How to Get Rid of Blepharitis? - Treatment and Home Remedies

Here in this piece of article, we are going to discuss one of the most common questions that I have been getting during my clinic time which is what do I do with my red and crusty eyelids and what can I do from home? So I don't have to go to the eye doctor.

So today we are going to briefly explain the topic regarding blepharitis which is the usual culprit and some really easy steps that you can do from home to get the eyes feeling a whole lot better. So let's talk about blepharitis. What is blepharitis?

best-treatment-for-blepharitis

Blepharitis is a very common eyelid condition that I see all the time caused by an overgrowth of the bacteria that live naturally on the skin. You know we all have bacteria living constantly on the skin and most of the time they are just living harmoniously.

They are not causing any trouble but occasionally they will get overpopulated and when that happens in the face that can give you acne and when that happens around the eyelids and eyelashes that's what we call blepharitis.

Common Symptoms of Blepharitis

So the most common symptoms of blepharitis are
  • Redness
  • Burning
  • Stinging the Sensation ( that something's always in the eye ) which we appropriately call foreign body sensation.
Then when you wake up in the morning you have got that little discharge in the corner of the eyes. All of these things are associated with blepharitis so two main things we see in eyelid anatomy with blepharitis.

So first normal healthy eyelids we have got lashes that are nice, clean, and directly behind those eyelashes. Most of us in each or lives. We have about 10 to 15 oil glands and the job of those oil glands is to secrete that oil onto the surface of the cornea.

So it keeps our tears film nice and stable, keeps the eye feeling comfortable, keeps the vision nice and sharp. When those oil glands get plugged as they often do in blepharitis. They cause a series of kind of a cascade of effects so this is what it looks like.

When they get plugged so instead of that nice clean margin you have got all of these little plugged oil glands. The skin around the oil glands gets kind of congested and angry and swollen. That's what causes that soreness and then without that oil freely flowing onto the surface of the cornea.

Our tears evaporate too quickly and evaporative dry eye starts to take effect and that's what gives you a lot of the stinging and burning.

So how do we treat Blepharitis?

1. Warm Compresses

If you imagine all of these oil glands are like a bunch of teeny tiny sticks of butter. We need to melt that butter and the easiest way to do that is with heat so a real, simple thing you can do without having to buy a thing is to take a wash cloth that you already have at home.

put it under the hot water wring it out and put it over the eyes for a few minutes and that works ok. The problem is as you would imagine after just a few seconds usually that washcloth is anticipating that heat you can't get the heat to stay for very long and so for that reason a lot of companies have come up with some great little microwavable masks.

microwavable-masks-for-wam-compresses

You just throw this mask in the microwave for 10 to 15 seconds and make sure it's not too hot so you don't burn yourself. Then just put that over the surface of the closed eyes and hold it there for about 5 to 10 minutes. That's gonna melt all of the oil that butter and allow that oil to freely flow over the surface of the eye.

It feels really nice. So it's a nice easy trick to do at home so that's going to take care of what we call "posterior blepharitis" with just all of those plugged oil glands. But what about all these crusty guys on the front this is called anterior blepharitis and these little crusts are called color X and that's what gives you that sensation that's something in the eye.

2. Use Lid Scrubs

You are always just kind of itching and wanting to mess with the lids so to get rid of this we use a dental analogy. So of course all of us you know would never argue with our dentist that it's appropriate to brush your teeth morning and evening at the very least to make sure that the buildup of plaque and tartar is removed mechanically.

Every single day and similarly when this kind of buildup builds up around the lids and lashes. We can also kind of do some lid brushes lid scrubs. This is again one of many different kinds of lid scrubs.

lid-scrub-for-eyelid-cleansing

How to use Lid Scrub?

The gist is it's a small little towelette that has soap that's safe to use around the eyes. It's really simple to use you just open the scrub. here's the little towelette. It's got a little bit of texture to it which is nice to really pull off all of this crust.

