Many thanks to our research fellow, Faith Kean who looked this one up: What Determines the Color of the Meibomian Gland Oil (ie, Meibum) Photos showing the difference are coming as well. Free fatty acid composition of human meibum correlates with meibum color as determined with a slit-lamp microscope. FFAs—were detected in meibum. Free fatty […]
What Determines the Color of the Meibomian Gland Oil (ie, Meibum) Read More »
Superficial red blood vessels seem to absorb blue light. If a patient has rosacea and significant superficial blood vessels on the eyelids, the blue light emitted from most electronic screens may be absorbed by these vessels significantly. This may increase localized inflammation. I will look up some studies on this shortly. In the mean
Which is a better source of stem cells: bone marrow or fat (ie., adipose)? Controversy still exists but most papers now acknowledge that fat has a richer source of stem cells. Stem cells are cells that are able to differentiate (ie, turn into) any tissue depending on its surrounding environment. If one inserts a stem
Recent Literature Search on Best Site for Stem Cells: Bone Marrow or Fat? Read More »
This is for a dear patient. Epstein-Barr virus (EBV) and Dry Eye Disease: The Links It is well known that viruses can trigger inflammatory responses that can lead to chronic dry eye symptoms. Here is the run down of what is known. 1. Dry Eye Disease (DED): is multifactorial, ie do to many causes
Epstein-Barr virus (EBV) and Dry Eye Disease: The Links Read More »
A dear friend has a new gout attack so am looking up the latest in prevention and treatment. Key points: 1. Gout is an inflammatory arthritis due to deposition of monosodium urate crystals. 2. It is associated with hyperuricemia: aserum urate level of 6.8mg per decilitre (404micromol per liter) or more 3. Approximate US prevalence: estimated
Gout: Risks and treatments literature search Read More »
More and more patients are using Amniotic Fluid Drops to help with dry eye pain. A concern for some patients and practitioners has been the risk involved in using the drops (ie, risk of infection which is low but not 0) and the risk to the fetus if the fluid is obtained thru an amniocentesis
Amniotic Fluid Drops: Is this Morally Acceptable? Read More »
More and more patients and friends are asking about this. Here is some information. Have your insurance card and information ready. Testing:1. The fastest may be here: SameDayTesting currently has four locations in Montgomery County, accepts insurance and is averaging 12 hours for results. https://www.sameday-testing.com/ 2. Call your Pediatrician or PCP to see if they can
Where to get the Fastest COVID test in Montgomery County, Maryland Read More »
We continue to be impressed by the effectiveness of a patient’s own platelets to heal their eye surface disease. The next step will be to understand why some patient’s platelets work better than others. Here is the latest literature search for PRP as requested by a friend. SLC Search results Items: 1 to 100 of
Thousands of Papers Showing Benefit of PRP in Multiple Specialties Read More »
It has been a challenge to find preservative free steroid drops. Many patients are allergic to preservatives so we were happy to find Imprimis’s version. Waldo drops from England below were also a hit with one of my patients. Sandra Lora Cremers, MD, FACS
Non-preserved prednisone acetate 1% Read More »
Likely the best treatment is the most natural that does not affect a patient’s gut flora. For this reason we often recommend diluted Tea tree oil applications/scrubs on closed eyelids or hypochlorous acid. There are now many products over the counter that have hypochlorous acid, such as Avenova and Accycin. Some papers of
How Best to Kill Demodex Read More »