Monday, January 7, 2019

TheraLife: Natural Treatments for Blepharitis

TheraLife: Natural Treatments for Blepharitis: Natural Treatments for Blepharitis Are you getting Red Crusty Dry Eyes- You have been told you have blepharitis.     ...

Natural Treatments for Blepharitis

Natural Treatments for Blepharitis

Are you getting Red Crusty Dry Eyes- You have been told you have blepharitis.  

This story sounds familiar?  Your have been diagnosed with dry eyes, you use eye drops, warm compress, cleaning eye lids with baby shampoo, and your eyes are still red, dry, and irritable.  What else could be going on?
Red dry eyes are often caused by:
  • chronic dry eye
  • Conjunctivitis
  • Blepharitis

Chronic Dry Eye Syndrome:

Red eyes is a typical chronic dry eye syndrome, in addition to feeling dry, tired, irritated, light sensitive, sandy gritty, and sometimes watery.

Conjunctivitis is caused by viral or bacterial infection.  Bacterial conjunctivitis can be treated with antibiotic eye drops. Viral infections typically runs through a 14 day cycle and stop.  For ocular herpes, please consult your physician.  Acyclovir is often the treatment of choice for herpes.

Blepharitis is a recurring condition caused by inflammation of the eye lids.  Meibomian tear glands (produce tear thickness) is often involved.  Common causes include rosacea, dandruff, sometimes allergies, bacterial growth on the eye lids.  Typical recommendation is to use warm compress daily, clean eye lids with baby shampoo followed by gentle massage of both upper and lower eye lids.  Unfortunately, blepharitis tend to recur.  Eye lid hygiene is key.
Symptoms of blepharitis are very similar to red dry eyes - blurry vision, watery, red, tired, light sensitivity and often wake up with a crusting of eyelashes.

How can TheraLife Eye Help?
TheraLife Eye is effective in reducing inflammation and stimulates tear flow for chronic dry eye relief.  Often people with chronic dry eyes also have blepharitis.  Treating chronic dry eyes reduces the inflammation, and also helps to reduce the recurrence of blepharitis.  It is highly recommended that those who have blepharitis stay on TheraLife Eye long term to increase the rate of success.

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Home Remedies for Demodex - Dry Eye Treatment

Home Remedies for Demodex- Dry Eye Treatment

Eyelash mites, also called "Demodex" is a leading cause of blepharitis - inflammation of the eye lids, which causes chronic dry eyes..

What is Demodex?

Root cause of demodex is chronic dry eyes.  Inflammation from dry eyes cause blepharitis , weakness in your immune system allow mites to harbor on your eye lashes.

Eyelash mites are tiny parasites that live in the hair follicles of the eyelash roots. While most people have mites naturally, some people are allergic to them. 

Symptoms of Demodex are red eyes, swelling of the eyelid and flaky skin or rashes are common.  These symptoms are the same as Blepharitis. The infection that eyelash mites can cause is known as demodicosis or "Demodex". Treating the infection quickly and completely will help prevent future episodes.

Here is a home remedy to try
Things You'll Need
1.  No tear baby soap- does not work well for demodex.  Mites will re-attach to eye lids.  Soap also make your eye lids sore. 
2. Water
3. Washcloth
4. Tea tree oil
5. New make up
6. Clean sheets and pillow cases

1.  Wash your face and eye area with a gentle  cleanser-  Gently scrub with a washcloth twice a day.

2.  Apply a drop of tea tree oil diluted with water (50:50) to each eyebrow, as well as a drop to each eyelash, because mites living in the brows can easily drop down into the eyelashes.

3.  Throw away all your eye make-up and buy new items. Avoid wearing any make-up for at least one week, to keep the area clean.

4. Wash sheets and pillowcases on a regular weekly basis.

5.  Do hot compresses twice a day-= 10 minutes each time.  Prefer a gel or micro- bead type hot compress. followed by eye lid cleanser. - e.g. Avenova. 
6. Schedule an appointment with your doctor if the problem persists. Your doctor can prescribe a topical antibiotic ointment to help kill the mites and clear up the problem.

Let TheraLife Eye help you reduce inflammation and restore normal functions to your tear secretion glands now.

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TheraLife: Why Frequent Use of Eye Drops Make Your Eyes Drier...