I like to kind of wrap it around my index finger and then with your eye closed. You are gonna start all the way up at your brow and go back and forth until you kind of feel that bony portion of your orbit so from the top all the way to the bottom of the eye. Then you will just flip it around and do the exact same thing on the other eye and then throw it away.

These are meant to be done just at the same time since you brush your teeth so morning and evening. what I typically recommend folks do this and if you can get into that habit of doing both lids scrubs and the warm compresses usually that takes care of blepharitis for most people in general.

I try to encourage patients to gain think about doing lid scrubs at the same time that they are brushing their teeth. So morning and evening you should be doing the lid scrubs the warm compresses which are best done at night time.

I recommend doing the warm compresses first for 5 to 10 minutes getting all that oil coming out and then finishing cleaning the lids with the lid scrub right before you go to bed. The reason I like to do the warm compresses at night time is that as that oil starts to open the glands, open the oil flows onto the front of the eye.

That can blur you a little bit so if you try to do that first thing in the morning. You might be a little frustrated with me but if you do that right before you are going to bed this will resolve your symptoms.

Sometimes blepharitis can be you know especially stubborn and patients will say you know I'm doing all of these things regularly and it's still not helping and that's when we need to call in you know some of the bigger treatments including medications either topical or oral antibiotics. Sometimes a little mild steroid drop or ointment.

There are several Clinical procedures that we have available for blepharitis as well if needed. Those can certainly be the topic for some other articles to come but for now, I just wanted to give you guys two simple home remedies for blepharitis and hopefully, that will have everyone feeling better really soon.

How to Get Rid of a Stye? Home Remedies and Treatments

Hey guys, today we will talk about red painful styes and their several treatments which will provide you better feelings in no time. So today we are gonna be talking about probably one of the most common phone calls we get in our clinic every day and that is I have a stye what can I do about it?

stye-treatment-and-home-remedies


So we discuss today in this post specifically about the styes and what they look like? what are the symptoms? But more importantly, in-clinic treatments that we use to take care of them.

What causes styes in your eye?

I think almost everybody knows what they are. It is a red painful bump that you wake up with and you are just too embarrassed that you have to go to work with this giant bump on the eye.

Stye becomes due to the plugging of the oil glands and just as a little reminder this is a little healthy eyelid and we have about 10 to 15 oil glands that sit behind the eyelashes. When those get plugged up and blepharitis they look like this and all of these little oil glands are plugged and then bacteria can kind of find a nice warm spot that it likes and it forms a stye.

The stye can form either on the inside of the eye where you have to pull your lid down to see it or you have probably. If sometimes you see folks with that big red kind of looks like a pimple on the outside that's an external stye. It's basically the same thing it just depends on whether it opens on the inside or the outside of the eyelid.

Treatment and Home Remedies

1. Warm Compress and Massage

If you are at home and you know no access to a doctor then the first thing and most important thing to do is to use heat remembering that those oil glands are kind of like a bunch of little sticks of melted butter.

microwavable-warm-compress-for-eyes


You want to open those oil glands and get everything to flow freely so these are microwavable warm compresses that you can buy over-the-counter or online. You throw them in the microwave for about 5 to 10 seconds get them nice and warm but not too hot that you can burn yourself and then you just place them over the eyes and hold them for about 5 to 10 minutes.

If you have an actual stye and what I usually instruct my patients to do is after. You can kind of massage over the area where you have this stye after the heat on there for a while through the warm compress.

You want to try to break up all of that inflammation and pus and allow that freely flows from the eyelid and it's coming out that's a really good sign okay.

2. Topical ointment or Eye drops

So if you have tried that already and you have been warm compressing till you can warm compress no more and the stye is still there then a lot of times we have to use topical medications most of the time you don't need oral antibiotics for this.

