sensation
  • Scratchy, Gritty Feeling
  • Burning
  • Stinging
  • Itching
  • Excess Tearing (watery eyes)
  • Mucous Discharge
  • Irritation from Wind or Smoke
  • Redness
  • Tired Eyes
  • Light Sensitivity
  • Contact Lens Discomfort
  • Contact Lens Solution Sensitivity
  • Soreness
  • Lid Infections / Sties
  • Sensitivity to Artificial Tears
  • Eyelids Stuck Together at Awakening

Causes of Dry Eye

Aging: As we age, tear production decreases. Men and women of any age can be affected. However, after menopause and during pregnancy, women are especially susceptible.
Contact Lenses: Wearing contact lenses often increases tear evaporation. This can result in irritation, increased protein deposits, infection, and pain. Dry eye has been shown to be the leading cause of contact lens discomfort.
Medications: A variety of common medications reduce tear secretion. These include decongestants, antihistamines, diuretics, beta-blockers, sleeping pills, antidepressants, pain relievers, and alcohol.
Environment: Occasional or continual exposure to various environments can reduce eye lubrication. These include sunny, dry or windy conditions; areas with heaters, dehumidifiers, fans or air conditioners; work settings (i.e.; areas with chemicals or hair dryers), high altitudes, smoke or air pollution and sand, dust or airborne pollen.
Auto Immune Disease: Auto Immune Disease can be accompanied by a dry mouth and dry eyes. This combination of symptoms is called Sjogren's Syndrome.

About Tears

The human eye is lubricated by two kinds of tears produced by glands in the upper and lower eyelid.
•Constant Tears are continuously formed to lubricate the eye and contain natural antibiotics to help fight infections.
•Reflex Tears are produced only in response to irritation, injury, or emotion and help rinse the surface of the eye.
A balance is necessary between the two types of tears to ensure that your eyes are comfortable and protected. When constant tear flow is reduced, there is irritation that can cause excessive reflex tearing ("watery eyes"). These excess tears lack the oil needed to keep from evaporating and do not lubricate the eye. A lack of tears, improper lubrication, or tears draining too quickly from the eye result in a condition known as Dry Eye. Dry Eye is a common problem that is easily diagnosed.
Tears can be reproduced by using eye drops called artificial tears. They replace the moisture that is missing and lubricate the eyes. They temporarily soothe dry eye symptoms. However, they can also wash away the natural, infection-fighting tear film. For many people, artificial tears do not offer relief and are impractical.


There are a wide array of dry eye treatments including, but not limited to, artificial tears, prescription eye drops, oral medications, lid scrubs, tear duct closure (punctal plugs), and various in office procedures. A full evaluation with one of our doctors is necessary to determine which treatment modality may be best for you.

Learn More About Our Advanced Treatment Options
• Blephex:
• IPL:
• Pelleve Thermalid:
• True Tear:

WATCH Radiofrequency Treatment of Meibomian Glands with Dr. Jaccoma

WATCH Radiofrequency Treatment of Meibomian Glands with Dr. Jaccoma

WATCH New Treatment for Conjunctivochalasis Avoids Surgery with Dr. Jaccoma

WATCH New Treatment for Conjunctivochalasis Avoids Surgery with Dr. Jaccoma