
- Vol. 44 No. 16
- Volume 44
- Issue 16
Diving into dry eye can help physicians solve patients’ woes
Myriad mechanisms contribute to cause; knowing details leads to effective treatment
Regardless of the root cause, as the cornea becomes increasingly irritated it further dries out and normal function deteriorates. Tear production becomes compromised and
Breaking it down:
MGD and rosacea
Commonly, patients have DED in combination with
Because MGD is difficult to treat effectively, nonpharmacological treatments have been explored and are becoming more widely embraced.
Deeper in the ocular microbiome
IPL has been shown to dramatically reduce Demodex when studied via
IPL protocol
In my practice, I take a comprehensive “holistic” approach to OSD. I consider everything from the gut microbiome-recommending an anti-inflammatory diet (e.g., omega-3 supplementation)-to devices like IPL and manual expression of the glands to prescription drops to scleral contact lenses for crippling disease.
My IPL protocol using the
Then, I perform manual expression with forceps and grade every single gland. I will use
Conclusion
Patient selection is key for a successful IPL-based treatment. It is indicated for those who clearly have MGD, with evidence of facial and/or lid rosacea. In my experience, for these patients, there is no other technique that can rival IPL.
Harvey A. Fishman, MD, PhD
P: 650-322-4393
Dr. Fishman is the medical director, founder and head of Cataract Service and Advanced Diagnostics and Therapeutics at Fishman Vision, Santa Cruz, CA. He is a consultant to Lumenis and 23&me, receives clinical funding from EyeDetec, is a non-paid medical advisory board member of MiboMedical, and co-founder.
Articles in this issue
almost 6 years ago
Controlling adult glaucoma with cataract surgery, stentalmost 6 years ago
Bascom Palmer tops in annual program surveyNewsletter
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