I see that prescribed a lot but it is usually not necessary to look favorite combinations usually include an antibiotic and steroid and that can come either a drop or an ointment that you apply topically three or four times a day about a week or two.

3. Steroid Injections

Most of the time that's going to clear everything up but occasionally the stye will come back in a couple or three weeks and if that's the case then one of the next lines of treatment what's called the intralesional Kenalog and this is just a tiny little bit of steroid that we inject directly into the sty that since there is like a little depot.

It will sit around in the lid for three or four weeks and it works as anti-inflammatory magic and a lot of times this stye goes away.

4. Incision and Drainage

If we have done the catalog and the stye persists then the last resort is to do something called an incision and drainage. We try to avoid this if we can this is not the most fun procedure for patients but it is the definitive treatment to get rid of the long-standing stye and secondly we will gonna take you back to our minor and go through some of the instrumentation so what I use to do this procedure, let's talk a little bit more about it okay.

A surgical cut is made with a 30g needle Which is literally the smallest needle that you can get. This procedure is known as an incision. We are easy on the eyelids because it's such thin skin and once I draw that up usually less than you know point 1cc is really tiny. I am gonna that directly into the stye most of the time.

We will do that injection on the external part of the lid just so that it's not as uncomfortable on the internal part and it will get all the way through and then patients I always warn them that there will be a tiny little white area where that steroid injection was deposited that will slowly absorb over the next three to four weeks.

Typically I will do a follow-up with them. you know a month or so later and see if it's all resolved most of the time it is if it's not resolved then the next step is something called an incision and drainage and so for that what we are going to do is actually take the lid and revert.

It so that I actually have access to this little area through a small clamp that I will use to finish the inflammation with the sty. It's actually going to go over the surface of the lid it will allow me to tighten it and then invert the lid and then I will have a little view of the inside of the lid.

Where I can remove the stye so this is all of course after the eye is numbed up with some alighted cane try to get the patient as comfortable as possible with the clamp on evert the lid and then use a blade to sort of pen the area and then we can kind of just gently dissect out to the stye as you know all of the little usually.

There is a lot of scar tissue associated with it at this point. If it's been there for several weeks to several months sometimes you will get to know a good gush of fluid and you sort of know it's gonna resolve quickly other times.

It's been there for a while and you have to really dissect out some of that scar tissue once you clean up the lid get some hemostasis to get the bleeding to kind of settle down when we just put the lid right back kind of hold pressure for a little while and I will usually put a pressure patch over the eye for about three or four hours as the patient goes home.

Just so it kind of keeps everything nice and stable and then they use the same point means that they were typically before which is a combination antibiotic steroid for about a week or so by that time. the patients come back for their follow-up, the inside of the lid has already healed because it heals so quickly and fast.

So there are just some of the little treatments that we use for styes and hopefully, you won't ever have to have that done but if you do you know what you are gonna be looking at okay. Thank you so much for reading this article about styes hopefully you found it helpful so please share this post as much as you can.

Sap from Garden Plants Can Burn your Eyes after Gardening

According to a new report from World Health Organization, gardeners should be careful sap from toxic gardens during gardening activity. Euphorbia includes more than 2000 species such as succulents, tropicals, flowering shrubs, and trees.

Most of the plants in euphorbia produce white latex sap. It can be a harmful chemical for your skin which can make your eyes puffy or swollen if you touch your hands at the eyes or close to the eye area after gardening.

swollen-eyelid-after-gardening


Getting sap in the eye can cause mild to moderate or severe eye infections such as burning, itching, pain, swelling, light sensitivity, blurry vision, puffy eyes, watery eyes, and swollen eyelids.

Sometimes rubbing eyes with hands during gardening can cause an allergic reaction because debris and dust can enter inside the eyes.

Sap from Garden Plants According to a Case Study

The 29 years old patient came to Katherin McVeigh in the Bristol Eye Hospital with pain and inflammation in the eyes. At first, Katherin couldn't figure out the actual reason behind it.

