Blog – Page 108 – Dr. Cremers

Demodex: are considered to be normal skin fauna that increase in number as people age. Almost everyone has a certain degree of the Demodex mite on his or her skin

August 9, 2013

More information on Demodex below taken from Wikipedia and other sources: Demodex mites are acquired shortly after birth and are considered to be normal skin fauna that increase in number as people age. Almost everyone has a certain degree of the Demodex mite on his or her skin.[10] Heavy infestations of Demodex can arrive in adolescence, and could last up to […]

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Instruction on cleaning your eyes: A Tiered, Step Ladder Approach to treating eye discomfort

August 9, 2013

Any discomfort related to your eyes can be very frustrating and at times scary. I am here to help you feel better. Below is my Tiered, Step ladder Approach. The most important step is step 1. That is the building block which prevents symptoms from worsening. Be sure to continue at least the warm washing

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Where is the best location for a laser peripheral iridotomy for Narrow Angle?

August 9, 2013

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

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Demodex: hidden culprit if eye redness, itchiness, dryness is persistent despite usual lid hygiene techniques.

August 4, 2013

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

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A Tiered Natural Approach to Dry Eyes, Blepharitis, Rosacea

August 2, 2013

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

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Temporary loss of vision: amaurosis fugax

August 2, 2013

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

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Tea Tree Oil to treat Demodex

August 2, 2013

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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Quick information about Dry Eyes written for Health Tap

July 23, 2013

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

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July 23, 2013

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Green Tea Extract and Dry Eye treatment

July 23, 2013

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).

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