Thursday, September 28, 2017

What Causes Watery Eyes?

What Causes Watery Eyes?

There are two major reasons for watering eyes - blocked tear ducts or over  production of tears. 

Majority of the watery eyes are caused by DRY EYES.
  • Blocked tear ducts – Infants sometimes are born with watery eyes. This problem goes away shortly as the tear ducts develop.

    A common cause of watery eyes in adults is blocked tear ducts, or ducts that are too narrow. Narrowed tear ducts usually is from swelling (inflammation) such as dry eyes.

    If a person's tear ducts are narrowed or blocked their tears can not drain and thus, build up in the tear sac. Stagnant tears in the tear sac increase the risk of eye infections.  The eye will start to  produce a sticky liquid, making the problem worse.

    Narrow drainage channels on the insides of the eyes can become blocked due to swelling or scarring from dry eye syndrome.
  • Over-production of tears - irritated eyes can produce more tears because the body is trying to rinse away the irritant. Some examples of irritants that can cause watery eyes include:
    • Dry Eyes- irritated, red, gritty, light sensitive, tired.
    • Chemicals, such as fumes, and even onions
    • Allergic conjunctivitis
    • Eye infections
    • Injury to the eye, such as a scratch or a bit of dirt
    • Trichiasis - inward-growing eyelashes, often caused by marginal entropion (the eye lid turns in at the edges towards the eye) which causes irritation.
    • Ectropion - this is when the lower eyelid turns outwards
The tears of some patients have a high fat (lipid) content. This may cause uneven spread of liquid across the eye, leaving dry patches which become painful, irritated and cause the eye to produce more tears.  This is what happens in chronic dry eyes.

Theralife Can Help
Doctors Recommended for Watery Dry Eyes.  

To stop watery dry eyes, relief dry eyes first, then your eyes will stop watering .  This will take 3 months on TheraLife Eye capsules. 

TheraLife Eye is not an eye drop.  It is a capsule that relief dry eyes from within to get balanced, sustainable tear production.  Eye drops simply add more fluid to your eyes that are already watery- making your eyes drier and drier.   Watery eyes do recover by using TheraLife Eye.  Start your relief today.

Learn more 

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Why Allergy Medications Can Lead to Dry Eyes & Glaucoma


 Allergy Medications Can Lead to Dry Eyes and Glaucoma.

Incidence of Allergy

The number of people has allergies or asthma is one in five!

Allergy patients can present themselves with itchy, red, watery and dry eyes. They often complain of having a constant cold.  Chronic dry eye is often associated with ocular allergy.  Want to know what medications are prescribed and how the doctors diagnose ocular allergies and more?  Read on - - - -

Allergy in the United States is very common and is considered a systemic condition that is treatable.  About one third of the patients who has allergies are not aware they have this condition.  Patients who suspect they suffer from allergies usually first visit their family practitioner, who may refer them to an allergist. These patients often end up taking an oral systemic medication, and treatment often leads to chronic dry eye, glaucoma and more eye issues.

Allergy Medications Affects Eyes

Although allergy also affects the eyes, systemic antihistamines are partially effective at alleviating ocular symptoms (e.g. itching and redness), and they have also been shown to contribute to secondary dry eye problems.

Many of your optometrists or ophthalmologists can refer you to an allergist. They should work as an integral team for this wide spread problem.

What are the Symptoms of Allergies

People, who have allergies often have these symptoms:
  1. Recurrent cold” that occurs around the same time every year,
  2. Profound Itchy- how this is different than dry eye.
    Dry eyes can have itching,m but its hallmarks are more the foreign body sensation, grittiness, discomfort and reflex tearing. And usually with allergy, there is more redness in the eye.”
  3. Lower lids may reveal dark half circles. This swelling and discoloration is indicative of allergy.
  4. Constantly rubbing nose up and down.    

