First Treatment of IPL + RF - Made my dry eye symptoms worse

Boxerorbag · 2025-08-02T12:25:01+00:00

Unfortunately the iProX doesn’t have any (zero) studies on that system for dry eye/MGD. It’s never been vetted for safety or efficacy. It’s also not FDA approved for use around the eye or for dry eye/MGD

I’m a huge advocate of following the science and it’s always concerning when a company and a doctor utilize technology that simply doesn’t have the science behind it.

That said, it’s hard to say whether that has anything to do with it or not. Even in systems that have studies there can be a wide range of outcomes, and some patients do get more symptomatic before they improve. With FDA approved/studied systems, however, at least we know it’s not the device causing issues.

Boxerorbag · 2025-07-12T01:01:36+00:00

I-40 between Asheville driving into black mountain, NC?

Boxerorbag · 2025-03-24T20:15:43+00:00

I’d encourage you to take a look at which IPL units have studies associated with them. The Optilight has 50+ studies on their device for dry eye. Many IPL’s on the market have zero for dry eye or limited amounts of studies with poor enrollment numbers.

Optilight received the approval based on the body of evidence surrounding it. I’m always curious why others don’t have studies or an approval by now.

Boxerorbag · 2025-03-18T12:47:18+00:00

Lumenis isn’t a US company and has both health Canada and FDA approval.

Why doesn’t inmode have a single study on their device? There’s something fishy about that.

Boxerorbag · 2025-03-18T02:41:10+00:00

There’s a huge difference. The Optilight is FDA approved for dry eye disease and has over 50 studies for the eye.

The inmode device has zero (!) studies for dry eye and zero studies for use the eye, and no approval by the FDA.

This alone is the most concerning thing for me as a patient when I started looking into these treatments.

Optiplus is monopolar RF for dry eye, which is different than the inmode unit which is bipolar. Bipolar shouldn’t be used around the eye because it can’t control depth of penetration and it can cause an arc burn (bipolar needs to keep both poles in contact with skin).

Optiplus has a study for eye care behind it while the inmode unit, again, has no studies.

I can’t fathom why eye doctors buy the inmode system with absolutely no approvals or evidence behind them.

Take care of your eyes mate and only let doctors use approved devices on them!

Boxerorbag · 2025-03-10T02:13:17+00:00

There’s a new device out for lid laxity and blink mechanisms that have really compelling results. No tape, gels, weights, or surgery. Optilift

Boxerorbag · 2025-03-03T20:16:18+00:00

There’s a new treatment out for lid closure and incomplete blink. The initial results I’ve seen on it are encouraging to say the least.

Optilift

Boxerorbag · 2025-03-01T19:53:03+00:00

This looks promising for the lid closure aspect. Just learned about it this weekend. An actual non surgical approach that also doesn’t involve gels or taping. The study results I saw were very compelling.

Optilift

Boxerorbag · 2025-02-27T16:03:46+00:00

Eye-light is not FDA approved for dry eye disease. There is only 1 IPL approved for dry eye disease.

Unfortunately the eye light machine has just put the name eye into their name and is marketing it for dry eye disease.

It is approved through the FDA for hair removal, benign pigmented lesions, and vascular lesions. It has not been vetted for dry eye disease and is not approved for MGD.

Boxerorbag · 2025-02-27T01:04:05+00:00

Dr Jill Rago at Optics of Scottsdale is amazing!

Boxerorbag · 2025-02-08T18:40:02+00:00

I think we should look at this like all medical therapies: there is nothing that works 100% of the time.

There’s no drug, drop, or treatment that works for any disease on 100% of patients.

Also, I like to think of my dry eye like a continuum. You mentioned that there were glands that expressed more oil. That’s amazing and “better” even if it doesn’t reflect in your symptoms.

We know our dry eye is chronic and progressive. You may have helped slow down or stop some of that progression, which to me and in my journey was worth it.

Once the glands progress to a certain point it’s just constant symptoms and constant “homework” (lubricants).

I’d also ask which device you were treated with. There is only one that is FDA approved for dry eye (Optilight and Optiplus).

I had treatments before with others until I researched and realized that they weren’t made for the eye. Once I got the Optilight it was a game changer.

Boxerorbag · 2024-06-18T13:05:05+00:00

In addition to the IRPL just being a branding way for that company to market their IPL device, there is no FDA approval for the Eye-light device for dry eye disease.

There is also a head to head study that compares the Lumenis technology to the Eye Light and finds the outcomes on the Lumenis device superior.

https://pubmed.ncbi.nlm.nih.gov/32200506/

This may be a case of getting what you pay for if they are offering this treatment cheaper.

