Thursday, July 23, 2015

See how meibomian glands can be expressed manually.

If you have meibomian gland dysfunction and has used one of the intense pulsed light treatment methods.  Your glands are clogged again.  Ever wonder how you can express the meibomian glands yourself and keep it open?

Watch a video how this is done.  Be sure to consult with your eye doctor to make sure you don't hurt yourself.  Many eye doctors are now teaching their patients on how to do this at home maybe once a month.

Be ware, over expressing can also lead to insufficient lubricant secretions causing dry eyes.  The meibomian glands fill up slowly. Check and do this once a month will ensure free flowing healthy meibomian glands.

Here is the youtube link

Williamson JF, Huynh K, Weaver MA, Davis RM. Eye Contact Lens. 2014 Mar;40(2):111-5.
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Wednesday, July 15, 2015

New Research Shows Why Omega-3 Fish Oil is A Vital Part of Dry Eye Treatment

A new research study indicates Omega -3 Fish Oil significantly improve dry eye measurements in OSDI dry eye questionnaire, tear viscosity and tear volume, and corneal staining scores.  The strong anti-inflammatory activites in the fish oil is attributed to the improvement of dry eye symptoms and scientific measurements.   

If you have chronic dry eyes, is Omega 3 Fish Oil enough?  The answer is no.  Use TheraLife Eye capsules to restore your normal tear function and relief dry eyes naturally.  Read on!

This is an abstract of this research study. 

The ONIT Study-Ocular Nutrition Impact on Tear Film
Mulqueeny SP, Davis RL, Townsend WD, Koffler BH. Adv Ophthalmol Vis Syst. 2015. 2(2): 00038.
PURPOSE: To better understand the role of a proprietary dietary supplement formulated to contain Omega 3 and seven other anti-inflammatories plays in patients with established clinical findings consistent with dry eye disease. Secondarily, this evaluation will attempt to discover if any of the diagnostic markers are predictive to the therapeutic approach of omega 3 anti-inflammatory dietary supplements.
DESIGN: Clinical-based, multi-center cohort study.
METHODS: This eight-week feasibility study was to determine if subjects presenting with dry eye confirmed by diagnostic markers and symptoms responded to nutritional therapy via an oral nutritional supplement. Analyses were completed on a subgroup of subjects with 4 of 7 possible diagnostic criteria.
RESULTS: A total of 67 patients were enrolled between 18-79 years of age inclusive. At the conclusion of the study, improvement from baseline was demonstrated in OSDI decreasing scores by 38%. Improved tear breakup time and phenol red thread scores were seen and was reduced conjunctival staining. There was also a decrease noted in lid inflammation. Osmolarity scores were variable and inconclusive.
CONCLUSION: Supplementation with this Omega-3 anti-inflammatory product in dry eye showed significant improvement in OSDI, TBUT, conjunctival staining lid inflammation and phenol red tear meniscus and corneal staining scores. This decrease in patient symptoms could be an indication of decreasing ocular surface inflammation and possible stabilization of the lipid layer. The change from baseline for these signs appears rapid, as differences were shown as early as one-week post-supplementation.

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Thursday, July 9, 2015

How to manage and treat Ocular Rosacea

Rosacea Illustrated - Photo © A.D.A.M.

Ocular Rosacea

A diagnosis of ocular rosacea is most easily determined if the patient also presents with the dermatological signs associated with acne rosacea- spider veins on nose and cheeks, however, in 20% of  cases, ocular rosacea can occur without skin evidences. This makes the diagnosis more complicated. 
Ocular rosacea is highly probable in people who report persistent eye and lid redness, a gritty or foreign body sensation or frequent styes (chronic dry eyes). Slit lamp signs typically include thickened lid margins with telangiectasia, thick, turbid meibomian gland secretions and tear film debris- Meibomian Gland Dysfunction.  . Crusting and scales in the lashes are also quite common. In severe cases, individuals can develop corneal erosions, infiltrates and ulcers, and even suffer vision loss due to substantial scarring and neovascularization.
Early diagnosis and aggressive management is important for maintaining ocular health and preventing vision loss. Management can range from warm compresses, lid scrubs and lubrication in mild cases, to pulsed ophthalmic corticosteroids, topical azithromycin (off-label) and oral tetracyclines (i.e. doxycycline and minocycline) in moderate to severe cases. Tetracyclines are typically dosed well below therapeutic concentrations, since the goal is to utilize its anti-inflammatory properties and not necessarily its antibiotic traits. Long-term maintenance with topical ophthalmic cyclosporin has also shown to be effective and prescribing lid scrubs containing tea tree oil may also help, as there appears to be a link between ocular rosacea and a bacterium (Bacillus oleronius) commonly found on Demodex mites. Regardless of the treatment, patients must understand that rosacea is a chronic condition and long-term therapy is required to maintain control and slow progression.

Symptoms of Rosacea.  