Allergy and Glaucoma:

Allergists are aware that some allergy medications can cause the pupil to dilate and prompt angle-closure attacks in people who have very narrow angles or undiagnosed angle-closure glaucoma, building up intra-ocular pressure.

Allergy and Chronic Dry Eyes.

People being treated for chronic allergies are at risk for concomitant dry eye, as several OTC drugs contain preservatives that put patients at risk for this condition.  During the eye esamination, the eye doctor can be on the lookout for any signs of ocular dryness, via slit lamp exam.

Her is a list of  Prescription Medications are used to treat Allergy?

Intranasal Corticosteroids for Ocular Allergy- Veramust ( GlaxoSmithKline)
Prescription Ocular Allergy Drugs
► Alcaftadine 0.25% (Lastacaft, Allergan) Age of use: two years +, Dosing: q.d.
► Azelastine hydrochloride 0.05% (Optivar, Meda) Age of use: three years +, Dosing: b.i.d.
► Bepotastine besilate 1.5% (Bepreve, ISTA Pharmaceuticals) Age of use: two years, + Dosing: b.i.d.
► Cromolyn sodium 4% (Opticrom, Allergan) Age of use: four years +, Dosing: q.i.d.
► Emedastine difumarate 0.05% (Emadine, Meda) Age of use: three years +, Dosing: q.i.d.
► Epinastine HCI 0.05% (Elestat, Allergan) Age of use: three years +, Dosing: b.i.d.
► Lodoxamide tromethamine 0.1% (Alomide, Alcon) Age of use: two years +, Dosing: q.i.d.
► Loteprednol etabonate 0.2% (Alrex, Bausch + Lomb) Age of use: Safety and effectiveness in children has not been established. Dosing q.i.d.
► Loteprednol etabonate 0.5% (Lotemax, Bausch + Lomb) Age of use: Safety and effectiveness in pediatric patients have not been established. Dosing: q.i.d.
► Nedocromil sodium 2% (Alocril, Allergan) Age of use: three years +, Dosing: b.i.d.
► Olopatadine hydrochloride 0.2% (Pataday, Alcon) Age of use: two years +, Dosing: q.d.
► Olopatadine hydrochloride 0.1% (Patanol, Alcon) Age of use: three years +, Dosing: b.i.d.
► Pemirolast potassium 0.1% (Alamast, Vistakon Pharmaceuticals, LLC)Age of use: three years +, Dosing: q.i.d.* Be sure to check these drugs for their individual preservative amounts. Which makes dry eye symptoms worse.
  1. 1. Spangler DL, Abelson MB, Ober A, Gomes PJ. Randomized, double-masked comparison of olopatadine ophthalmic solution, mometasone furoate monohydrate nasal spray, and fexofenadine hydrochloride tablets using the conjunctival and nasal allergen challenge models. Clin Ther. 2003 Aug;25(8): 2245-2267.
    2. Abelson MB, Welch DL. An evaluation of onset and duration of action of Patanol (olopatadine hydrochloride ophthalmic solution 0.1%) compared to Claritin (loratadine 10 mg) tablets in acute allergic conjunctivitis in the conjunctival allergen challenge model. Acta Ophthalmol Scand Suppl. 2000;(230): 60-63.
    3. Ouslter GW, Workman DA, Torkildsen GL. An open-label, investigator masked, crossover study of the ocular drying effects of two antihistamines, topical epinastine and systemic loratadine, in adult volunteers with seasonal allergic conjunctivitis. Clin Ther 2007 Apr;29(4): 611-616.
    4. Pew Internet and American Life Project. Fox S. The Social Life of Health Information, 2011.
    5. Stewart MG. Identification and management of undiagnosed allergic rhinitis in adults and children. Clin Exp Allergy 2008;38(5):751-760.
    6. Rosenwasser LJ, Mahr T, Abelson MB, et al. A comparison of olopatadine 0.2% ophthalmic solution versus fluticasone furoate nasal spray for the treatment of allergic conjunctivitis. Allergy Asthma Proc. 2008 Nov-Dec;29(6): 644-653.