She describes in her report, patient denies that he did not use any chemicals during gardening. Eventually, contact with euphorbia plants in the patient's garden was attributed to the actual problem by Katherin in her report.

She writes in her report, sap with toxic garden plants can burn to the different parts of the eyes such as ulcers on the cornea and blindness.

How to Treat infection with Sap from Garden Plant?

She told in her report, irrigation of the eyes is a key when any chemical injures your eyes. Because it dilutes the substance in question and also helps to reset the pH of the ocular surface.

Katherin said, pH in the eye is rebalanced and it is the main treatment for euphorbia.

People should wear gloves and eyewear before handling garden plants. Washing out the eyes, using topical antibiotics and eye patches are the best treatment options.

People should be aware of species of plants while working with them.

Wash your hands after gardening, and remember that do not rub your eyes during gardening because it can burn your eyes with harmful chemical effects.

Parents should also educate their children about the injuries which have affected the pediatric population badly through playing in the garden.

Usually, any serious treatment does not require and the infection may last for two weeks. but in a few cases, a serious or long-term infection may occur after gardening. So keep in mind above mentioned safety measures during gardening.

How can I say Goodbye to my Reading Glasses Forever?

In today's article, I will review the treatment for presbyopia AKA the need for reading glasses that starts for many people in their early 40s. I will go over the cause of presbyopia and the latest FDA-approved eye drop as well as surgical treatment options that are currently available in the United States.

What is Presbyopia?

Presbyopia is the decrease in close-up reading vision that occurs in our eyes as we age. As you age you may start to notice that reading the small or fine print becomes more and more difficult over time and you may find yourself holding your reading material further and further away.

Eventually, you may need over-the-counter reading glasses, prescription bifocal glasses, or multifocal contact lenses in order to be able to read the small print. If you are affected by presbyopia, you are not alone. Presbyopia affects 128 million Americans and the number continues to grow.

goodbye-to-reading-glasses-forever

So What Causes Presbyopia?

The lens in our eye is flexible and is designed to change shape when muscles in our eye called the ciliary body contract. It is this ability of the lens to change shape that enables us to see objects clearly at different distances by changing the focus.

When the lens shape is more curved, the eye becomes more nearsighted. Thus enabling us to clearly see objects that are close to us. The reverse happens when we look at objects further away. As we age, our lenses gradually lose their flexibility and no longer change shape when our eye muscles contract causing presbyopia. 

Although, there is no available treatment to restore the elasticity of our natural lens. There are several effective presbyopia treatments to get around this limitation. I have no financial interest in any of the treatments that I mention in this article. all of the treatment options I review for you in this post are based on my own clinical experience and study.

Eye Drop for Presbyopia

Vuity eye drop is a new FDA-approved and prescription eye drop that is used to treat presbyopia. Vuity contains a 1.25% pilocarpine active ingredient that improves near vision temporarily or short-term period.

It starts to show his result to improve vision after 15 minutes after putting in the eyes and the result lasts for 6 to 9 hours.

Long-Term Surgical Treatment for Presbyopia

One option for long-term presbyopia is LASIK surgery. A lot of us are familiar with LASIK as a treatment for nearsightedness. But did you know that LASIK can also be used to treat presbyopia? for my LASIK patients with presbyopia, I plan two different customized treatments, one for each eye.

This means that each eye sees a little differently, with one eye slightly more nearsighted than the other while the other eye sees distant objects more clearly. This technique allows the patient to see both distant and near objects clearly when both eyes are open.

Having Slightly differently corrected vision in each eye is called monovision. You may hear of or even wear contact lenses for monovision yourself. Having LASIK surgery to create monovision is like having the prescription correction from contact lenses permanently on your eyes.

I perform femtosecond laser wavefront-guided all-laser LASIK surgery using two different lasers. During the surgery the first laser, the femtosecond laser will create a very thin flap on the cornea then the flap is lifted, and the second laser, the excimer laser reshapes the cornea to the targeted prescription to create monovision.

