Wednesday, June 28, 2017

Natural Treatment for Watery Eyes - Epiphora- TheraLife

Narual Treatment for Watery Eyes - Epiphora - TheraLife

One of the most common questions asked is “ I have tears running down my cheek, how can I have dry eyes?

The answer is counter intuitive.  One of the most common cause of watering eyes is dry eyes.

What is Epiphora?

Watering eye, also known as epiphora or tearing eye, is a condition in which there is an overflow of tears onto the face, often without a clear explanation

Epiphora can develop at any age. It is more common among babies aged under 12 months, and adults over the age of 60 years. The condition may present symptoms in just one or both eyes.

Depending on the severity of symptoms, watering eye can sometimes make driving difficult and dangerous.

Common Causes of Epiphora- Tearing Eyes

1. Dry Eye Syndrome- more than 50%
2. Allergies-  test for allergies for try allergy medications
3. Blocked tear ducts- tear cannot drain
4. Blepharitis or conjunctivitis – eye infections
5. Trichiasis - inward-growing eyelashes
6.Ectropion - this is when the lower eyelid turns outwards

Why Dry Eyes Cause Tear Over Production?

It may not make sense, but dry eyes often lead to watery eyes. When eyes dry out, they become irritated and uncomfortable. That prompts the brain to signal the eyes to cry.  This type of tear is called Reflex Tear which is of poor quality.  The lacrimal glands is now producing so many tears that it overwhelms the eye's natural drainage system.
Tear production tends to lessen with age, therefore, dry eyes are more common in older adults.

In addition to excessive tearing, symptoms of dry eye syndrome may include blurred vision, itchy eyes, or burning eyes.  All these symptoms are consistent with dry eye syndrome.

Some medical conditions and medications can lead to dryness as can a dry and windy environment, but the most common cause of dry eye syndrome is a chronic condition called keratoconjunctivitis sicca (KCS). People with this condition make tears, but the tears do not contain enough water or thickness.

How to stop tear over production

Artificial tears make watery eye condition even worse.
The proper way to relief watery dry eyes is to:
  1. Balance tear production – restore normal cell functions to tear secretion glands - lacrimal and meibomian glands
  2. Train your brain to stop crying – to stop tear over production.
TheraLife Eye can help!
TheraLife Eye restores both lacrimal and meibomian gland functions in order to establish balanced, sustainable tear for lasting relief.  Learn more

Watery dry eyes takes longer to relief – expect to take 2- 3 months in order to establish tear film stability and stop eyes from over tearing

You will experience good days and bad days.  Continue with TheraLife Eye high dosage until every day is a good day for you.  You can then start to reduce dosage gradually for maintenance. Stopping TheraLife Eye all together will cause the watery dry eye symptoms to return.

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Thursday, June 8, 2017

Sjogren's Treatment & Diagnosis, What Your Eye Doctors Should Know.

Sjogren's Treatments & Diagnosis- What the Eye Doctors Should Know.

Diagnosis of Sjogren's disease can be ambiguous and difficult.  It is helpful if the patient goes into the doctor's offices know some of the basic tests that are available to accurately diagnose this condition. which is the objective of this blog post.

Sjogren syndrome is one of the most common rheumatological diseases. Primary symptoms are dry eye, dry mouth.  

On average, it takes 7 years to diagnose Sjogrens Disease

Sjogrens is a chronic, slowly progressive autoimmune disease that affects the  moisture producing glands- eyes, mouth, lungs, vaginal areas.  Sjogrens is a clinical condition of aqueous tear deficiency combined with dry mouth. The syndrome is classified as primary Sjogrens in people without an another autoimmune disease, and secondary Sjogrens in people who have a confirmed autoimmune disease such as  rheumatoid arthritis, thyroiditis, Raynaud’s, Lupus, and more.  It affects primarily females, sometimes males of all age and races.

According to the National Institute of Neurological Disorders and Stroke (NINDS), between 1 and 4 million people in the United States have Sjogrens.

Although the hallmark symptoms are dry eyes and dry mouth, Sjogrens may also cause dysfunction of other organs such as the kidneys, gastrointestinal system, blood vessels, lungs, liver, pancreas, and the central nervous system. Patients may also experience extreme fatigue and joint pain and have a higher risk of developing lymphoma.


The following tests are commonly used to determine the presence of Sjogrens in addition to the person's report of symptoms and health history.

