Dr. Jackson’s Dry Eye treatment options include a combination of: lifestyle changes, over-the-counter treatments, prescription treatments and surgical procedures.
The selection of treatment depends largely on the severity of the Dry Eye. Below are many of the ocular surface treatments Dr. Jackson will recommend based on your exam and diagnostic test findings.
Moist heat can help promote improved oil gland function when used consistently. This can be accomplished by using a simple face cloth soaked in hot tap water, wrung out and rewarmed and reapplied several times over a 5-10 minute period. Alternatively, there are many new products such as the Bruder Mask, which contains tiny moisture beads and can be heated in the microwave for seconds and then placed over closed eyelids for a few minutes to provide effective relief. Dr. Jackson’s office provides access for and prefers the Bruder Mask as his warm compress of choice for patients suffering from Dry Eye Syndrome.
Blepharitis is accompanied by an accumulation of dead skin cells, dried mucus, bacterial overgrowth and, in many women, impregnation of the delicate lid margin skin with mascara, eyeliner and other make-up residue. The inflamed eyelids must be continuously cleansed of these contaminants which will otherwise exacerbate the problem and lead to its chronicity. There are many products available for this purpose including Ocusoft brand and/or NovaBay brand eyelid wipes and/or lid foams/gels depending on severity. Claridex lid wipes are used for patients diagnosed with Demodex-related blepharitis. An older form of eyelid treatment with baby shampoo is outdated and can even be toxic to the eye. Procedures such as Blephex and/or Lipiflow described below may be needed as well.
Generic Omega 3 fish oils have proven to be no benefit for dry eye. High omega gamma linolenic acid (GLA), with its high anti-inflammatory activity which is needed to benefit dry eye, is not normally found in a typical fish diet. Products such as HydroEye formulations have adequate amounts of omega GLA needed to help dry eye. Like Restasis, omega nutraceuticals can take up to 12 weeks to take effect but will provide excellent ancillary long term therapy with minimal to no side effects. Those patients who take oral blood thinners excluding baby aspirin should not take omega supplementation.
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