TheraLife: Why Frequent Use of Eye Drops Make Your Eyes Drier...: Why Frequent Use of Eye Drops Make Your Eyes Drier ? You have been diagnosed with chronic dry eyes . The majority of available tr...

Why Frequent Use of Eye Drops Make Your Eyes Drier?

Why Frequent Use of Eye Drops Make Your Eyes Drier ?

You have been diagnosed with chronic dry eyes. The majority of available treatments are eye drop based.  I am sure that you have tried one or all of the following:
-        Over the counter eye drops
-        Preservative free eye drops
-        Eye drops that are thicker to provide longer lasting relief such as gels
-        Eye drops that have balanced electrolytes
-        Tried  prescription cyclosporine drops
-        Tried tear thickening oily capsules
-        Used either an eye mask or thick eye gel at night.

Of all the eye drops, decongestant eye drops, such as Visine, are the worst.  Visine constricts blood vessels in your eye to take the red out. Long-term use can cause your eyes to become dependant on these eye drops, and when you stop, the blood vessels become even larger, making red eyes worse.

After all this, your eyes are still dry, irritated, red, sometimes painful, and your vision is blurred.  It is even possible to develop corneal ulcers from prolonged chronic dry eye conditions.

So why don’t drops work for my chronic dry eye?

The answers resides in our tear composition and tear secretion glands:

  1. Lacrimal Glands- This gland produces the bulk of your tear and creates tear volume
  2. Mybomian Glands- This gland secretes thickening agents (proteins, lipids, and mucin) to prevent tear evaporation and protects the eye
Our body requires that the tear volume and tear thickness be balanced and secreted evenly over time in order to provide eye comfort.  Most of the treatments listed above address either one or the other requirements, but not both:

- Eye drops – compensate for the lack of tear volume
- Oily eye capsules – compensate for the lack of tear viscosity (thickness)

The common experience with any kind of eye drops are “My eyes are dry 10 minutes after putting drops in”.  Over time, the more one uses eye drops, the drier the eyes get.  The reason is eye drops wash away the lubricating thickening agents that your Mybomian Glands produce and eventually train your eyes not to secrete tears.  It becomes a conditioning reflex.

Overuse of eye drops usually constitutes more than 4-5 times/day.   A good analogy of this would be if you washed your hands repeatedly.  The outcome?  You would have overly dry and cracked hands.  The same principle is applied to the eyes.  Strip away the natural mucin your eyes are creating with drops will eventually lead to drier eyes.

For chronic dry eyes, you need balanced, sustainable tear secretion throughout the day.  TheraLife Eye Enhanced can help!

TheraLife® Eye Enhanced works by increasing intracellular metabolism (Mito-Activation), which enables us to stimulate the all the tear glands (mybomian and lacrimal glands) to secret its own balanced tears naturally and overcome the key issue in chronic dry eye syndrome.

Call toll free US and Canada 1-877-917-1989
International (650) 949-6080
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Do you have Conjunctivitis or Blepharitis? What Is The Dfference?

Do You Have Conjunctivitis or Blepharitis?  What Is The Difference?

So your eyes are red, they hurt.  How do you know if you have conjunctivitis or blepharitis?  Read on!

A.     Conjuctivitis versus Blepharitis- the Difference!

Conjunctivitis is inflammation of the clear membrane that lines the eye. Conjunctivitis is caused most commonly by infection from viruses (e.g. Herpes) or bacteria, or by an allergic reaction, though other causes exist, such as overexposure to sun, wind, smog, chlorine, or contact lens solution. Pinkeye is the common name for conjunctivitis.

Blepharitis is inflammation of the eyelid; most commonly, it is caused by a bacterial infection.  It can spread from person to person, and is considered contagious.  If treatment is delayed, it may cause corneal inflammation and loss of eye sight.

What are the symptoms?

Conjunctivitis and blepharitis may cause mild discomfort with tearing, itching, burning, light sensitivity, and thickening of the eyelids. They may also produce a crust or discharge, occasionally causing the eyelids to stick together during sleep. The eyes and eyelids may become red, but usually there is no blurring or change in vision.

Other therapies

Individuals with diagnosed conjunctivitis should avoid irritants, such as contact lenses or allergy-causing agents.

