2018 Dry eye treatments

Safety of Punctal Plugs: one of the best treatments for dry eyes that is covered by most insurances

Punctal Plugs are generally very safe. Punctal Plugs got a bad wrap when one called the Smart Plug caused some issues with infections around the puncta and canal, called canaliculitis or dacrocystitis. That was around 2006. The newer version of Punctal Plugs is much safer. I have never had a complication from the plugs we …

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How to Regrow Meibomian Glands and How High Carbohydrate and Sugar Intake and Diabetes May be Toxic to Meibomian Glands

A favorite patients of mine has been so kind to continue to do research on how to save meibomian glands. We are trying to figure out if we can inject IGF-1 (Insulin Growth Factor 1) into the meibomian glands to make them grow back better than Platelet Rich Plasma. Some key points: 1. IFG-1 can …

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What is the Best Way to Present All Dry Eye Treatment Options Without Overwhelming Patients?

When I was a resident, the only treatments we had for dry eye complaints were warm compresses/lid hygiene, artificial tears, and maybe Omega 3 intake…was just starting to be considered helpful. [**Note: A recent, large, independent study has now shown Omega 3 intake to be no better than placebo in symptomatic relief: more on that …

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