I had a very interesting, passionate debate with a colleague of where to place the laser holes for Narrow Angle. We were always taught at Harvard Medical School and taught residents that under the eyelid is best. He was taught years ago to put them at 3 and 9 o’clock. I am sure we each […]
Where is the best location for a laser peripheral iridotomy for Narrow Angle? Read More »
Demodex mite infestation is very common. Demodex folliculorum and Demodex brevis are ectoparasites with a very high prevalence of 100% in patients aged 70 years and older. Every person in this age group is estimated to carry a colony of 1000 to 2000 mites (see below reference). Still many eyeMDs are skeptical about its role in blepharitis, rosacea, dry
Integrated Dry Eye, Rosacea, Blepharitis Treatments START at STEP 1 & 2 which should be continued each day especially if symptoms return. Sometimes steps are skipped to try to help improve your symptoms faster. If you do not improve with the early steps, you may have scar tissue in the glands (fibrotic changes can cause
A Tiered Natural Approach to Dry Eyes, Blepharitis, Rosacea Read More »
Amaurosis fugax Decreased blood flow in the distribution of the ophthalmic artery can cause temporary loss of vision. This can be due to narrowing of the left carotid artery, or even a distal blood clot so always get an evaluation by neurologist ASAP. Your vision may be at risk. A classical migraine often is associated
Temporary loss of vision: amaurosis fugax Read More »
The role of Demodex in blepharitis, rosacea, and dry eye, is still hotly debated. Many of the studies showing a improvement in symptoms after using Tea Tree Oil did not use controls. And one of the manufactures of a Tea Tree Oil produce sponsored many of the studies “proving” improvement after treatment. Thus many dermatologists
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Meibomian Gland Dysfunction (MGD) are most common cause for irritation & dry eyes. There are many therapy options: best to start naturally (warm compresses, diluted baby shampoo scrubs) & Artificial Tears; move up a “tiered approach” to other treatments as needed. More info at: https://drcremers.com/2013/04/best-step-ladder-approach-to-dry-eye.html
Quick information about Dry Eyes written for Health Tap Read More »
There has been a good deal of research looking into the effect of Epigallocatechin gallate (EGCG), which is present in green tea, on dry eyes. EGCG has been shown to decrease angiogenesis and inflammation and a paper published by a friend Dr. Reza Dana at Harvard Medical School shows this effect on mice (see below).
Green Tea Extract and Dry Eye treatment Read More »
Cornea. 2012 Nov;31(11):1313-8. doi: 10.1097/ICO.0b013e3182542085. Stability of serum eye drops after storage of 6 months. Fischer KR, Opitz A, Böeck M, Geerling G. Source Department of Periodontology, University of Wuerzburg, Wuerzburg, Germany. Abstract PURPOSE: Serum eye drops are used for the treatment of ocular surface disease (eg, Sicca syndrome). The objective of this experimental study was to investigate whether they maintain their wound-healing potency
Autologous Serum Eye Drops: Storage in freezer for up to 6 months is ok. Read More »
Autologous Serum Eye Drops are very effective, but all patients need to be aware of potential risk of contamination with fungi and bacteria. Cornea. 2013 Aug;32(8):1116-9. doi: 10.1097/ICO.0b013e3182910036. Contamination risk of 100% autologous serum eye drops in management of ocular surface diseases. Thanathanee O, Phanphruk W, Anutarapongpan O, Romphruk A, Suwan-Apichon O. Source *Department of Ophthalmology, Faculty of Medicine, and †Blood Bank Unit, Srinagarind
Autologous Serum Eye Drops: Read More »