Vitamins that may be helpful

Vitamin A deficiency has been reported in people with chronic conjunctivitis. It is unknown whether vitamin A supplementation can prevent conjunctivitis or help people who already have the condition. Note that high dose Vit. A can be toxic.  TheraLife uses beta-carotene- not Vit. A in the capsules.  Beta-Carotene is converted into Vit. A in your liver, only to the extent that your body requires.  The rest is secreted into the urine.  Therefore, beta-carotene is not toxic.

Home Remedies for Conjunctivitis

Several herbs have been traditionally used to treat eye inflammation. Examples include calendula, eyebright, chamomile and comfrey.  Be ware that none of these herbs has been studied for use in conjunctivitis or blepharitis. As any preparation placed on the eye must be kept sterile, topical use of these herbs in the eyes should only be done under the supervision of an experienced healthcare professional. Goldenseal and Oregon grape contain the antibacterial constituent known as berberine. While topical use of berberine in eye drops has been clinically studied for eye infections,2 the use of the whole herbs has not been studied for conjunctivitis or blepharitis.

B. Blepharitis Blepharitis is a common condition that causes inflammation of the eyelids. It can affect the inside or outside of the eyelids. The condition can be difficult to manage because it tends to recur.

Complication from blepharitis include:
: A red tender bump on the eyelid that is caused by an acute infection of the oil glands of the eyelid.
:  This condition can follow the development of a stye.  It is a usually painless firm lump cause by inflammation of the oil glands of the eyelid. Chalazion can be painful and red if there is also an infection. Problem with tear film: abnormal or decreased oil secretions that are part of the tear film can result in excess tearing or dry eye.  Because tears are necessary to keep the cornea healthy, tear film problems can make  people more at risk for corneal infections.

Causes of Blepharitis
Blepharitis occurs in two forms

Anterior Blepharitis affects the outside front of the eyelid. Where the eyelashes are attached.  The two most common causes of anterior blepharitis are bacteria (Staphylococcus) and scalp dandruff.

Posterior Blepharitis affects the inner eyelid (the moist part that makes contact with the eye and is cause by problems with the oil (meibomian) glands in this part of the eyelid.  Two skin disorders can cause this form of blepharitis:  acne rosacea, which leads to red and inflamed skin, and scalp dandruff (seborrheic dermatitis).

Symptoms of Blepharitis:
Symtpoms of either form of blepharitis include a foreign body or burning sensation,excessive tearing, itching, sensitivity to light (photophobia), red and swollen eyelids, redness of the eye, blurring vision, frothy tears, dry eye or crusting of the eyelashes on awakening.

How is Blepharitis Treated?
Treatment for both forms of blepharitis involves keeping the lids clean and free of crusts.  Warm compresses should be applied to the lid to loosen the crusts, followed by a light scrubbing of the eyelid with a cotton swab and a mixture of water and baby shampoo.  Because blepharitis rarely goes away completely, most patients must maintain an eyelid hygiene routine for life.

If the blepharitis is severe, an eye care professional my also prescribe antibiotics or steroid eye drops.  Note that steroid eye drops can only be used for up to one month- it does have undesirable side effects such as liver damage. When scalp dandruff is present, a dandruff shampoo for the hair is recommended as well.  In addition to the warm compresses, patients with posterior blepharitis will need to massage their eyelids to clean the oil accumulated in the glands.  Patients who also have acne rosacea should have that condition treated at the same time.

How can TheraLife Help?

Blepharitis and Chronic Dry Eye goes hand in hand. Use TheraLife Eye to treat Chronic Dry Eyes, and reduces inflammation. Blepharitis tend to recur and require daily due diligence to keep your eyelids clean and keep it at bay.

TheraLife Eye is clinically proven to be effective in chronic dry eye relief in 80% of the first time users.  It works to restore normal cell functions to your tear secretion glands intra-cellularly.  Call us today!

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New Research Leading to New Approaches for Dry Eye Treatment

New Research Leading to New Approaches for Dry Eye Treatment

“The more we learn about dry eye, the more we need to understand”.
Today’s eye doctors are faced with a great deal of uncertainty. The more we learn about dry eye syndrome, the more we need to understand. In addition, corporate mergers, acquisitions and new companies all have altered the clinical and research landscape in ocular surface disease (OSD). Options for treatment are actually getting more restricted due to domination by prescription drugs which increased the cost of dry eye treatment in recent years by many folds.