Common blood tests include:

• Complete blood cell count often shows anemia.
• Serum erythrocyte sedimentation rate and C-reactive protein are indicators of inflammation and are frequently elevated in patients with Sjogrens.
• Serum immunoglobulins are antibodies are usually elevated in Sjogrens.
• Serum antinuclear antibody is elevated in approximately 90% of patients with Sjogrens and other immune diseases.
• Serum rheumatoid factor is present in about 60% of patients with Sjogrens, as well as with RA.
• Serum Sjögren antibodies (Ro/SS-A and La/SS-B) are more specific for SS but can also be detected in people with other autoimmune diseases,  Having a negative serology does not mean one do not have the disorder.
Lip biopsy is the best single test to establish a diagnosis of Sjogren syndrome. While this is the most definitive test, performing it is not absolutely necessary from a clinical standpoint. Patients with Sjogren syndrome are essentially treated symptomatically and observed for the development of other rheumatic disorders or lymphoma. This can be initiated without performing a biopsy. If the diagnosis is in doubt or if a definitive diagnosis is needed, then this is the best test.

Management of Sjogrens Syndrome

Goals of ophthalmic management of Sjogren syndrome are: to relieve symptoms, to promote healing of the ocular surface, and to prevent complications such as persistent corneal ulcers.

The treatment of dry eyes depends on the severity of eye dryness, which is graded according to degree of symptoms, conjunctival injection and staining, corneal damage, tear quality, and lid involvement.

Drugs often prescribed for Sjogren’s patients include;

1. Immunosuppressive drugs- e.g. Plaquenil, methotrexate – these drugs often have side effects that affect vital body organs such as liver, kidney, retina, and more.
2.  Dry mouth  –  drugs such Salagen, Evoxac to stimulate salivary gland function.
3.  Dry Eye- traditional modalities include eye drops, eye gels, and prescription eye drop.  Often dry eye symptoms persists.  Learn more about TheraLife Autoimmune Dry Eye formula below.
4.  Dental care is important as those affected are prone to cavities.


Sjogrens can damage vital organs of the body with symptoms that may remain stable, worsen, or go into remission. Some people may experience only the mild symptoms of dry eyes and mouth, while others go through cycles of good health followed by severe disease. Many patients are able to treat problems symptomatically. Others are forced to cope with blurred vision, constant eye discomfort, recurrent mouth infections, swollen parotid glands, hoarseness, and difficulty in swallowing and eating. Debilitating fatigue and joint pain can seriously impair quality of life.

Abstract from Optometric Management- May, 2011

How can TheraLife Help?
TheraLife Autoimmune formula is an all natural alternative to treat both dry eye/dry mouth and fatigue.

How does TheraLife Autoimmune Formula Work?
  • Intracelluar stimulation of tear and salivary glands
  • Regulate immune system to reduce flares
What is in TheraLife Autoimmune Formula?
  • Immunomodulators - to help modulate and normalize the immune system
  • Anti-inflammatories - to reduce irritation and inflammation of the tear, salivery glands, eye surface, eyelids, and joints
  • Anti-fatigue agents - to stimulate circulation and boost energy
Learn more
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1. Phelan D. Sjögren syndrome. 2009.
2. Sommers MS, Johnson SA, Beery TA. Diseases and Disorders: A Nursing Therapeutics Manual. Philadelphia,PA: F.A. Davis; 2007.
3. Yanoff M, Duker JS, eds. Ophthalmology, 3rd ed. Elsevier, 2009.
4. Invernizzi P, Battezzati PM, Crosignani A, et al. Antibody to carbonic anhydrase II is present in primary biliary cirrhosis (PBC) irrespective of antimitochondrial antibody status. Clin Exp Immunol. Dec 1998; 114(3):448-54.
5. D'Arbonneau F, Ansart S, Le Berre R, et al. Thyroid dysfunction in primary Sjögren's syndrome: a long-term follow-up study. Arthritis Rheum. Dec 15 2003;49(6):804-9.
6. National Institute of Neurological Disorders and Stroke (NINDS) Accessed May 10, 2010.
7. Fox R, Michelson P, Wallace DJ. Sjögren syndrome. In: Wallace DJ, Hahn BH, eds. Dubois’ Lupus Erythematosus. 7th ed. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins; 2007.
8. Sjögren’s Syndrome Foundation.
9. Daniels TE. Labial salivary gland biopsy in Sjögren's syndrome. Assessment as a diagnostic criterion in 362 suspected cases. Arthritis Rheum. Feb 1984; 27(2):147-56.
10. Tabbara K, Wagoner MD: Diagnosis and management of dry eye syndrome. In New Drugs in Ophthalmology. Edited by Smolin G. Boston: Little, Brown and Company. Cited in: Ophthalmol Clin 1996, 36:61–75.
11. Management and therapy of dry eye disease: report of the Management and Therapy Subcommittee of the International Dry Eye Workshop (2007). Ocul Surf. Apr 2007;5(2):163-78.
12. Behrens A, Doyle JJ, Stern L, Chuck RS, McDonnell PJ, Azar DT, et al. Dysfunctional tear syndrome: a Delphi approach to treatment recommendations. Cornea. Sep 2006;25(8):900-907.
13. Kruszka P, O’Brian RJ. Diagnosis and management of Sjögren syndrome. Am Fam Physician. 2009; 79(6):465-470.
14. Wallace DJ. The Lupus Book: A Guide for Patients and Their Families. New York, NY: Oxford UniversityPress; 2008. 
 15. Pullen, RL, Hall DA. Sjogren syndrome: More than dry eyes. Nursing. 2010; 40(8): 36-41.

