LipiFlow is an excellent addition to our treatment armamentarium for evaprative dry eye. However, it is not a cure and is effective for about one year. Whether or not you need to continue other treatments (punctum plugs, doxycycline, warm compresses) will depend how advanced your disease is. Patients with mild to early moderate disease may only need LipiFlow for resolution of their symptoms while those with more advanced disease may require continuation of other treatment modalities. It is important to understand that patients with advanced disease may feel only some improvement even if their disease is under much better control. We can provide you with a good idea of what to expect from LipiFlow once the number of glands and the thickness of the secretions is determined.