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Abra & Co

The IPL and red light machine at our clinic

IPL & red light therapy (LLLT) · Cheadle · Middleton

IPL & red light therapy (LLLT) for dry eyes, Manchester & Cheshire.

Comfortable eyes again, without living on drops.

A specialised in-clinic treatment for blocked oil glands, by our experienced dry eye optometrists. Treatment can start the same day.

★★★★★ 4.9 from 600+ Google reviews

IPL at Cheadle and Middleton. Also for patients from Heald Green, Winsford and Heckmondwike.

  • Since 2017Our own dry eye clinic and treatment protocols
  • RecommendedIPL is a recommended treatment in the latest international guidance (TFOS DEWS III)
  • 9 in 10of our EyeClean patients told us their eyes improved
  • Not a laserEyes shielded. No downtime. Drive home after.
IPL and LLLT, simply explained

Two kinds of light, one treatment.

What is IPL?

Intense pulsed light

Skin doctors first used IPL to treat rosacea, and noticed their patients’ dry eyes got better too. Short flashes of filtered light pass through the skin below your eyes. The light settles the tiny inflamed blood vessels along the lid edge and warms the oil in the glands. It is not a laser, and your eyes are shielded throughout. IPL is not suitable for brown or darker skin.

What is LLLT?

Red light therapy

LLLT stands for low-level light therapy, the medical name for red light therapy. A soft mask of red light rests over your closed eyes for about 15 minutes. It gently warms the glands from the inside so the oil softens, and calms inflamed lids. Painless, nothing touches the eye, and it is safe for every skin type. It is part of every IPL visit, and available on its own at all five of our practices.

Our system is eye-light® by Espansione, made in Italy. It does both, IPL and red light, in one visit.

How every IPL visit works

About 50 minutes. Nothing to recover from.

  1. 1 · ABOUT 15 MINUTESIPL

    Your eyes are covered with shields. Your optometrist places gentle flashes of light across your cheeks and lower lids, on the skin below the eyes. It feels like a warm snap.

  2. 2 · 15 TO 20 MINUTESRed light therapy (LLLT)

    You lie back with a mask of red light over closed eyes. It warms the glands gently from inside and calms the lids. Most people find it relaxing.

  3. 3 · 10 MINUTESWarm steam goggles

    Blephasteam goggles bathe your closed eyes in moist heat at about 42°C, so the oil that has set in the glands melts right before we clear it.

  4. 4 · A FEW MINUTESEvery gland expressed

    Under high magnification, your optometrist gently presses each gland clear while the oil is soft. You see what came out on the screen.

Does it hurt?

Most people find it comfortable. IPL feels like a warm snap. Expressing the glands can be uncomfortable for a moment, and we go at your pace.

Is it safe for my eyes?

Yes. It is not a laser. Your eyes are covered, and the light is on the skin below them.

Afterwards

No downtime. You can drive home and go back to work.

Before each visit

No sun, sunbeds or fake tan for two weeks. No make-up or contact lenses on the day. Tell us about any new medicines.

Infrared photographs of the glands inside a lower eyelid: healthy, shortened, and lost
Infrared photos of the oil glands inside a lower eyelid. Left: healthy. Middle: shortened. Right: lost. Inflammation is what shortens them.
What IPL treats

Blocked oil glands, and the inflammation that keeps blocking them.

Your tears need a thin layer of oil on top, or they dry out in seconds. That oil comes from tiny glands along each eyelid. When the lid edges are inflamed, often with rosacea, tiny blood vessels there keep thickening the oil, so the glands block again however often you use drops or a heat mask. Left alone, a blocked gland shrinks and does not grow back.

Why they keep blocking: the inflammation. Drops and heat masks soften the oil for a while, but the inflamed vessels keep thickening it again. IPL is the treatment that calms those vessels. Then heat melts the oil, and your optometrist expresses every gland by hand, so it flows into your tears again. That is how your eyes get back their natural balance and comfort.

What the research says: IPL is a recommended treatment for this kind of dry eye in the latest international guidance (TFOS DEWS III). In controlled studies, IPL with gland expression improved tear stability and symptoms more than gland expression alone. That is why every visit combines them.

See the proof

This is what we clear at every IPL visit.

Filmed at our Middleton clinic

That thick white paste is the oil that should be in your tears.

It sets like butter in a blocked gland. Red light and warm steam soften it, then gentle pressure clears it. Once it flows again, your tears stop drying out.

Press play if you want to see it. Skip it if you would rather not. Nothing touches the eye itself.

