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Therapearl Cold Eye Mask

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Sim, H. S. et al. A randomized, controlled treatment trial of eyelid-warming therapies in meibomian gland dysfunction. Ophthalmol. Ther. 3(1–2), 37–48 (2014). When dysfunctional, the meibomian glands can be treated with massage and heat. However, achieving the necessary 40° Celsius (roughly 104° Fahrenheit) heat for at least 10 minutes is no easy task without expenditures. 12 Several eye masks work well that can be heated in the microwave, but some are expensive and usually last no more than one year. More affordable masks, such as the TheraPearl eye mask (Bausch + Lomb), often work well.

There is often great discrepancy between symptoms and signs in DED, making it important to assess subjective measurements in addition to the objective ones 57. OSDI was chosen as the primary subjective outcome as it is a commonly used and validated questionnaire for DED and MGD 44, 46, 47. There was a significant decrease in OSDI after the first three months with a sustained benefit at six months. The differences in FBUT with regards to sex and age were not seen for OSDI-scores.Patients were instructed to use the goggles in accordance with guidelines from the manufacturer. First the goggles were to be preheated for 15 min before a wet cotton ring was placed inside each chamber. When placed over the eyes, heat was delivered as steam to the eyelids. The device was used once daily with each treatment session lasting 10 min. TheraPearl Eye Mask Goto, E. et al. Improvement of tear stability following warm compression in patients with meibomian gland dysfunction. Adv. Exp. Med. Biol. 506(Pt B), 1149–1152 (2002). Nichols, K. K. et al. The international workshop on meibomian gland dysfunction: Executive summary. Invest. Ophthalmol. Vis. Sci. 52(4), 1922–1929 (2011).

Environment. Many environmental changes are inexpensive and particularly effective. Patients should use wraparound glasses and sunglasses when outside to prevent wind current from drying the eyes. In our office, we keep examples of Pantoptix glasses and other forms of protection such as Cocoon (Live Eyewear) that can be worn over regular glasses. HEAT THERAPY - Microwave for time indicated below and test mask temperature. Heat for additional 5 seconds as needed until desired temperature is reached. Doan, S., Chiambaretta, F., Baudouin, C. & Group Es. Evaluation of an eyelid warming device (Blephasteam) for the management of ocular surface diseases in France: The ESPOIR study. J. Fr. Ophtalmol. 37(10), 763–772 (2014).Kawashima M, Uchino M, Yokoi N, et al. The association of sleep quality with dry eye disease: the Osaka study. Clin Ophthalmol. 2016;10:1015-21. Armed with this information, clinicians should then spend time properly educating the patient. Whether it’s a female, age-related post-menopausal dry eye, an aqueous deficient dry eye related to an autoimmune disease such as Sjögren’s syndrome or strictly a meibomian gland disease, that information is invaluable for patients. When they understand the particular characteristics of their disease state, they are more likely to comply with the treatment.

Nelson, J. D. et al. The international workshop on meibomian gland dysfunction: Report of the definition and classification subcommittee. Invest. Ophthalmol. Vis. Sci. 52(4), 1930–1937 (2011). Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Blindern, P.O. Box 1122, 0317, Oslo, Norway While having compresses and masks on hand is great for treating the uncomfortable symptoms of dry eyes, you can also make certain lifestyle changes to prevent eye dryness in the first place. As Dr. Wademan notes, “Prevention is key and often signs can show up before symptoms, so it’s best to maintain yearly comprehensive eye exams, that way your eye care provider can assess the front part of the eye and recommend options to maintain healthy moisturized eyes.” How Can You Prevent Dry Eyes In The First Place?Graham, J. E. et al. Attitudes towards diagnostic tests and therapies for dry eye disease. Ophthalmic Res. 43(1), 11–17 (2010). The categorization of DED is also integral to direct treatment, and it help the patient better understand the mechanism underlying their particular form of dry eye, whether it’s aqueous deficient, evaporative or a mixture of the two. Clinicians can determine much of this by measuring the tear meniscus height (categorized as mild with 0.2mm, moderate with 0.1mm and severe with 0.0mm) and analyzing meibomian gland function (graded as mild, moderate or severe). Treatments usually begin in a step-like manner going from simple to complex, depending on the severity of the condition and the response to treatments. At the end of a dry eye workup, the clinician will have not only the diagnosis, but also valuable information about its etiology, severity and any meibomian gland dysfunction (MGD). Department of Medical Biochemistry, Oslo University Hospital, Nydalen, P.O. Box 4950, 0424, Oslo, Norway Purslow, C. Evaluation of the ocular tolerance of a novel eyelid-warming device used for meibomian gland dysfunction. Cont. Lens Anterior Eye 36(5), 226–231 (2013). Dry eye disease requires a concerted effort on the patient’s part to modify their external and internal environment to help encourage ocular health. It also requires regular use of lubricants and lid care. Optometrists serve their patients well if they diagnose, and then educate them about the type and degree of dry eye that is present. Time spent explaining the options for treatments that include less expensive forms, is time well spent to improve patient outcomes.

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