Comprehensive Dry Eye Treatment
Specialized Care Focused on the Root Cause
Dry eye is more than occasional irritation. It is a chronic inflammatory condition that affects the stability of your tear film and the function of the oil-producing glands in your eyelids.
Many patients experience burning, redness, fluctuating vision, excessive tearing, or a persistent gritty sensation. These symptoms often worsen with screen use, environmental exposure, or hormonal changes.
At Hill Country Dry Eye & Specialty Care, Dr. Nelson focuses on identifying and treating the underlying causes of dry eye rather than simply managing symptoms.
A Structured, Comprehensive Approach
Most dry eye is caused by inflammation and dysfunction of the meibomian glands. These glands produce the oil layer of your tears. When they become blocked or inflamed, tears evaporate too quickly, and the ocular surface becomes unstable.
Dr. Nelson uses a strategic combination of advanced therapies known as the Trifecta approach:
Legacy Wave IPL
Eyeleviate LLLT
MiBo ThermoFlo
Each treatment addresses a different component of dry eye disease. When used together, they provide a comprehensive treatment strategy designed for long-term improvement.
Legacy Wave IPL
Addressing Inflammation and Vascular Abnormalities


In many patients, abnormal blood vessels develop along the eyelid margins and the surrounding area. These vessels release inflammatory mediators that contribute to gland damage and tear instability.
Legacy Wave IPL is designed to reduce abnormal vascular activity and calm inflammation in the eyelids. By targeting these inflammatory pathways, IPL helps improve gland function and stabilize the tear film. It is particularly helpful in patients with rosacea-related ocular inflammation.

Reducing inflammation is often the first step toward restoring gland health.
Eyeleviate LLLT
Supporting Cellular Function and Healing
Eyeleviate Low-Level Light Therapy uses therapeutic light energy to stimulate cellular activity and reduce chronic inflammation.



This treatment supports healthier gland metabolism and improves the overall environment of the ocular surface. It enhances the benefits of IPL and promotes more stable, consistent tear production.
Patients often find this therapy comfortable and relaxing.

When oil flow is restored, the tear film becomes more stable and symptoms improve. MiBo ThermoFlo is an essential component of the Trifecta approach because it addresses the mechanical obstruction within the glands after inflammation has been reduced.

This treatment is comfortable and does not require downtime.
Dry eye disease is multifactorial. Inflammation, vascular changes, and gland obstruction often occur together.
Treating only one component may provide temporary improvement. A structured combination approach addresses the condition more completely and improves the likelihood of long-term relief.
The Trifecta approach is designed to:
Reduce inflammatory signaling
Improve gland structure and function
Restore tear film stability
Support lasting comfort
Before recommending treatment, Dr. Nelson performs specialized testing to evaluate gland health, tear stability, and ocular surface condition.
This allows for a personalized treatment plan tailored to your specific needs.
For patients with more advanced disease, additional options may include:
Amniotic membrane therapy for corneal surface healing
Blepharoexfoliation for eyelid margin hygiene
Prescription medications, when indicated
Each recommendation is based on individual findings.
If you experience chronic irritation, blurred vision, or ongoing discomfort, a comprehensive evaluation can help determine the cause.
Our goal is to restore comfort, improve visual clarity, and support long-term ocular health. Contact Hill Country Dry Eye & Specialty Care to schedule your consultation.