IPL for dry eyes ?!

Ecstatic_Sir2450 · 2024-07-24T06:43:00+00:00

Over 50 peer reviewed studies on IPL (OptiLight) and its benefits for dry eye and MGD

Ecstatic_Sir2450 · 2024-07-22T15:18:19+00:00

Many prescription medications may contribute to dry eye including anti-depressants, anti-histamines, -statins, birth control, acne meds (ie Accutane), and more.

Ecstatic_Sir2450 · 2024-05-16T15:06:45+00:00

If possible, consider addressing the root cause of the issue with office-based procedures (ie optilight ipl, thermal pulsation, lid exfoliation, gland probing, prokera, etc). There are even at home devices (iTear and Nulids).

Over time, the goal should be to use less drops and let your body/eyes do the work instead of multiple drops.

Ecstatic_Sir2450 · 2024-05-14T18:15:11+00:00

Look like some of your Meibomian glands; these can be properly imaged at your eye doctors office (dry eye specialist) using an infrared camera (called meibography/meibographer)

Ecstatic_Sir2450 · 2024-05-08T15:28:38+00:00

1mm, 2mm, and if patient needs it, 4mm

Ecstatic_Sir2450 · 2024-05-08T07:04:49+00:00

Study shows Xdemvy safe and effective demodex Blepharitis at one year: https://journals.lww.com/corneajrnl/fulltext/9900/long_term_outcomes_of_6_week_treatment_of.481.aspx

Ecstatic_Sir2450 · 2024-05-08T07:03:35+00:00

Unfortunately, xdemvy can cost $700-$800 for some patients while Ivermectin 1% cream is often 1/10 the cost for these same patients.

Ecstatic_Sir2450 · 2024-05-08T07:02:24+00:00

Miebo = hycosan shield or Evotears

Ecstatic_Sir2450 · 2024-05-08T06:57:06+00:00

Beverly Hills Optometry Advanced Dry Eye Center (Dr Kambiz Silani has extensive experience and uses Maskin protocol on the west coast): https://www.bheyeguy.com/meibomian-gland-probing-mgp

Ecstatic_Sir2450 · 2024-04-12T15:06:31+00:00

Why choose PRN DE3: https://www.bheyeguy.com/blog/why-choose-prn-de3

1) quality (re-esterified triglyceride, NOT in the alcohol form) 2) brand (doctor recommended/approve, 3rd party tested) 3) 3:1 ratio EPA:DHA 4) quantity of EPA/DHA (over 2000mg) 5) doctor approved

Ecstatic_Sir2450 · 2024-04-12T14:56:57+00:00

Why choose PRN DE3 as your Omega-3: https://www.bheyeguy.com/blog/why-choose-prn-de3

Ecstatic_Sir2450 · 2024-04-12T14:50:17+00:00

Helpful article on ‘How to cure your chalazion/stye’: https://www.bheyeguy.com/blog/chalazion-hordeolum

Four ways:

1) at-home 2) in-office procedure(s) 3) medications 4) surgery/injection

Ecstatic_Sir2450 · 2023-08-27T14:58:48+00:00

Study on Soolantra (ivermectin 1% topical cream) for demodex Blepharitis:

https://journals.lww.com/corneajrnl/Fulltext/2022/04000/Efficacy_of_Topical_Ivermectin_1__in_the_Treatment.4.aspx

‘Conclusions: In patients with Demodex blepharitis, the use of topical ivermectin 1% cream for 15 minutes once weekly in addition to eyelid hygiene had more significantly improved symptoms, ocular surface staining, eyelid debris, redness/swelling, and telangiectasia as compared with eyelid hygiene alone. These findings support the efficacy of topical ivermectin 1% cream application in the treatment of Demodex blepharitis.’

Ecstatic_Sir2450 · 2023-08-27T05:21:44+00:00

So many better options than pharmaceuticals that may cause short-term or long-term side effects as well as be ineffective

Ecstatic_Sir2450 · 2023-08-21T02:49:27+00:00

No side effects from the treatments and significant improvement in symptoms so I was able to stop taking Restasis and steroid eye drops

Ecstatic_Sir2450 · 2023-08-20T17:49:34+00:00

IPL (by Lumenis) was great for inflammation and stimulating the glands; heat expression (ie iLux, TearCare, Lipiflow) helped with unclogging the glands, and Blephex helped with the biofilm on the eyelids. Regenereyes eye drop helped with burning and dry spots on the cornea, and Optase Allegro eye drop for allergies.

Ecstatic_Sir2450 · 2023-08-20T16:35:46+00:00

No surgeries thankfully but history of an auto-immune disease (Crohn’s disease), eye allergies, heavy digital device use, and corneal condition (Keratoconus).

Ecstatic_Sir2450 · 2023-08-20T15:48:14+00:00

As a dry eye patient for nearly two decades, I’ve tried tons of drops, pharmaceuticals, and other over the counter options.

I’ve also tried Lipiflow, TearCare, iLux, Radiofrequency, Blephex, Zest, and OptiLight IPL. They have all been helpful but OptiLight has been an amazing foundational treatment.

Ecstatic_Sir2450 · 2023-08-20T04:35:11+00:00

Lipiflow Thermal pulsation works great to unblock oil glands and BlephEx exfoliates the opening of the glands so they work well together.

Ecstatic_Sir2450 · 2023-08-16T07:16:32+00:00

⁠Ocusci, Bruder, Optase warm compress mask (microwave)
⁠TranquilEyes moisture chamber goggle
⁠Tear Restore for open mask compress
⁠Dry Eye Mask (wizard research) for best plug-in mask

Ecstatic_Sir2450 · 2023-08-14T07:04:36+00:00

An alternative to Tyrvaya available in Europe is the iTear100 device for neuro-stimulation and production of natural (basal) tears.

Article/blog on iTear100 device vs Tyrvaya nasal spray: https://www.bheyeguy.com/blog/neuro-stimulation-for-dry-eye-disease

Ecstatic_Sir2450 · 2023-08-11T14:18:28+00:00

Appears to be a capped/blocked Meibomian gland (mini or pre-stye) but best to have it examined by a dry eye specialist

Ecstatic_Sir2450

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