New App created to help with chronic pain conditions. I am not sure how much screen time this would require to set up or use, but it might be helpful for a loved one to set up for a patient and guide them through this type of thought process. I have not seen a […]
New App may help with chronic pain conditions: CURABLE Read More »
Thousands of patients are now receiving the COVID-19 vaccines. Recently we started seeing patients who report they have had some symptoms after receiving the vaccine. This does not apply causation at all but wanted to report these. We saw a patient with significant nodular scleritis 2 weeks after receiving the Pfizer Covid-19 vaccine. She reports
Nodular Scleritis after COVID-19 Vaccine; CRVO after COVID-19 Vaccine Read More »
Many drugs list “Dry Eye” as a potential side effect. Some of these drugs are directly toxic to eyelid/gland structures that produce part of the tear. It appears from our evaluation on meibography & Schirmers tests that the following drugs are the worst offenders in damaging cells: 1. Accutane: appears to directly can destroy
Methadone and Dry Eye Read More »
IPL has been very safe to use as a treatment for meibomian gland dysfunction for patients with dry eye/meibomian gland dysfunction (MGD). The biggest risk reported which are rare are as follows: 1. Redness of skin. Dr. Toyo’s original IPL paper reported redness or swelling in 13% of patients that resolved in days-weeks. 2. 2 cases
Risks of IPL (Intense Pulse Light) for Dry Eye (ie, due to Meibomian Gland Dysfunction). Read More »
As of today there are no published papers on the use of Medical Marijuana, Cannabis, CBD, or Hemp Seed Oil and Ocular Rosacea Treatment on PUBMED. There are only anectodal stories of CBD oil making rosacea worse (or in one case below–helping rosacea.) There are 3 studies noting it may be helpful in acne but
Marijuana and Ocular Rosacea Treatment Read More »
Many patients have been telling me how Manuka honey has been helping their symptoms of dry eyes. As of today there are 5 published papers on the use of Manuka honey for eye issues (see below). The best study below was a single-blinded (reviewer was masked), randomized controlled trial comparing conventional treatment group with interventional group
Manuka Honey Eye Gel/Drops: They seem to help many patients Read More »
There are many articles and speculations on how to prevent dementia. Here are my quick thoughts on the subject. Clearly, aging, genetics, general health, exercise, diet, sleep health, diabetes status, stress level are important. When people do not sleep well or are under stress, people can be more likely to forget the minor things: where
How to Prevent Dementia Read More »
We have seen a few patients over the years that swear one of the following procedures caused chronic, unremitting eye pain and/or eyelid pain. It is very uncommon for these procedures to cause a worsening of symptoms. But the risk is not 0%. The underlying cause is likely inflammation in the sub-epithelial layers (that
Constant Eye Discomfort/Symptoms/Pain after Bleph-Ex and other Eyelid Procedures Read More »
A few patients have said they have noticed an improvement when they take GLA black currant seed oil. Here are some of the best ones I can find. There are no randomized-prospective double-blind studies to say these help that I could find thus far. SLC GLA black currant seed oil favorites: usually sold in softgels forms in
GLA black currant seed oil favorites Read More »
The key FDA-approved dry eye drops are Restasis, Xiidra, and Cequa. They are drops that decrease inflammation. They are all non-preserved. They are all used 2x/day (though some MDs will recommend them “off-label” 3-4 times per day for severe dry eye patients. They have their benefits and side effects. They all come in containers like