Individuals with ocular rosacea may not realize that they have dermatological (skin) disease (or vice versa) because signs and symptoms can be subtle. If your have  experienced them for a long time, you may not even realize it’s abnormal. Family history of dermatological problems, or if they experience facial flushing, especially when embarrassed or after eating spicy foods, drinking alcohol or sun exposure. Look for redness, bumps or small blood vessels on the cheeks, nose and forehead. A diagnosis of rosacea is not to be taken lightly — more than 90% of sufferers report lowered self-esteem, and 2/5 of patients say the condition has caused them to avoid public contact.4 A referral to a dermatologist can be very helpful. 

This is an abstract from Dry Eye News, July 2015. 

Theralife Can Help. 

How can TheraLife Eye help?
TheraLife® Eye works by restoring normal cell functions to both lacrimal and meibomian glands.  The result is balanced, sustainable tears from your own eye to provide comfort all day long.   Learn more
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1. National Rosacea Society. (Accessed June 26, 2015)
2. Schechter BA, Katz RS, Friedman LS. Efficacy of topical cyclosporine for the treatment of ocular rosacea.
Adv Ther. 2009 Jun;26(6):651-9
3. Li J, O'Reilly N, Sheha H, et al. Correlation between ocular
Demodex infestation and serum immunoreactivity to Bacillus proteins in patients with facial rosacea. Ophthalmology. 2010;117:870-877.
4. National Rosacea Society. (Accessed June 26, 2015) 
This is an abstract from 

Wednesday, July 8, 2015

Do eye drops really relief chronic dry eyes?

A walk down any pharmacy “eye aisle” with a complaint of dryness can be a little overwhelming.  There are many different options, and their differences speak to the diversity of reasons one may be experiencing ‘dry eye’ in the first place.  Consequently, some seem more “effective” than others.
The basic story of dry eye syndrome is in the name, though its medical term – keratitis sicca – won’t tip you off in the same way.  When the surface of the eye lacks moisture and lubrication due to a shortage of tears, we experience it as dryness and irritation, sometimes accompanied by redness and itching.  Ironically, watery eyes, triggered by an overproduction of the watery part of your tears to protect the eye, can also be a symptom of dry eye.  Finding the best remedy depends on unlocking the reasons and conditions of one’s own dry eye – the underlying causes.   
What’s Causing Dry Eye? :
Let’s start with that life nourishing fluid - our tears.  In addition to embarrassing us in sappy movies and connecting us to the well of human empathy, tears also clean and moisturize our eyes while providing them with enzymes that neutralize their indwelling microorganisms.  While generally most dry eye is a factor of either the lacrimal gland under producing tears or the meibomian gland reducing[L1]  oil output ( or clogging)  which then leads to over-evaporation of tears, what loosens or tightens the faucet, so to speak, varies greatly.  It can be a result of menopause,LASIK surgery,  a[L2]  side effect of medications, or a product of living in a dry, dusty, polluted, or windy city, such as Las Vegas or Tucson.  It can be an alarming indicator of Sjogren’s Syndrome lupus[L3] , rheumatoid arthritis, or ocular rosacea if occurring alongside other issues.  As if that wasn’t daunting enough diagnostically, dry eye is also linked to long hours at the computer, extended contact lens wear, smoking, and seasonal allergies.  It could be a combination of things, as well.  If you find yourself in a rare spell of dry eye, some over the counter drops may be just what the doctor ordered; however, if it is a chronic issue, it may require some deeper investigation, or lifestyle changes, such as installing an air filter or taking more breaks from the electronic devices. 

Much Ado about Drops:
“Artificial tears,” which are the most common eye drops, come in two varieties – with and without preservatives.  If you are struggling with a more severe case of dry eye and using them multiple times a day, it is recommended that you use those with fewer additives.  Some artificial tears will also include electrolytes to help balance the tear composition for the surface of the eye, and your ophthalmologist or optometrist may prescribe eye drops which tackle inflammation.  Do be aware, when contemplating your options, that many eye drops that focus their pitch on “reducing redness” are not as helpful in providing moisture.  Though they may be a good solution if you have a big meeting to appear presentable for, your eyes can acquire a tolerance to the eye-whitening vasoconstrictors in these red-eye fixes which can lead to more redness in the long term.  If you wear contact lenses, make sure to remove them before using the eye drops and wait 15-20 minutes before putting them on again.  

In general, eye drops make your eyes drier by washing away the natural lubricants your eyes produce. 

Check with your Ophthalmologist:
If dry eye is a troubling reoccurrence, make the time to discuss possible causes with your eye doctors[L4] .  He or she may recommend nutritional supplements such as omega-3 fatty acids Theralife Eye oral capsules, and more..  The two of you can also plan a long term strategy that identifies and addresses your unique factors. 

Emily Hunter crafts content on behalf of the eyecare specialists at Eyecare 20/20.  In her spare time, she cheers for Spirit of Atlanta, Carolina Crown and Phantom Regiment, creates her own sodas, and crushes tower defense games. Follow her on Twitter at @Emily2Zen