How TheraLife Eye can help!

Why TheraLifeEye Enhanced?

TheraLife Eye Enhanced treats both dry eye and ocular allergies.  You are getting 2 benefits in one pill.

TheraLife Eye is an all-natural botanical product that does not have some of the side effects of anti-histamines (dehydration, dizziness, fatigue and Dry Eyes) or drugs.  TheraLifeรข Eye Enhanced has ingredients that relieve symptoms of Allergy Eyes as well as Dry Eyes. 

To learn more, click here
For more information, see TheraLife  Dry Eye Benefits below:

1.  Allergy medications- we recommend Claritin – a mast cell stabilizer.
2.  Use a Hepa filter air cleaner

3. Leave outer clothing and shoes outside before coming into the house to avoid tracking allergens indoors.
DO NOT USE ANTIHISTAMINES – e.g. Benydryl, Claritin D

For additional information; please visit National Eye Institute:

Monday, September 25, 2017

Importance of Vitamin D in Dry Eye Relief

Importance of Vitamin D in Dry Eye Relief

Recent clinical studies indicate people with Vitamin D deficiency is often associated with chronic dry eye syndrome.  

What are the symptoms of Vitamin D Deficiency?

  • Tingling fingers and toes. 
  • Tired ALL the time.
  • Horrible, deep bone aches all night long.
  •  Dry, irritated eyes. 
  • Legs falling asleep in the middle of a 60 minute workout. 
  • Random "electric zings" that shot through calf and elbow that felt like someone just flicked ice cold water droplets on the skin, although nothing was ever there. 

 Clinical Research Study

This is an abstract of a recently published article 

This is an abstract from a  recent publication in Acta Opthalmol, May, 2017

Clinical study was done at Department of Ophthalmology at Hallym University Kangnam Sacred Heart Hospital in Korea

The clinical study took people with dry eyes and control. They Evaluated people with Vitamin D deficiency measured in the blood, and dry eye measurements such as Tear Breakup Test, (TBUT) Shrimer's Test ( tear volume) and Ocular Surgace Disease INdex (OSDI), plus fluorescent staining.  
Results indicate TBUT and Tear Volume were directly correlated with Serum Vitamine D Deficiency.  
These 2 parameters, lack of tear volume ( lacrimal gland deficiency) and TBUT ( tear not thick enough) are the key factors in chronic dry eyes.   

Vitamin D's Role in Health


This very important vitamin has many positive effects on the body, including a role in

  • reducing inflammation, 

  • reducing the risk of depression and even death from cardiovascular disease. 


    • It may also play a role in the prevention of Diabetes, Hypertension, Multiple Sclerosis, asthma, sleep apnea, dental caries, and allergy. 


    Who is at Risk 

    low vitamin D levels have also been associated with increased dry eye signs and symptoms, Those at higher risk include individuals who are homebound (or work-bound!), vegans, obese individuals, or those with reduced kidney or GI function, to name a few. It’s estimated that one in every two people are at risk for Vitamin D deficiency, and that risk increases with age.

