Steroids for Blepharitis-Meibomian Gland Dysfunction Treatments

 

 People with Blepharitis/MGD are prescribed topical steroids to reduce inflammation in the short term.  This new research study looks at  the side of steroid usage and the increase of intra-ocular pressure, which can be dangerous and leading to blindness.  To avoid this unfortunate side effects, use TheraLife Eye which is an all natural formula to fight inflammation, restore tear secretions to relief dry eye and stay healthy

Topical corticosteroids are frequently used in the treatment of inflammation in the eye, particularly for chronic blepharitis and meibomian gland dysfunction.  One of the serious side effect is  its is a potential IOP increase. loteprednol etabonate or loteprednol etabonate/tobramycin is a topical ocular anti-inflammatory corticosteroid that has a reduced incidence of increased IOP as compared to dexamethasone (very strong steroid) .

A retrospective research study indicated that increased IOP ( range from 9.2mm to 15.3mm Hg)  was detected in 55 days ( 1.8 months) after steroid use.  If this is the subsequent steroid usage, for those who responded before, the IOP increase is higher.  A small number of patients required glaucoma surgery,including shunt, SLT and cyclodestructive prodcedures.   Normal eye pressure ranges from 10-21 mm Hg

In conclusion, this research study indicates the risk of IOP elevations is lower with loteprednol etabonate than with older ketone based corticosteroid products; however, even the newer, ester-based corticosteroid products can induce IOP elevations within a short time frame and require IOP monitoring.   Use of steroids for 2 weeks to one month is safe.  

Get out of this viscous cyclical dry eyes and inflammation with TheraLife Eye.  Chose the all natural,  alternative to steroids and stay healthy.  

TheraLife Eye is strongly anti-inflammatory, and will restore your tear secretion glands to relief dry eye symptoms - the root cause of ocular inflammation.  

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Intense Pulsed Light- New Treatament for Meibomian Gland Dysfunction

Meibomian Gland Dysfunction - clogging of the meibum one of the more difficult dry eye conditions to treat.   Now we have a new method of unclogging the meibomian glands using repeated treatment of Intense Pulsed Light (IPL).  We will be discussing some of the clinical results here.

Intense pulsed light IPL)  uses a xenon flashlight stabilized at 500nm wavelength that pulses on and off.
This instrument is originally designed to for dematological use such as varicose veins and skin blemishes.  At this wavelength it also generates heat which serves to melt the clogged secretions and dilate the meibomian glands.  Upon repeated use, it has found to be effective in treating meibomian gland dysfunction (MGD).
In a single-center prospective study of 30 patients with dry eye symptoms, a single IPL treatment was applied. A clinically significant decrease from abnormal to normal tear osmolarity was reported.

Another study looked retrospectively at the effects of repeated gland expression in 91 patients over 3 years.
"Over 90% of patients had improvement in their meibum and lid margin, and 93% of the patients reported satisfaction with improvement in dry eye symptoms,"  said Dr. Toyo- consultant to DermaMed

Complications such as temporary redness of the skin, conjunctival irritation, foreign body sensation, pain and light sensitivity for a few days were reported by 10 patients.

During the MGD phase, a lot of inflammation has been generated which shuts down the tear secretion glands.  Here is why you should use TheraLife Eye to get your tear secretion glands to normal using intra-cellular restoration mechanisms.

TheraLife Eye Can Help
TheraLife Eye is a proprietary formula that targets to restore normal cellular functions to tear secretion intra-cellularly resulting in balanced, sustainable tear all day long.

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New Recommendations for Dry Eye Syndrome Management

Chronic Dry Eye Syndrome, also called "Keratoconjunctivitis sicca"

This is a major portion of the eye doctor's practice, especially optometrists because they fit contact lenses, and contact lenses tend to cause dry eyes.  The most common method to relief dry eyes is using eye drops.  Without proper management and prevention, this condition can worsen and significantly impact people's quality of life.

The risk factors for Chronic Dry Eye Syndrome are:
1. Age
2. Female
3. Medications - especially anti-histamines, birth control pills, anti-depressants and systemic medications for diabetes, inflammatory conditions and rosacea (red patches of skin which shows blood vessels on the surface of the skin).

Other factors include:
1. Computer use- it is common to find people using the computers 10-12 hours a day.
2. Environment - dry climates,winter dry eyes, or high altitudes due to lower humidity
3. Contact Lenses.- which can cause inflammation and damage ocular surfaces.

The International Task Force (ITF)for dry eyes recommend primary focus on clinical symptoms, but diagnostic tests can help assess which tear secretion maybe deficient- e.g. lacrimal glands that secrete tear volume, or lack of lubricants from meibomian glands.   Treatment modalities for them are totally different.

There is a new test for dry eyes - osmolarity tester and an as-yet-to-be-approved device that detects elevated levels of MMP-9, an enzyme which has been observed in the tear fluid of dry eye patients.  Since Meibomian Gland Dysfunction (MGD) occurs in a large number of dry eye people, eye doctors should also conduct a thorough evaluation of the eye lids.

The ITF guidelines are designed as a planned treatment that starts with artificial tears. A large portion of our patients are already on a drop (albeit the wrong drop and often times to reduce the redness), and this treatment is palliative at best. In a recent survey, almost 50% of all adults said they felt they had dry eyes, and 50% of these adults said they are treating it with artificial tears.

So why haven't these treatment modalities been working?  We get people coming to use who have tried everything, punctal plugs, prescription eye drops, gel drops, non-preservative eye drops, pulse heat treatment for MGD and more.

A major issue resides on the way the eye doctors are trained, use eye drops and treat it from the surface.  The fact is, more drops make your eyes drier- washing away the natural lubricants your eyes produce.  You probably have already experienced this, the more drops you use, the more you want to put more in.

TheraLife Can Help
TheraLife designed a capsule that addresses the basic reason why you have dry eyes.  It targets to normalize your tear secretion glands and revitalize them to secrete tears again, and reduce inflammation at the same time.  It is all natural and 100% guaranteed.  No expensive drugs that may have significant side effects.

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This is a brief summary from: Optometric Management, Volume: 47 , Issue: May 2012, page(s): 24 - 30 72