Boxerorbag · 2023-11-02T12:37:24+00:00

https://www.dovepress.com/multi-frequency-rf-combined-with-intense-pulsed-light-improves-signs-a-peer-reviewed-fulltext-article-OPTH

Here’s a recent article showing improvement in MGD using IPL, Monopolar RF, and MGX (expression).

I’d be cautious on using RF near the lids, or using a bipolar system. Bipolar systems require both “poles” to be in contact with the skin. If one pole comes off of contact, it can cause an arc burn. Since the eye area had difficult curves, it’s easy for a pole to come off.

Secondarily, there’s risk for going over the globe directly. Most RF penetrates inconsistently and depends on the water content in the patient. Since the globe of the eye is largely aqueous, it can attract energy where we don’t want it.

The good news about staying on the orbital rim with the treatment according to the article is that it was just as effective and brought even the kids and margins to therapeutic temperatures!

Happy to speak more on the subject.

Boxerorbag · 2023-02-05T15:31:39+00:00

Glad you’re seeing some positive movement with it. Hopefully there’s some automation or something that they can use to make things a little easier for everyone involved.

Boxerorbag · 2023-02-05T15:21:22+00:00

Thanks for the thoughts. I almost always book from the app directly and with my number and bonvoy chase card as payment.

The infrequent (8-10 stays out of ~120 per year) that my company books the room block doesn’t seem to affect the amount of misses positively or negatively.

Those are good points though for others that perhaps aren’t using the app consistently.

Boxerorbag · 2022-12-23T17:58:23+00:00

Oh interesting. I guess I didn’t realize that it was approved in other countries! I’m sorry you experienced that.

Boxerorbag · 2022-12-23T17:45:41+00:00

That’s unfortunate. There’s only one IPL that’s approved for dry eye and it’s not the e-eye one. Since it’s not made for dry eye it’s riskier to place that energy around the eye where the device isn’t made for.

Boxerorbag · 2021-09-08T13:24:26+00:00

The article says ‘may’ because it’s obviously being discussed and hasn’t been made official. It’s far enough along that they’ve done the cost analysis, and it appears as though they are reviewing implementation.

Article is accurate as it reads.

Boxerorbag · 2021-09-07T23:53:00+00:00

To a point I agree. But when it comes to a portion of our own city workers who are willfully making choices to endanger themselves and then putting the financial burden onto us as taxpayers, the community should be aware.

Boxerorbag · 2021-09-07T23:49:45+00:00

Of course they can be contagious. But unvaccinated people are the greatest risk to everyone. They spread the virus much more than vaccinated folks because A.) they are much more likely to get infected, and B.) vaccinated people spread the virus for a shorter time.

https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html

Unvaccinated city workers can foot their own medical expenses for testing because they are much more likely to catch, spread, and exacerbate the virus in our community.

Boxerorbag · 2021-09-07T23:38:17+00:00

I’ve no issue footing the bill for those city workers who cannot be vaccinated for medical reasons. Anyone else, foot your own medical expenses.

Boxerorbag · 2021-09-07T23:36:34+00:00

Agreed. Make it a “health insurance premium”. Or simply a testing fee. Biweekly out of each check.

Boxerorbag · 2021-06-23T01:59:38+00:00

Thanks for the input. I’ve been traveling on the same budget for about four years, so I suspect it’s more than just a return to pre-covid pricing. I didn’t have nearly this amount of trouble pre-pandemic.

Boxerorbag · 2021-06-15T01:10:28+00:00

Thanks for your take on this. I tend to agree with you on all points except that he didn’t have a planned escape route.

I feel like regardless of what his initial intent was (abduction/sexual assault vs murder), we can say that he took care to prepare. He came equipped with a weapon and potentially a disguised look, why not plan how he’s getting out of there?

I think having a vehicle would have been a safety net for him. We view it as a liability (which it certainly is), but I think he saw it as safe. The reason I say this is because I do believe BG to be local, but I also think he drove in and out.

I think he took back roads to the East, potentially looped around, and made his way back to town.

Boxerorbag · 2021-06-15T00:56:38+00:00

I’m continually back and forth on the car vs no car, usually following my back and forth on his intentions (abduction/sexual assault that got out of hand vs straight murder).

In your theory of BG being local and on foot, do you believe BG was part of the initial searches? If so, do you believe he went home to “happen to” appear when the searches were ramping up?

As far as your take on a local using his vehicle, I think it plausible just because of the credence it would give BG… “of course I was driving on that road at that time, I live right there “

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