Friday, June 2, 2017

New Treatments for Watery Dry Eyes

New Treatments for Watery Dry Eyes

Watery Dry Eye Story - This is what we hear

"I have watering eyes - tears flowing down my cheeks. My doctor diagnosed it as dry eyes, prescribes all kinds of eye drops – they don’t help. What is going on?"

Symptoms of Watery Dry Eyes

The symptoms of watering eyes can be tearing, dry, burning, sandy gritty, red, and sensitive to light.  Yes, you have all kinds of tears running down your face, but your eye doctor can tell by staining that you have dry eyes.

About 50% of the cases, watering eyes are cause by dry eyes.
Watery eyes occur when there is too much tear production or poor drainage of the tear duct . The causes for Watery Eyes often include:
  • Clogged meibomian glands- located on the upper and lower eye lids. Your doctor may chose to use laser (LipiFlow) or probes to unclog them.  Meibomian gland secrete lubricants to thicken tears. Tear not thick causes evaporative dry eyes.
  • Blepharitis- inflammation of the eye lid. Read other blog posting on blepharitis at this site.
  • Allergies and hay fever
  • Conjunctivitis – pink eye
  • Chronic sinusitis
  • Radiation therapy.
  • Medications

Why you have watering eyes?

One of the major causes of over tear production is Dry Eye Syndrome. Since you may have had dry eyes for a long time, left untreated, your brain started to secrete reflux tears, the type of tears you cry with which is of poor quality. 

Dry Eye causes the eyes to become irritable; inflamed which stimulates the body to produce “Reflex Tears” which is of poor quality. Eye drops adds more fluid to wash away the lubricant that your eyes produce naturally to make the eyes even drier.

How is Dry Eye Syndrome diagnosed?

One of the main tests for tearing is to check whether the eyes are too dry. There are 3 key tests your eye doctors do to test for dry eyes:

1. Fluorescent stains – to observe condition of your cornea.

2. Shirmer’s Test or Zone Quick t- measure the amount of tears.  In case of watering eyes, this cannot be used.

3. Tear Viscosity – using a fluorescent dye and a stop watch to see how fast your tear disperse- an indication of how thick your tears are to prevent evaporation.  This test again cannot be used in watering eyes.

If you doctor has already diagnosed you with chronic dry eyes, then you need to treat the dry eyes first before over tearing will stop.

How Can TheraLife Help?

TheraLife offers a chronic dry eye solution that treats from inside out. TheraLife Eye stimulates your own tear secretion glands to secrete balanced and thick tears to relief chronic dry eye. Watery eyes due to dry eye is harder to treat than chronic dry eye.  TheraLife Eye will treat the dry eyes first, then your brain will stop crying.

Most effective approach - TheraLife Eye + Fish Oil + Hot Compress (twice a day, 10 minutes each time) + daily eye lid cleaning. 

Just so you have the correct expectations - it takes 3 months to stop your eyes from crying.  You have already suffered enough- drops has not worked so far.  Be patient, you will stop crying.  This is our guarantee. 

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Can Stress Cause Dry Eyes? TheraLife Can Help

Can Stress Cause Dry Eyes?  TheraLife Can Help

Workplace stress can cause changes in your body, your emotions , and induce chronic dry eyes. On the other hand, if you already have dry eyes, dry eye symptoms become worse when you are stressed.

