Archive for the ‘Dry Eye’ Category


Attending B+Lieve symposium 2017 in San Francisco

February 28, 2017

To learn more about daily contact lenses that can help with comfort, clarity and health of the eye!

A day of interactive lectures, hands on demonstrations, and new technology explanations.

I have a greater understanding of how the Bausch & Lomb Daily Contact Lens for Presbyopia and for Astigmatism works! 
Presentations on intra-ocular lenses for patients with cataracts were done by the specialty portion of Bausch.


Laser Vision Correction and Dry Eye, another connection between the two.

November 28, 2016

Eydelman M, Hilmantel G, Tarver ME, Hofmeister EM, May J, Hammel K, Hays RD, Ferris F. Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies. JAMA Ophthalmol. Published online November 23, 2016. doi:10.1001/jamaophthalmol.2016.4587


Last week a new paper was published in a well respected, peer reviewed journal (see citation above). The results confirm a number of other studies about what LASIK causes. Dry eye and glare!

Is it terrible? no, usually not, can it be bad? Yes! The article recommends counselling  so the person undergoing the laser vision correction will understand the possibilities of these issues occurring after the procedure.

This is an interesting mix of patients, from the military and civilian side of life in the USA. The military has been supplying Laser Vision Correction to enlisted personnel and officers at no charge for many years. From my understanding, many of the military personnel opt for the PRK procedure because the get 3 days off active duty to recuperate, as opposed to LASIK, where they only get one day off.

Almost 575 people took the survey between 2011 and 2014. About 44% of patients had significant symptoms after the procedure, only 28% had significant symptoms after 3 months. Importantly, only 1% expressed dissatisfaction with the procedure.


Omega Fatty Acids treat Dry eye disease. Proven efficacy.

August 6, 2016

The study mentioned below states that both objective and subjective measurements of dry eye disease were improved with 12 weeks of Omega Fatty Acid ingestion. 2 grams a day, this is about the third study, and the first that I have seen that uses a placebo to confirm the concept of treating Dry Eye with nuetraceuticals! 

This means that if your contacts are causing some discomfort, 2 gams of omega fatty acids may make them more comfortable.

I have been personally recommending this addition to many of my patient’s diets. It is easy and not expensive. The only problem I see here is who funded the study. I have not been able to determine that. The publication is top notch….Cornea.

Study: Oral Omega-3 Supplementation Effective Treatment for Dry Eyes A new study available ahead of print in Cornea demonstrated that oral consumption of re-esterified omega-3 fatty acids was an effective treatment for dry eye disease and resulted in a statistically significant improvement in its primary endpoint of tear osmolarity, as well as its secondary endpoints after 12 weeks. A total of 105 subjects completed the study that assessed oral nutrition as the primary therapy for dry eye disease in patients with confirmed Meibomian gland dysfunction focused on the effect of oral re-esterified omega-3 fatty acids on tear osmolarity, MMP-9, Ocular Surface Disease Index, tear break-up time, Schirmer’s score, corneal staining and the omega index. The multicenter, prospective, interventional, placebo-controlled, double-masked study randomized subjects (54 in treatment group, 51 in control group) to receive four softgels (PRN Dry Eye Omega Benefits) containing 1,680mg of eicosapentaenoic acid (EPA)/560mg of docosahexaenoic acid or a control of 3,136mg of safflower oil (linoleic acid), daily for 12 weeks. Study participants were measured at baseline, week six and week 12 for tear osmolarity, TBUT, OSDI, fluorescein corneal staining and Schirmer test with anesthesia. MMP-9 testing and omega-3 index were done at baseline and at 12 weeks. 
Where I saw this review:


New Dry Eye Treatment 3rd Qtr 2016

July 11, 2016

FDA Approves Shire’s Xiidra™ (lifitegrast ophthalmic solution) 5% – The Only Treatment Indicated for the Signs and Symptoms of Dry Eye DiseaseJuly 11, 2016
An estimated 16 million people in the U.S. are diagnosed with dry eye disease

Xiidra is the first prescription eye drop FDA-approved to treat both the signs and symptoms of dry eye disease

U.S. launch of Xiidra planned for third quarter 2016
I will be trying this stuff out to see if it works, and how r compares to Restasis, the tried and true dry eye treatment. 

Call for an appointment, or click here: 


Jewelry Making is more difficult for eyes to see than Computer use!

May 20, 2015

ORIGINAL ARTICLEYear : 2015 | Volume : 19 | Issue : 1 | Page : 30-35


Vision-related problems among the workers engaged in jewellery manufacturing
Urmi Ravindra Salve

National Institute of Miner’s Health, Jawaharlal Nehru Aluminum Research Development and Design Centre Campus, Wadi, Nagpur, Maharashtra, India
This article states that it is harder for jewelry makers to see their work than computer users. It shows that crafts workers need special tools and eye evaluations to make sure they are able to function at their maximum visual capacity.

I have previously practiced in the New York City Diamond District for 12 years and have seen many people with eye strain and dry eye.

The workers need to take care of their eyes!


Another article says “Omega FA’s help dry eye!”

March 17, 2015

This is the third independently researched article that says Omega 3-Fatty Acids (otherwise know as “horse pills” in my office) help relieve dry eye symptoms, as well as contact lens induced dry eye ( the dreaded CLIDE).

This study looked mostly at symptoms, so, I don’t consider it the best design. Using almost 500 patients is good. The objective measures in this study do not show much improvement, but the subjective measures do!

I think the “objective” measures are old and hard to grade. There are new methods of tear analysis that look at the li9ght reflected from the tears in a much more standardized manner. We need to measure the effects of Omega FAs using this technique. In the meantime, there can be relief out there for Dry Eye symptoms!

Oral Omega-3 Fatty Acid Treatment for Dry Eye in Contact Lens Wearers

Bhargava, Rahul MS*; Kumar, Prachi MD†,

Cornea, April 2015

New Dry Eye drug makes 3rd phase of testing

January 24, 2013

As of yesterday, January 24,2013, a new drug for Dry Eye Syndrome has entered into stage 3 of FDA testing protocol for new drugs.

I am hoping to get the product available within the year.