“Dry eye complaints used to be an ‘old lady disease,’” used to say one of my mentors. In the 21st Century, Dry Eye has become a scourge partly due to increased screen time. [I hope you are having Siri, or some other electronic voice, read you this post as I am typing most of it […]
Innovations in Dry Eye treatments, continue to expand. As with any new drugs/treatment, first check with your eyeMD and PCP before starting. Each item below has risks and benefits. I have had many patients swear some non-preserved artificial tear (NPAT) made them feel worse. NPATs are one of the least risky options below but some
Updated Dry Eye Options Listed By Categories Read More »
Below is a relatively new option for dry eye patients. Anakinra (brank name Kineret) is a biopharmaceutical drug used as in pill form to treat rheumatoid arthritis. It is a recombinant and slightly modified version of the human interleukin 1 receptor antagonist protein. When used as a drop, Anakinra effectively suppresses IL-1-mediated inflammation at the level of the
New Dry Eye Drop: Anakinra. Rarely used due to cost and compounding issue. Read More »
Patients often ask me what I eat. Generally, I am very good about maintaining a gluten-free, sugar-free diet and intermittent or prolonged (48hrs) fasting. I have never done Dr. Longo’s diet, but am a believer in his research results: https://valterlongo.com/ Occasionally, I love a good gluten-free, low sugar cookie. Below is my favorite cookie! I love
Dr. Cremers’s Favorite Cookie Read More »
The most important objective in treating patients with dry eye symptoms (ie, dryness, redness, burning, itching, rebound tearing, foreign body sensation, pain) is to save the meibomian glands and attempt to restore their function. It is essential also to save and restore any damaged tissue in the lacrimal gland and conjunctival goblet cells, but this
A favorite patient always comes in ready to go to get all her questions answered. She is very on top of things and said, “always want to have my questions ready for my surgeon.” She is very educated and has listened to almost all my videos and always comes prepared with an extra photocopy of
Have Questions Ready for Your Surgeon Read More »
Likely the blood was drawn too slowly or the tube was not inverted quickly enough. More information below.SLC Coagulation is a complex process by which blood forms clots. Coagulation begins almost instantly after an injury to the blood vessel has damaged the endothelium lining of the vessel. Exposure of the blood to proteins such as
What Does it Mean if Blood Clots Too Quickly in Tiger Top Tube? Read More »
A couple of patients have asked if Fraxel laser will damage meibomian glands and make dry eye worse. I have not seen any paper or mention of this anywhere on Pubmed or google. I have contacted the company to ask how “deep” the laser penetrates. For now, I would avoid the eye area. Side effects
Is Fraxel and Fractional CO2 Dangerous for Dry Ey Patients? Read More »
Rebamipide has been noted to help with symptoms of dry eye disease but to date, I could not any data to say it is FDA approved nor find anyone selling this. SLC References: 1. https://iovs.arvojournals.org/article.aspx?articleid=2677081 OPEN ACCESS Cornea | March 2018 The Role of 2% Rebamipide Eye Drops Related to Conjunctival Differentiation in Superoxide Dismutase-1 (Sod1) Knockout
Rebamipide Eye Drops for Dry Eyes: Read More »
Thank you to our wonderful patient who sent the below video. Using keratinolytics makes sense to me for patients with MGD, particularly in patients who have rosacea. One of the key components of Lipiflow is the removal of the keratin layer covering the meiboman glands that is often present prior to Lipiflow. Similarly, IPL may
Keratinolytics for Meibomian Gland Dysfunction and Dry Eye disease from MGD Read More »