Dry Eye Symptoms include but not limited to

  • Dry Eyes
  • Headaches
  • Fatigue – feeling tired
  • Stiff Neck and Shoulder Pain
  • Back Pain
  • Sweaty Palms and Feet
  • Upset stomach
  • Depression

Chronic Dry Eye and Stress

Chronic stress can be debilitation.  When left untreated can lead to serious long term illnesses and decreased immune systems.  Some of these examples are:
  • chronic dry eye syndrome
  • heart diseases
  • chronic muscle pains
  • changes in hormone levels that lead to low fertility
  • weakening lung functions leading to catching colds and flu’s more easily,
  • asthma
  • obstructive lung diseases
  • worsening of skin problems like acne, eczema and psoriasis
Relationship between stress and dry eyes are well documented.  We can understand this phenomena from how stress affects the circulatory system (How Does Stress Affect the Circulatory System. By Adrian Whittle). Stress causes the blood to produce hormones that increase the blood flow (increase blood pressure) and make blood thicker (causing strokes). As the heart is working harder, the micro-circulation of blood to the extremities such as skin, legs, and arms are decreased.

This decrease in blood supply may also include the brain and eyes. Eyes being connected to the brain already has a delicate blood circulation balance. Under stress, blood supply to the brain and eyes are both compromised, causing dry eyes.  Left untreated, this condition can become chronic. 

Learn more from:

How can TheraLife Help?

Theralife has 2 products that can help. TheraLife Eye and TheraLife Fatigue.
TheraLife Eye EnhancedTheraLife Eye works by stimulating the tear secretion to achieve balanced, sustainable tears from inside out. Learn more.
TheraLife FatigueTheraLife Fatigue delivers more oxygen to the brain, promotes alertness without caffeine, stay focused at work, and be able to sleep better at night. Learn more!

Which product is best for me?
 For those who have an existing dry eye condition and are already using TheraLife Eye Enhanced - try to increase the dosage. For those who would like to try TheraLife Eye Enhanced for Dry Eye, click here for additional information.
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TheraLife WristTheraLife Wrist - carpal tunnel syndrome and wrist injuries
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TheraLife Neck and ShoulderTheraLife Neck and Shoulder
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Thursday, May 25, 2017

Managing Eyelid Inflammation (Blepharitis) in Doctor's Offices.

Managing EyeLid Inflammation (Blepharitis) in Doctor's Offices.

This is an exert from "Optometric Management- by Dr. David Devries, May 2017

Dr, Devries is a praticing optometrist who wrote this article about how he manages eyelid inflammation in his dry eye practice.  

Meibography combined with diagnostic expression

Meibomian Gland Dysfunction - a major cause of dry eyes must be addressed in people with dry eyes.  Since it contributes significantly to evaporative dry eyes, leading cause of chronic dry eye syndrome.  . Diagnosis is the key and the most effective tool that I have seen, which I utilize within the meibography ( image of meibomian glands) combined with diagnostic expression.

Expressing by lightly pressing on the meibomian glands ( located on the lower eye lids) allows the eye doctor to easily determine if the meibum is clear and “baby oil like.” Turbid, thickened meibum can be explained to a patient but being able to also image the meibomian glands is extremely usefull. Once a patient sees what their meibomian glands look like compared to normal glands, there seems to be a much greater urgency to receive treatment. 

Types of Meibography Equipement

There are multiple units available to perform meibography (LipiView II, LipiScan, Oculus Keratograph 4, Topcon, Meibox). Meibography not only helps patients realize the importance of compliance in their treatment but it also helps drive more advanced procedures.

1. Hot Compress

Hot compress is vital in treating MGD. A hot wash cloth is just not good enough to melt the meibomian clogging.  Having products available in the practice will tremendously help in the compliance aspect of treatment.

2. Debridement

As a result of meibography - which looks at the health of the meibomian glands, we are now doing more advanced lid procedures with patients. A frequent procedure I perform is the cleaning of the biofilm from the lid margins. Microblepharoexfoliation (BlephEx) is an in-office procedure that takes about 5 minutes to perform. Patients are very willing to have this procedure performed and the vast majority recognize improvements within a very short period of time.

3.  IPL and LipiFlow

We are also performing more vectored thermal lid pulsation (LipiFlow) as well as Intense Pulse Light (IPL) treatment on the people with  MGD with ocular rosacea. The basis of improvement in IPL is believed to be the photocoagulation of fragile telangiectasia that leak pro-inflammatory agents. Inflammation leads to a thickening of the meibum and eventual obstruction of the glands. Dermatology patients having cosmetic rosacea treatment with IPL recognize improvement in their dry eye after multiple treatments. This has led to the increasing utilization of IPL within eye care.


Seeing is believing and meibography has provided the necessary visualization for my patients to be willing to have not only baseline treatment but advanced procedures as well.

To learn more, click here
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How can Theralife Help?  
Theralife Blepharitis Starter Kit - designed to address all aspects of  recurring blepharitis, including meibomian gland dysfunction and chronic dry eyes.  

