Therapearl Cold Eye Mask

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Take breaks if on a screen for a prolonged period of time. The 20/20/20 rule is a great, easy-to-remember, tip.” The first step of dry eye management is a thorough diagnosis and categorization of the disease based on the new Tear Film and Ocular Surface Society’s (TFOS) Dry Eye Work Shop II (DEWS II) definition: “Dry eye is a multifactorial disease of the ocular surface characterized by a loss of homeostasis of the tear film, and accompanied by ocular symptoms, in which tear film instability and hyperosmolarity, ocular surface inflammation and damage, and neurosensory abnormalities play etiological roles.” 3 Mengher, L. S., Bron, A. J., Tonge, S. R. & Gilbert, D. J. Effect of fluorescein instillation on the pre-corneal tear film stability. Curr. Eye Res. 4(1), 9–12 (1985). Wang, M. T., Jaitley, Z., Lord, S. M. & Craig, J. P. Comparison of self-applied heat therapy for meibomian gland dysfunction. Optom. Vis. Sci. 92(9), e321–e326 (2015). This eye mask is great for a few reasons. One, it’s weighted with clay beads, so similar to a weighted blanket, it can create a comfortable, relaxing feeling that makes it easier for you to fall asleep. But the really great part is that this mask has a removable, machine-washable cotton cover, which makes keeping it clean so easy. You can use it for both hot and cold therapy; just pop it in the freezer to keep it cold, or in the microwave to warm it up. It even comes with a carrying pouch to keep it protected from germs when you travel.

Inclusion was limited to patients only requiring eyelid heating therapy and artificial tears. Those with a high degree of ocular surface staining at baseline were thus excluded as those subjects would require anti-inflammatory treatment 25. This may have led to a selection bias as more severe presentations of DED were not included in the study. Further studies are needed to assess these treatments in more severe DED. Other limitations of our study include that patients and examiners were not blinded, in addition to a relatively high drop-out rate and declining compliance. Fortunately, the highest drop in compliance was beyond the second follow-up visit at 12 weeks, which may reflect the success of the treatments as patients did not feel the need to continue with daily treatments. Turner, A. W., Layton, C. J. & Bron, A. J. Survey of eye practitioners’ attitudes towards diagnostic tests and therapies for dry eye disease. Clin. Exp. Ophthalmol. 33(4), 351–355 (2005). 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. Preservative-free artificial tears to use as needed, especially if the temperature is changing or varies in the environment you are in.” Nichols, K. K. et al. The international workshop on meibomian gland dysfunction: Executive summary. Invest. Ophthalmol. Vis. Sci. 52(4), 1922–1929 (2011).Some of the situations that make eyes feel tired (think low humidity or a long flight) can leave the skin around your eyes dry, too. If that's the case, you can benefit from using an eye contour patch (which are often referred to as eye masks). They usually have a cooling effect that feels refreshing, and they feel even better when stored in your fridge or freezer. Both subjective and objective MGD parameters improved three and six months after initiation of treatment with either Blephasteam or TheraPearl. There was no significant difference in efficacy between the treatments after 6 months of treatment. Tomlinson, A. et al. The international workshop on meibomian gland dysfunction: Report of the diagnosis subcommittee. Invest. Ophthalmol. Vis. Sci. 52(4), 2006–2049 (2011). Badawi, D. A novel system, TearCare(®), for the treatment of the signs and symptoms of dry eye disease. Clin. Ophthalmol. 12, 683–694 (2018).

Knop, E. et al. The international workshop on meibomian gland dysfunction: Report of the subcommittee on anatomy, physiology, and pathophysiology of the meibomian gland. Invest. Ophthalmol. Vis. Sci. 52(4), 1938–1978 (2011). Patients are confronted with a multitude of lubricating drops at the drug store. It’s the OD’s job to help them narrow their options. Villani, E. et al. Evaluation of a novel eyelid-warming device in meibomian gland dysfunction unresponsive to traditional warm compress treatment: An in vivo confocal study. Int. Ophthalmol. 35(3), 319–323 (2015). 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).Moss SE, Klein R, Klein BE. Prevalence of and risk factors for dry eye syndrome. Archives of Ophthalmology. 2000;118(9):1264-8. Relieve symptoms of dry eye, including those associated with Meibomian Gland Dysfunction (MGD) and Blepharitis Schaumberg D, Dana R, Buring J, Sullivan D. Prevalence of dry eye disease among us men: estimates from the physicians’ health studies. Arch Ophthalmol. 2009;127:763-8. Chill it in the freezer or fridge or pop it into the microwave. Place it over your eyes and sinuses, or slide it up to your forehead. Its pliable, face-hugging shape stays put without drips or leaks. The therapeutic temperature lasts approximately 20 relaxing minutes and feels very comfortable on your eyes.

The prescription medications Restasis and Xiidra are expensive for those without drug plans. If a patient’s treatment plan includes these medications, the manufacturers have provided cost-reduction cards to most practitioners to help offset the cost. Cost limitations may prompt patients to use one vial per day—once in the morning and again at night—rather than two vials per day as instructed. However, this is risky because of the non-preserved nature of the vials. The new Restasis multidose non-preserved bottle would be a safer choice.

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Clinicians should keep in mind that studies now show that baby shampoo does not solve anterior blepharitis and may make it worse, as it often contains cocamidopropyl betaine, a surfactant and lathering agent that can cause eyelid dermatitis. 13,14 Dry eye therapy is often incredibly daunting to patients. Most people are familiar with diseases treated with a course of medication, surgery or a few weeks of palliative measures as their body fights off the untreatable virus. Unfortunately, dry eye tends to be chronic and patients must understand that they are in for a lifetime of care. I liken this new eye care approach to that of their dental care. Without thinking, most of us floss, brush and see our dentist regularly. Similarly, all patients, and dry eye patients in particular, need to care for and maintain a healthy ocular surface over their lifetime. If wearing lash extensions, clean, clean, clean! There are a handful of really great products that help keep those lashes clean and eyes bright!”