Blocked: oil has set inside the glands
Blocked Oil has set inside the glands
Gentle pressure after warm steam
Gentle pressure After warm steam softens it
Cleared: the trapped oil comes out
Cleared The trapped oil comes out

Eyelid margin before treatment: blocked gland openings and debris at the lash baseThe same lash line, clean, after EyeCleanBeforeAfter

The same eyelid, ten minutes later.

Before: crusty debris round the lashes and blocked gland openings. After: one EyeClean session, in the chair. Drag the line to compare.

Sohail Khan and Abra Arshad, directors of Abra & Co
Sohail Khan, Optometrist and Director
We know what this is like

Because I live with it too.

I’m Sohail, one of the two directors here, and I have had dry eye for years. Contact lenses that dried out by lunchtime. Gritty eyes, vision that comes and goes until you blink it clear, drops that buy you ten minutes, and the frustration that builds when none of it changes. And every time I asked, the same standard answers: baby shampoo on the lids, try these drops, it’s just your age.

It is not in your head. It is not a small thing. And it is not something you have to put up with. In 2017 I decided to work out a proper solution, for myself and for my patients, and that is why we built this clinic the way we did: time to listen, your own eyes on the screen so you can see what we see, and a plan written down for you to keep.

You will be looked after here. By an optometrist who has the time, who has treated hundreds of people like you, and who knows how it feels from the inside.

What makes us different

We have run our dry eye clinic since 2017. We understand you, and we manage your care.

Our treatment protocols are our own. They are built on the latest international research (TFOS DEWS III) and refined over hundreds of patients. 9 in 10 EyeClean patients told us their eyes improved.

We do not hand you drops and a leaflet. We take time to understand what you are going through and how it affects your life. We find your cause, build a plan around you, then guide you and manage your care, from your first visit to your follow-up.

Is IPL right for you?

You’ll know before you pay. We check it’s right for you first.

IPL is not for every kind of dry eye, and it is not safe for every skin. So before your first flash, your optometrist checks your glands, your skin and your medicines.

IPL is usually right if you have

  • Blocked oil glands with red, inflamed lid edges
  • Rosacea: red cheeks or nose, flushing
  • Glands that keep blocking again after drops, cleaning or heat masks
  • Burning, red eyes that keep coming back
  • Repeated styes or chalazia

IPL is not for you if

  • Your skin is brown or darker (it is not safe on darker skin)
  • You are pregnant
  • You take doxycycline or isotretinoin (Roaccutane)
  • You have had sun, sunbeds or fake tan in the last two weeks
  • You have a skin infection or tattoos below the eyes
  • Your eyes simply do not make enough tears. Lacrifill or punctal plugs help that instead.

Not suitable for IPL?

You still have a proven option: EyeClean with red and blue light at every visit, £660. Three visits of about 45 minutes: warm steam goggles, every gland expressed, a BlephEx lid clean, red light, and blue light for blepharitis. No flash, no skin-type limit and nothing to stop beforehand.

Your programme, step by step

From your first visit to comfortable eyes.

  1. Week 0
    Your first visit: checks first

    We photograph every gland, test for inflammation and check your skin and medicines. If nothing rules IPL out, your first IPL treatment can be the same day. If it has to wait, we start the same day with steam, gland expression and a lid clean. £50 of the fee goes towards your programme.

  2. Weeks 0 to 8
    Four IPL visits, two weeks apart

    IPL, red light, warm steam, then every gland expressed. Many people feel more comfortable after the first visit, because the glands are cleared each time.

  3. Plus
    One EyeClean visit and your home kit

    Warm steam goggles, every gland expressed, and a BlephEx deep clean of the lid edges. Your home kit keeps the glands soft between visits.

  4. End of programme
    Your follow-up

    We repeat your symptom score and gland photos and compare them with your first visit, so you see the change. If you have not improved, your next session is free.

  5. After that
    Keeping you comfortable

    Your home routine, a yearly check (£195), and a single IPL visit (£295) if your symptoms start to creep back.

The honest truth about dry eye

Dry eye is a long-term condition. It rarely goes away completely, but it can be managed, and your symptoms can be greatly improved. Our job is to get your eyes comfortable, and then keep them that way, with you.

Programmes and prices

Mild, moderate or advanced. Each programme adds a step.

We developed each programme ourselves, from the latest international research (TFOS DEWS III) and what we have seen work in hundreds of patients since 2017. Already made up your mind? Book your treatment directly. You don’t need a separate assessment: your optometrist checks your eyes, skin and medicines at the start of your first visit. Not sure which suits you? Book the Essential assessment first, and we tell you. Everything below is included in the price.