A possible limitation of monovision is a slightly decreased depth perception because one eye is more nearsighted than the other. The exact amount of difference between the two eyes for monovision needs to be carefully chosen by you and your eye surgeon, and this is not for monovision needs to be carefully chosen by you and your eye surgeon, and this is not always as simple as it sounds.

It is important to balance depth perception, distance vision, and near vision to obtain the best visual outcome that is possible for your eyes. In my practice, I have very patient who is considering monovision LASIK surgery for presbyopia wear contact lenses for a time to stimulate the visual outcome of monovision and we only proceed with the surgery if they like the simulated vision.

Permanent Surgical Treatment for Presbyopia

Presbyopia available by your eye surgeon is called Refractive lens exchange. it is essentially the same surgery like cataract surgery for cataract removal.

Replacing the crystalline lens not only treats cataracts but can also treat presbyopia by removing the old stiff lens and replacing it with an advanced multifocal or extended depth of focus intraocular lens implant for IOL.

These special implantable lenses bend the light rays entering your eyes at different focal points, enabling us to have clear distance vision for objects that are far away, clear intermediate vision such as using a laptop, and clear near vision for reading cellphones or books.

I perform femtosecond laser-assisted refractive lens exchange surgery for my presbyopic patients. To learn about the differences between laser-assisted cataract surgery and conventional manual cataract surgery. Click here

Both monovision LASIK surgery and refractive lens exchange surgery are surgical options. Any surgical procedure has many potential risks. So be sure to have an individualized eye exam and consultation with your eye surgeon to find which treatment option is best for you.

There are other treatments available internationally such as different types of cornea inlays, and laser cornea surgery. I hope through this article you have learned anything new so don't forget to share this post with others. 

How does Vuity (Pilocarpine HCl 1.25%) Eye Drop Works?

 
Recently, a lot of my patients have been asking about the newly FDA-approved vuity eye drop made by Allergan. Vuity is a prescription eye drop that contains 1.25% pilocarpine as its active ingredient.

how-does-vuity-work?

Mechanism of Vuity (Pilocarpine)

Pilocarpine temporarily improves near vision through two mechanisms.

1. Temporarily Stimulates Contraction of the Ciliar Body Muscle to shift the eye into a more nearsighted state

First off, if your lenses still have any residual elasticity, Pilocarpine will stimulate contraction of the ciliary body muscle to shift your eyes into a more nearsighted state as I mentioned earlier, temporarily improving near vision.

2. Temporarily Constricts the Pupil and Creates a Pinhole Effect

The second and main way that vuity affects near vision is by stimulating the parasympathetic muscles in the iris to constrict the pupil which creates a pinhole effect. You may likely be experienced the pinhole effect yourself when you go to your eye doctor's office and have your vision checked with one of these.

occluder-is-used-to-focus-lights


This is called an occluder. You may have noticed that when you look through one of the small holes with the flap down, you see more clearly. This phenomenon is called the pinhole effect.

Pilocarpine constricts the pupil size causing a pinhole effect. Pilocarpine was initially approved by the FDA in 1974 to treat glaucoma or to constrict the pupil when needed for eye exams or eye surgeries.

Vuity (Pilocarpine) for Presbyopia

Vuity contains 1.25% pilocarpine and was recently approved by FDA in October 2021 for the treatment for Presbyopia. It is dosed at one eye drop in each eye once a day. According to the clinical trial data from the Gemini 1 and 2 studies, the effect of near vision improvement from vuity eye drop can be seen as early as 15 minutes after applying the eye drop and can last up to 6 to 10 hours. 

Side Effects of Vuity Eye drop

However, there are some potential side effects of vuity in the Gemini 1 and 2 studies. Patients reported eye redness and headaches. Using vuity may also decrease night vision by reducing the amount of light entering your eyes at night through a small constricted pupil.

