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 office.is 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.

Conclusion

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.


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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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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
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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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How to Prevent Dry Eyes from LASIK

How to Prevent Dry Eyes from LASIK Surgery

LASIK surgery for vision correction is popular.  The promise of being able to see without glasses or contact lenses is so great.

Unfortunately, for some, LASIK surgery induce dry eyes.  People with dry eyes that should not be qualified are get LASIK done.

You are so excited to see the great results only to find out that once the LASIK procedure is complete, you have chronic dry eyes.   You have been treated with eye drops, prescription eye drops, punctal plugs, thick gels to prevent tear evaporation, oily eye gel capsules that are suppose to thicken your tears.   Nothing has helped!  Your eyes are still dry, irritated, red, tired and it is affecting your work.

How do I know if I have dry eyes before surgery?

A common symptom is the inability to tolerate contact lenses.
Typical dry eyes symptoms such as red, stinging, gritty, tired, light sensitive and foreign body sensation.

Why is this happening with LASIK surgery?

LASIK surgery results in trauma to the eye surface, which makes dry eye symptoms worse.  Sometimes the corneal nerve tissue and tear gland cells may be damaged, and cornea does not heal over completely leaving tiny aberrations.  Uneven cornea surface creates more irritation, inflammation
upon blinking causing dry eyes to get worse.

Learn more

TheraLife® Eye Enhanced can help!
1.  Use TheraLife Eye for one week before surgery
We highly recommend that anyone undergoing LASIK surgery to be in a state of healthy eyes.  Especially for people already having dry eyes, to restore balanced tear secretion before surgery.

2. Use TheraLife Eye along with medications prescribed by your doctor for 6 months post surgery.
TheraLife Eye promotes tissue healing, reduce inflammation, and promote normal cell functions to tear secretion glands to produce balanced, sustainable tears from your own body.

How TheraLife Eye Enhanced Work?

TheraLife® Dry Eye Enhanced Formula works by intra-cellular stimulation of tear glands to secrete sustainable tears naturally. The benefits of TheraLife® Dry Eye Enhanced are:

• Accelerates and aids healing of damaged corneal nerves and tissue
• Strong anti-inflammatory agents to reduce swelling and dry eye discomfort
• Stimulates tear glands to produce balanced natural tears

The use of TheraLife® Dry Eye Enhanced Formula ® increases normal tear production and provides continuous support after LASIK surgery to promote tissue repair and helps restore normal tear film to ensure a successful outcome.

What if you already have chronic dry eye from LASIK?
You may have had LASIK several years ago, and the dry eye condition persists or getting worse. Start taking TheraLife Eye Enhanced to stimulate the tear secretion glands to achieve balanced, sustainable dry eye relief. It may take between 2 weeks to 1 month to establish tear stability.


With the success of TheraLife® Eye, many doctors are now recommending TheraLife Eye Enhanced for post LASIK dry eye relief. Chronic dry eye left untreated can lead to cornea abrasion and scarring. So don’t delay. ACT NOW!

Doctor's Recommended- 80% success for first time users.
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How I Found Dry Eye Cure after LASIK with Theralife

How I Found Dry Eye Cure after LASIK with TheraLife

Here is a personal story from one of the TheraLife customers.  Learn how this can help you!

"My experience with TheraLife Eye Enhanced has been remarkable.  I had lasik eye surgery in 2007, because my eyes were too dry to wear contacts. I was 62 years old and very near-sighted.  The surgery  corrected my vision perfectly for both distance and close up, but I was left with eyes so dry, red and painful that my daily life was affected.  The eye doctor at the lasik center prescribed a prescription eye drop and sent me on my way.  No help.  I began seeing an opthamologist who diagnosed me with chronic blepharitis and added expensive antibiotic drops, which I used for ten days each month along with a prescription eye drop twice a day.  No help.

I found TheraLife eye online and got my life back.  I took 8 capsules per day as recommended and now I am down to two pills a day and pop a couple more when I travel to low humidity areas or just when my eyes feel uncomfortable. No more redness.  No more scratchiness.  No more dryness.  I actually feel that I look younger, because I'm not squinting in discomfort and my eyes are clear again.
I recommended this product to a friend who was using prescription eye drop until her insurance no longer covered it. She also is happy with the results. It seems expensive at first when the dosage is high, but if you can eventually lower the daily number of pills like I did, it seems very economical for the great results you might get."

C.L. Strongsville, Ohio

Learn more about TheraLife Eye

How TheraLife Eye Capsules Work
Theralife Eye is a patented formula that restores normal tear functions from inside out.  Here is why- dry eye results in high level of inflammation which shuts down cell functions.  Theralife Eye formula restores the normal cell function through mito-activation.  Now you relief your dry eyes from inside out.  No more drops.

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Call toll free 1-877-917-1989 US and Canada
International (650) 949-6080
email: info@theralife.com