You’re a person, not a package.

We listen first, choose your treatment with you, and only suggest what will help. Then we stay with you until your eyes feel better.

Step 1

Mild dry eye or mild blepharitis

The EyeClean Programme

£480

or £240 today, £240 at your next visit

Visits
3 visits, about 30 minutes each, plus your follow-up
Time
About 3 months

At each of the 3 visits

  • Warm steam goggles to soften the oil
  • Every gland expressed
  • BlephEx deep clean of your lid edges

Home kit included. No IPL.

Most recommended

Step 2

Moderate dry eye: red or burning lids, glands that keep blocking

The EyeRelief Programme

£900

or £450 today, £450 at your next visit

Visits
4 IPL visits (about 50 minutes, two weeks apart), 1 EyeClean visit and your follow-up
Time
About 3 months

At each of the 4 IPL visits

  • IPL
  • Red light (LLLT)
  • Warm steam goggles
  • Every gland expressed

At your EyeClean visit

  • Steam, glands expressed and a BlephEx deep clean

No BlephEx at the IPL visits. Home kit included. IPL at Cheadle and Middleton.

Step 3

Advanced or long-standing dry eye, blepharitis, mites or rosacea

The EyeRelief Max Programme

£1,495

or £747 today, £748 at your next visit

Visits
5 IPL visits, 4 EyeClean visits (one a month) and your follow-up at 6 months
Time
About 6 months

EyeRelief, extended.

At each of the 5 IPL visits

  • IPL
  • Red light (LLLT)
  • Warm steam goggles
  • Every gland expressed
  • Blue light when you need it

At each of the 4 monthly EyeClean visits

  • A BlephEx deep clean

Home kit included. IPL at Cheadle and Middleton.

Not sure IPL is right for you?

Book the Essential assessment first. In 45 minutes we photograph every oil gland, test for inflammation and check your skin and medicines. You leave knowing whether IPL will help, which programme suits you, and the price. £50 goes towards your programme, and if nothing rules it out, treatment can start the same day.

Book the Essential assessment · £225

Not suitable for IPL? EyeClean with red and blue light: 3 visits of about 45 minutes, £660. No flash, and safe for every skin type.

Had an assessment with us first? £50 of the fee goes towards your programme. A single IPL visit is £295, the top-up if a programme is not quite enough at your follow-up. IPL is at Cheadle and Middleton. Heald Green and Winsford assess you and book your IPL at Cheadle; Heckmondwike books it at Middleton.

Questions first? Book a free 10-minute call with an optometrist

What our patients say

9 in 10of our patients told us their eyes are more comfortable and their symptoms have improved.

“Patience, caring and so much help. It was the best thing ever I decided to have.”Pat Smith, Middleton

Dry eye is personal. It changes how you work, drive, read and sleep, and most people have been told to put up with it. You will not be told that here. These are the words of our patients, exactly as they wrote them.

“I had the blepharitis treatment. Everything was properly explained and great care was taken to carry out the procedure. Plenty of time was taken during my appointment to put me at ease. All the staff are cheerful, helpful and welcoming. Can’t thank them all enough for an excellent experience.”

Stephanie Taylor · Middleton

“Patience, caring and so much help during the time I was having the Dry Eye Treatment Programme. It was the best thing ever I decided to have, in between and after my cataract surgery. I would highly recommend it. With all my treatment from starting to finishing it, wow. Just to say to each and every one of you, a massive thank you. You all were the very best.”

Pat Smith · Middleton

“Everyone is very attentive and caring and I have had positive results from my treatments.”

Tim Baker · Middleton

“Helpful and friendly. I had complete confidence in your actions and guidance.“

Carla Reuben

“Excellent service, extremely helpful staff. Thanks for all you have done for me, I am very grateful. A special thanks to optometrist Lara and dispenser Emily, you are a great team!”

Mr P E Garo-Jones

“I was told by two other opticians that it was just dry eye and there was nothing to be done. The imaging showed me exactly what was wrong. Seeing my blocked glands on the screen made it all make sense.“

Cheadle patient

9 in 10 EyeClean patients improved. 4.9 stars from more than 600 reviews.

Book

Choose your nearest practice.

Where IPL is done: Cheadle and Middleton. Heald Green (2 miles from Cheadle) and Winsford: your IPL visits are at Cheadle. Heckmondwike: IPL at Middleton. We see patients from Stockport, Cheadle Hulme, Gatley, Wythenshawe, Didsbury, Rochdale, Heywood, Oldham, Bury, Northwich and Middlewich.