So you may need to be very careful when using it at night. Pilocarpine can also rarely cause retinal detachment. So it is important to consult with your eye doctor if you are considering using vuity.

At the current time, vuity is not covered by most insurance and costs about 75$ for each 2.5 ml bottle. As vuity is newly approved for presbyopia we will likely learn more and more about this medication as it becomes more widely available in the US.

Can Mascara Irritate your Eyelids?

Eye makeup including mascara can irritate your eyes or skin. Basically, the ingredients of mascara are the main reason that can cause swollen or puffy eyelids. If mascara flakes or migrates off your lashes and into the eyes then your eyes can get inflammation. Today in this post we will clear some queries related to eyes concerning eyes.

swollen-eyelids-from-mascara

What ingredient in Mascara Causes Allergic Reaction?

Mascara includes ingredients yellow carnauba wax, colophony, phenylenediamine, shellac, quaternium-22, yellow and black iron oxides, and nickles. The literature reports on mascara describe the specific ingredients that can cause an allergic reaction to the eyes. 

The Parabens Preservatives are considered harmful which are included in cosmetics to increase their shelf life. So Parabens Preservatives include ingredients Propylene glycol, Retinyl Acetate, Aluminum Powder, Coal Tar Dyes, Fragrance, Formaldehyde Releasing Preservatives, BHT, and BHA. These are the ingredients that are considered unsafe and should not involve in cosmetics. Try to use non-toxic and natural mascaras that are considered as safe.

How do you know if you are Allergic to Mascara?

If you are suffering from any of the following symptoms it means that it is just because of cosmetics that you are currently using.
  • Redness
  • Itching
  • Allergy
  • Rashes
  • Inflammation
  • Small blisters in some cases
These are the common symptoms that you can face after using mascara. An allergic reaction from mascara takes 2 to 4 weeks to clear up on the face or skin.

Possible Conditions to get Infection from Mascara

The big and main reason for getting an infection from mascara is the ingredients that I have discussed above paragraph. The other common reasons are:

Contact Lenses

If you wear contact lenses that mascara can get trapped between the lens and eyes and your eyes can get an infection. Try to not use contact lenses while using mascara or any other eye makeup.

Sensitivity

Some people have very sensitive skin and are allergic to cosmetics. So they should try to use natural and non-toxic cosmetics which are very safe.

Old Mascara

After using old mascara your eyes can get infections such as conjunctivitis or pink eye. Especially, mascara and eyeliner provide a moist environment to the bacteria around the eyes. Therefore you should not use at least three months old cosmetics.

In case of any severe or long-term infection, you should see an eye specialist doctor to treat it.

Is Lasik Safer than Contact Lenses?

Lasik may be as safe or safer than contact lenses for many people. Many from us assume Lasik surgery is riskier than wearing contact lenses as LASIK is a surgical procedure while wearing contact lenses does not involve surgery. However, is this common notion correct?

is-lasik-better-than-contact-lenses

Is Lasik Better than Contact Lenses?

More and more studies have come out showing that the risks of LASIK surgery are comparable to wearing contact lenses and in some cases, LASIK surgery might even be safer.

The key here is that the risk of developing an infection from wearing contact lenses is cumulative which means the longer a person has been wearing contact lenses, the higher the risk of developing an infection.

Of course, if someone only wears contact lenses for six months or a year, the risk of getting an infection from wearing contact lenses is low. probably lower than the risk of LASIK. But most people who wear contact lenses wear them for years or decades over that amount of time, the risk of wearing contact lenses may become equal to or greater than the risk of a one-time LASIK surgery.

Common Factors that Increase the Risk of Infection

There are additional factors that increase the risk of infection from contact lens wear such as poor contact lens hygiene and overnight wear. So it is important to have an individualized discussion with your eye doctor or eye surgeon to determine which version correction method is the safest one for you long-term.