Theralife Can Help 
Doctors Recommended!
TheraLife Eye is designed to revive and restore your tear functions so you can make your own tears for dry eye relief.  Read more about our customer stories.  
 Call us toll free 1-877-917-1989 US/Canada
 send email inquiries to
Follow us on twitter and facebook. 
Jin KW, Ro JW, Shin YJ, Hyon JY, Wee WR, Park SG. Acta Ophthalmol. 2017 May;95(3):e230-e235.
 1. Lu X, Elizondo RA, Nielsen R, et al. Vitamin D in Tear Fluid. Invest Ophthalmol Vis Sci. 2015 Sep;56(10):5880-7.
2. Alsalem JA, Patel D, Susarla R, et al. Characterization of vitamin D production by human ocular barrier cells. Invest Ophthalmol Vis Sci. 2014 Apr 7;55(4):2140-7.
3. Yin Z, Pintea V, Lin Y, Hammock BD, Watsky MA. Vitamin D enhances corneal epithelial barrier function. Invest Ophthalmol Vis Sci. 2011 Sep 21;52(10):7359-64.
4. Reichrath J. Vitamin D and the skin: an ancient friend, revisited. Exp Dermatol. 2007 Jul;16(7):618-25.
5. Need AG, O'Loughlin PD, Horowitz M, Nordin BE. Relationship between fasting serum glucose, age, body mass index and serum 25 hydroxyvitamin D in postmenopausal women. Clin Endocrinol (Oxf). 2005 Jun;62(6):738-41.
6. Jin KW, Ro JW, Shin YJ, Hyon JY, Wee WR, Park SG. Correlation of vitamin D levels with tear film stability and secretion in patients with dry eye syndrome. Acta Ophthalmol. 2017 May;95(3):e230-e235. 

Wednesday, September 20, 2017

How To Treat Recurring Blepharitis/MGD - Chronic Dry Eyes

 How To Treat Recurring Blepharitis/MGD - Chronic Dry Eyes

This is an abstract from Optometric Management titled New Treatments for Blepharitis- “Meibomian Gland Deficiency ( MGD)


Majority (75%) of patients with Blepharitis also has chronic dry eye syndrome.  The symptoms often feel similar.  Blepharitis tends to recur, Customers with Blepharitis often has rosacea on the face, nose, flaky skin, dandruff, or certain bacterial or mites growing on the eye lashes.  It is recommended that you wear no make up on the eyes. 

There are newer options to offer our patients who continue to suffer the effects of meibomian gland dysfunction (MGD), despite our best efforts with traditional therapies.  MGD is reported to afflict 67.2% of people over the age of 60 in the United States. Common treatments include:

1. Hot compresses 2-3 times per day.  Each time gently massage your eye lids after wards .  A hot wash cloth is not good enough.

2. Essential fatty acids – such as Omega 3 Fish Oil or Flaxseed Oil for their strong anti- inflammatory properties

3. topical and oral antibiotics

4. topical cyclosporine. 

5. Clean eye lids - we recommend a hypochlorous acid based cleanser to prevent re-attachment of bacteria or mites.Two newly described therapies for MGD include 

            o  Gland Probing - Intraductal Meibomian Gland Probing

            o  Intense Pulsed Light (IPL).

Meibomian gland probing was proposed by Steven Maskin, MD using a 76 micron, stainless steel probe of 2- or 4 mm length to unblock glands.  He presented a case series of 25 patients diagnosed with MGD, based on lid margin or tarsal hyperemia, telangiectasia, thickening or irregularity or meibomian gland metaplasia, plus lid tenderness upon palpation; or subjective complaints such as stickiness, irritation or discomfort. Gland patency was assessed via transillumination to determine the best candidates for probing; intact or atrophied glands were avoided. After anesthesia with either tetravisc or 4% lidocaine, the 2 mm probe was passed through the gland perpendicular to the lid margin.  During the probing, there was mild resistance at the level of the orifice; more moderate resistance associated with a gritty sensation; and more severe resistance suggestive of fibrovascular tissue that was able to be penetrated with mild additional pressure.  Twenty-four of 25 patients (96%) had immediate post-probing relief, while all patients reported relief of symptoms by four months post-procedure.  Twenty patients (80%) did not need re-treatment by average follow-up of 11.2 months, while the remaining five patients (20%) required re-treatment at an average of four to six months. 