Book online any time, or call us Monday to Friday, 9am to 5:30pm. Outside those hours, the number offers to ring you back when we open.

Learn more

IPL, red light and blue light: what is the difference?

IPL is flashes of light on the skin below the eyes. It settles the inflamed blood vessels along the lid edge.

Red light (LLLT) is a mask of red light worn over closed eyes for about fifteen minutes. It warms and calms the glands. It is part of every IPL visit, because the two work best together.

Blue light targets the bacteria and mites along the lash line that cause blepharitis. Your optometrist adds it when you need it.

Do you offer LipiFlow?

No. LipiFlow uses heat and pressure to clear the glands. We clear them by hand after heat, and add IPL to calm the inflammation that keeps blocking them. Here is how the two compare.

LipiFlow Our IPL programme
How it works Heat and pressure from a device placed under the eyelids IPL and red light on the skin around the eyes, warm steam, then every gland expressed by hand
Touches the eye? Yes, an eyepiece sits under the lids, after numbing drops No. Your eyes are shielded and closed
Calms inflamed lid vessels (rosacea)? Not what it is designed for Yes, that is what IPL does
Visits Usually one session Four visits, two weeks apart, then a follow-up

IPL treats inflamed, blocked glands. If your glands are blocked without inflammation, EyeClean clears them (more about MGD treatment). If your eyes do not make enough tears, Lacrifill or punctal plugs help. See every dry eye treatment →

Questions

IPL: frequently asked questions

How soon can I start treatment?

The same day. Book your programme, and if the checks at the start of your first visit show nothing that rules IPL out, your first IPL treatment follows straight after. If IPL has to wait, for example because of a recent tan or a medicine, we start that day with warm steam, gland expression and a lid clean, and book your IPL for when it is safe.

Will IPL cure my dry eye?

Dry eye is a long-term condition, and it rarely goes away completely. IPL treats the cause, the inflamed and blocked glands, so your symptoms can be greatly improved. We then help you keep them that way, with a home routine, a yearly check and a top-up visit if you need one.

How many IPL sessions will I need?

EyeRelief has 4 IPL visits two weeks apart, plus 1 EyeClean visit and your follow-up: 6 visits over about 3 months. EyeRelief Max has 5 IPL visits and 4 EyeClean visits, plus your follow-up: 10 visits over about 6 months. If you need a little more at your follow-up, a single IPL visit is £295.

How soon will I notice a difference?

Many people feel more comfortable after the first visit, because the glands are expressed at every visit. We measure the change at your end-of-treatment follow-up.

Do you offer red light therapy (LLLT)?

Yes. Red light therapy, also called LLLT (low-level light therapy), is part of every IPL visit at Cheadle and Middleton, and is available at all five of our practices. On its own, a red and blue light session is £95.

Do you offer LipiFlow?

No. We melt the oil with red light and warm steam, then express every gland by hand, and IPL also calms the inflamed vessels that keep blocking the glands. See the comparison above.

Is IPL a laser?

No. It is a bright flash of filtered light on the skin below your eyes. Your eyes are covered with shields throughout.

Can I have IPL if I have dark skin?

No. IPL is not safe on brown or darker skin. We use EyeClean with red and blue light instead, which has no skin-type limit.

How much does IPL cost?

EyeClean is £480, EyeRelief (with IPL) £900, EyeRelief Max £1,495, and a single IPL visit £295. You can book any of these directly. If you would like an assessment first, it is £225, and £50 of that goes towards your programme. You can pay in full, or half today and half at your next visit.

Is IPL available on the NHS?

No. IPL for dry eye is a private treatment in the UK. Our prices are above, and there are no hidden extras.

Where can I have IPL?

At our Cheadle and Middleton clinics. If Heald Green or Winsford is closer, your checks and lid treatments can be there and your IPL visits at Cheadle. From Heckmondwike, IPL is at Middleton.

Is there anything I need to do before a visit?

No sun, sunbeds or fake tan for two weeks, no make-up or contact lenses on the day, and tell us about any new medicines, especially antibiotics or acne treatments.

Still have a question? Talk it through with one of our optometrists first. It’s free, takes 10 minutes, and there’s no obligation to book.

Book a free 10-min call

Have a question?

We’ll call you back.

Usually within the hour, Monday to Friday 9am to 5:30pm. Asked in the evening? We’ll call from 9am the next working day.

We only use your number to call you about your eyes. No marketing.

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