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Monday, May 15, 2017

Treatments & Causes for Watery Eyes- Aging Eyes

Treatments & Causes for Watery Eyes - Aging Eyes.

Dry eyes are one of the most common problems among seniors as they age. With age, our eyes and body are undergoing a variety of changes. Decreased cardiac function results in decreased micro-circulation which leads to poor supply of blood and nutrients to the eye. If dry eye is left untreated, the cornea can develop ulcers as well as other severe eye problems.

Causes of Aging Dry Eyes

As we age, our body produces fewer tears. Dry eyes are a very common complaint among older adults. Here are a few of the different causes that influence our dry eyes:
  • Watery Eyes- Ironically, dry eyes can cause watery eyes because the body senses the amount of fewer tears which triggers the brain to produce reflex tears (excessive watery tearing). This excessive tearing however does not lubricate your eyes it only makes the problem worse.
  • Menopause- Hot flashes, insomnia, vaginal dryness, mood swings, fatigue, headaches are all associated with menopause. However, more than 60% of women experiencing these symptoms also experience dry eyes. Women at this stage are also vulnerable in developing autoimmune diseases like Sjogren’s syndrome; Rheumatoid Arthritis (see section under TheraLife Eye Enhanced – Autoimmune Dry Eyes.)
  • Tear Production- As we age, our eyes naturally slow down the tear production process. Tears are a major protective agent for the eyes. Tears not only wash away dust from our eyes, but also soothe our eyes, provide oxygen and nutrients to the cornea, as well as help defend against eye infections by removing microorganisms that can form communities in our eyes.
  • Medications- Medications can cause dry eye. This includes some medications, antidepressants, antihistamines, muscle relaxants, sleeping pills, and pain relievers. Natural therapy sometimes tends to be a more balanced approach to aging diseases.
  • Caffeine in foods- Coffee, tea, sodas and chocolates are some of our everyday indulgences that contain caffeine. Caffeine causes blood vessels to constrict which results in decreased circulation, cause insomnia, and a variety of health issues. Try avoiding these foods and drinks if possible as caffeine is known to dehydrate the body.
  • Computer use- Internet allows us to connect with the outside world. Sitting in front of the computer for extended periods of time can significantly dry your eyes out. Remember to blink more often.

Prevention Measures as You Age

We strongly recommend the following things you can do to help prevent and relieve the severe symptoms of Dry Eye, regardless of your age. Here are a few examples:
  • Drink Water- At least 8 glasses a day. Water is a great source to keep your body hydrated, especially if you live in dry, hot or cold climates.
  • Humidifiers- Either in your central heating system or individual rooms inside your home can bring moisture into the air, especially if you live in a dry location, or during winter when there is less moisture in the air.
  • Natural Supplements- Omega-3’s (especially fish oil) and Omega 6’s is a great way to help you thicken your tears and decrease your dry eye symptoms. For women, adding Primrose Oil to Fish Oil can also help with hormone balance.

How can TheraLife Eye Help?

Your eyes are watery because you had dry eyes for a long time.  Unfortunately, your crying tears is of poor quality, washing your eyes clean of lubricates that thicken the tears.

TheraLife Eye works by restoring normal cell functions to tear secretion glands and increase normal tear production to relief dry eyes.  It is the only formula that can stop tear over production. It takes 3 months to stop watery dry eyes.

To learn more: click here
Watch a video
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Tuesday, May 9, 2017

Sjogren's Dry Eye/Joint Pain Relief by TheraLife Autoimmune

Sjogrens Syndrome Dry Eye/Knee Joint Pain- Relieved by TheraLife Autoimmune

Sjogren's Syndrome is an autoimmune disorder where the body attacks its own moisture producing cells, such as eyes, lungs, sinus, vaginal areas, and mouth. 

TheraLife Eye Autoimmune formula is an all natural patented formula that treats dry eyes, and help reduce flares.  Read on and learn.

This is my personal story:

"Since I started taking Theralife Autoimmune formula- my dry eyes continues to improve.  The biggest miracle of all with Theralife Autoimmune is that my very painful right knee continues to improve. I have two kinds of arthritis, osteoarthritis and Rheumatoid . Last year the pain was so bad that I could barely walk, my husband had to get the groceries.  After taking the Theralife Autoimmune for about 3 months for my dry eye condition, I began to notice that my knee felt better. Now I am close to walking normally.  The knee improvement started after having taken TheraLife for 3 months. I was using a cane and now I don't need it, I am just amazed I was not expecting this wonderful added benefit. Thank you so much" .
P H. Crestline, CA

Learn how TheraLife Autoimmune for Dry eye/Dry Mouth works  Click here

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