Another experimental treatment is Intense Pulsed Light (IPL), introduced by Rolando Toyos, MD. The treatment uses heat from a special flash lamp to melt the obstructions in the meibomian gland orifices.12  When originally used in dermatology for acne and rosacea patients,  IPL patients would subsequently report that their eyes felt better post treatment.  In 2003, Toyos conducted a study in which 100 patients with treatment resistant MGD were treated with IPL on the lower lid on only one side.  He reported that following treatment, the MGD was improved, both subjectively and clinically.  Dr. Toyos claims that when the light is absorbed by the blood vessels, the heat that is generated melts the secretions and opens the glands, decreasing the inflammatory cytokines, and allows for easier expression and improvement of tear film stability.  There’s also some evidence that IPL decreases parasites on the eyelash margin that can cause meibomian gland problems.  It usually takes three to four treatments over the course of four months, with maintenance treatments required every six to twelve months.
As the number of dry eye patients in our practices continues to grow, newer and more innovative methods of diagnosis and management will enable us to treat more of these patients more efficaciously.

Why TheraLife Eye?

Combination of Theralife Eye and Eye Lid Cleansing, Omega 3 Fish Oil will allow you to recover from this disorder. 

 Underlying cause of Blepahritis is often chronic dry eyes.  Blepharitis tends to recur.  Typical signs of Blepharitis is inflamed eye lids, red eyes, tired, irritated.  TheraLife Eye stimulates both the Lacrimal gland for tear secretion, and meibomian gland to secrete balanced tears that lasts all day long.  Combination with effective eye lid cleansing will get rid of this condition.  

Call us toll free: 1-877-917-1989 US and Canada.  International (650) 949-6080   email to


1. Bron AJ, Tiffany JM. The contribution of meibomian disease to dry eye. Ocul Surf. 2004 Apr;2(2):149-65.
2. Pinna A, Piccinini P, Carta F. Effect of oral linoleic and gamma-linolenic acid on meibomian gland dysfunction. Cornea. 2007 Apr;26(3):260-4.
3. Foulks GN, Borchman D, Yappert M, et al. Topical azithromycin therapy for meibomian gland dysfunction: clinical response and lipid alterations. Cornea.2010 Jul;29(7):781-8.
4. Luchs J. Efficacy of topical azithromycin ophthalmic solution 1% in the treatment of posterior blepharitis. Adv Ther. 2008;25:858-70.
5. Dougherty JM, McCulley JP, Silvany RE, Meyer DR. The role of tetracycline in chronic blepharitis. Inhibition of lipase production in staphylococci. Invest Ophthalmol Vis Sci. 1991 Oct;32(11):2970-5.
6. Ralph RA. Tetracyclines and the treatment of corneal stromal ulceration: a review. Cornea. 2000 May;19(3):274-7.
7. Stone DU, Chodosh J. Oral tetracyclines for ocular rosacea: an evidence based review of the literature. Cornea. 2004 Jan;23(1):106-9.
8. Yoo SE, Lee DC, Chang MH. The effect of low-dose doxycycline therapy in chronic

Tuesday, September 19, 2017

Why Eye Drops Make Your Dry Eyes Worse

Why Eye Drops Make Your Dry Eyes Worse

You have dry eyes.  Your eye doctor told you to use eye drops.   Your put the eye drop into your eyes. Your eyes are dry again in 10 minutes.  Does this sound familiar?

Your eye doctor may suggest that you use preservative free eye drops, gel eye drops that are thicker.  Nothing seems to be helping.  Why?

Eye drops make your eyes drier over time. 

Eye drops provide temporary relief.  Over time, they wash away the natural lubricants your eyes produce- just like washing your eye balls under a faucet.  The increased dryness makes inflammation worse, and your dry eyes unbearable.

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 dependent 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. Meibomian 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), prevent tear evaporation

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 is more than 4-5 times/day.  This includes antibiotic eye drops, dry eye medications, or glaucoma drops.

For chronic dry eyes, you need balanced, sustainable tear secretion throughout the day. 

TheraLife Eye Enhanced can help!
 Doctor's Recommended!

TheraLife® Eye Enhanced works by Restoring and reviving all the tear glands (meibomian and lacrimal glands) to make its own balanced tears naturally and overcome the key issue in chronic dry eye syndrome.

What is in TheraLife Eye? click here.  under "Ingredients"

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