These new options may be helpful for patients whose insurance does not cover Restasis and they cannot afford its cost. I have 15 patients who see a difference when they use Restasis (0.05% cyclosporin) and Xiidra, but it has been very difficult to get insurance to cover both. Now generic 0.5% cyclosporin is coming out. […]
We have known this for years. How much longer to do we have to wait before this is made clear in every school and kids are kept away from screens or at least protected with blue blocking filters? SLC Blue Light Damages Retinal Cells in Lab Study Veronica Hackethal, MD August 20, 2018 0Read Comments
A colleague/friend asked for help with a study. If you have wet macular degeneration or are a caregiver of someone with macular degeneration, please if you can take the time to fill out a survey, it would be very much appreciated (I think you get paid for this as well. Please copy and paste link
Colleague asks for help with a study. Read More »
I used to get my eyes dilated almost every year. Recently I switched to Optos to avoid having to be dilated. Optos has been a game changer for patients and doctors. We can catch hidden retinal issues in patients that have no symptoms. Just yesterday we saw a patient who had a clear retinal tear
Our previous research fellow was kind enough to forward this recent study he saw before I did: thank you, Carlos! Bevacizumab is a great idea for decreasing Vascular endothelial growth factor (VEGF) around the meibomian gland orifice which is thought to be a key culprit in how inflammation (red blood vessels) lead to scarring of the
Finding natural ways to help patients with dry eyes is a goal of mine. I hate taking pills and using prescription eye drops and ointments like everyone else. Thus it was a wonderful surprise when a patient came in saying that her little ultrasound wand helped her dry eyes when she used them near her
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Before Meibography came out as a way for you to see your own meibomian glands, studies showing Warm Compresses work were limited to subjective signs and symptoms of improvement. Meibomian gland disease (MGD) has for decades been treated in part by warm compresses. These are readily self-administered but takes time: thus most patients do not
Having now used IPL on almost 100 patients, I have found IPL to be very safe and effective. Here is another paper showing IPL is safe. The only complication they had was partial eyelash loss in 1 patient. Photomed Laser Surg. 2018 Jun;36(6):326-332. doi: 10.1089/pho.2017.4402. Epub 2018 Apr 24. Intense Pulsed Light Applied Directly on Eyelids
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Prokera is a very safe way to heal the ocular surface. It works very well to heal infections, dry eyes, chemical burns, recurrent erosions. It is one of the rare things covered my most insurances.The issue is the discomfort when it is in–in the Prokera version. Sandra Lora Cremers, MD, FACS Here is a quick
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Dry eye symptoms can vary between patients. This is a list of symptoms in order of most common presentation in my dry eye practice. 1. Burning: burning is always from dryness (which is most often due to decreased meibomian gland oil in the tear film). A. The most common cause of chronic burning is MGD:
List of Dry Eye Symptoms Read More »