What do we know about tear film and mucin? 

Some of the new research in dry eye has a paradigm-shifting in our understanding of dry eye disorder. Take, for example, the tear film. Once thought to be 7µm in thickness and three layers thick (mucin, aqueous and lipid), it is now generally accepted the tear film is 3µm-to-4µm thick, and there are two layers: a mucin-aqueous gradient “gel” and a lipid layer. Taken at face value, the comparative differences do not seem that dramatic. However, what changed is our ability to accurately measure tear film thickness with interferometric techniques, which have been confirmed with anterior segment OCT. In addition, we now have a better understanding of mucins—MUC 16 is not a membrane-bound mucin and thus, is mobile and capable of forming a gradient in the aqueous layer. This allows the formation of “crusty” build up on eye lids.
The role of mucin in the health and disease of the ocular surface is still do not fully understood, but incremental yet logical steps forward in our knowledge of mucin biology will ultimately provide that answer.

Today’s Patients Are More Informed, and Demand Better Answers!
Today, both science and marketing plays important roles in clinical care. Very different than 15 years ago before the internet boom. Direct-to-consumer marketing, the Internet and education all result in increased awareness of disease states by both patients and clinicians. Patients today are more knowledgeable, and demand more information to make their own decisions. Doctors are influenced by supportive science for therapeutics, clinician practice patterns, education and peers. Doctors are trained a certain way in medical schools, and tend to stay with the way they were taught- slow to change. However, today’s patients demand more. Patients in this case, can be a great asset and advocate to their doctors -provide them with more options!

What is Ocular Surface Disease?

Ocular Surface Disease is composed a family of conditions impacting the front of the eye and associated adnexa. Terms such as blepharitis, meibomian gland disease or dysfunction (MGD), keratoconjunctivitis sicca, meibomitis, and meibomian keratoconjunctivitis, among others, led to the concept of dry eye disease and no less than 10 different classification schemes for some component of dry eye or blepharitis through the years.

How to Diagnose Dry Eye? 
The problem is there is no single accepted diagnostic test for dry eye and the tests we do use often correlate poorly with symptoms. It is suggested that doctors ask a series of questions in addition to some of the more accepted conventional tests for dry eyes:

  • Schirmer’s Test –to measure tear volume
  • Tear Breakup Test- to determine tear viscosity
Your eye doctors should: 

1. Ask about symptoms. Have the patient describe in his/her own words how his/her eyes feel, when they feel the worst and how it is impacting his/her life. Record this information, and refer to it at follow-up visits. Note current treatments, including frequency of application.

2. Look at the lids. Twenty years ago, we looked at the lids, but at some point, we stopped. Start to express the meibomian glands- squeeze fluid out. If you see a blocked gland on slit-lamp evaluation in symptomatic patients with quiet lids, you will be surprised by what you find. Be patient—press, move laterally, press, move back, re-press. Look at the quality of the secretions, and record your description.
3. Stain. Most practitioners use fluorescein to assess tear break-up and staining of the cornea. Wait at least one minute before fully evaluating corneal staining. Believe me, you will see more. Then, use lissamine green, and again, wait a minute or two before you observe the ocular surface. This dye takes time to color mucin and devitalized cells. A band-like pattern across the inferior third of the cornea usually means either incomplete blink or possible MGD. A new product, Fluramene (Noble Vision Group), can do the job of both staining agents with one drop.

4. Follow up. This takes valuable chair time, but is worth it in the long run. Recently, there has been a lot of discussion among clinicians with dry eye clinics about the best time to follow-up on a dry eye or MGD patient.
Data suggest that dry eye patients are not overly compliant with therapy—the drop-off from prescribed or non-prescribed treatments is usually four-to-six weeks. Therefore, a six-week follow-up may be the best way to keep your patient on track, and at this appointment, discuss improvements as well as changes to the treatment regimen. Get Your Doctor to Take Time for You Your doctor should take time to do the proper medical exam and provide sufficient information for you why certain decisions are made.
We hear all too often that the doctors are doing the minimal, do not take time to explain to the patients what is going on with their debilitating dry eye conditions – leading to much frustrations on both patients and doctors.

Source: Some of this information is extracted from an article Dr. Kelly Nichols wrote for Optometric Management, July 2011.
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