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Ocular Rosacea and Dry Eye

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Ocular Rosacea and Dry Eye

Rosacea is a chronic skin condition that affects the face, and of them, more than 50% will experience eye-related symptoms. While there is a lot of research out there on ocular rosacea, a cure remains elusive. Fortunately, your eye doctor can help you manage your symptoms through medication and offer guidance on how to best manage this condition.

What is Ocular Rosacea?

Ocular rosacea is a common inflammatory eye condition that causes redness, itching, and burning sensations around the eyes in many people who have rosacea. The primary parts of the eyes that are affected are the eyelids, conjunctiva, and occasionally the cornea.

What Are the Symptoms of Ocular Rosacea?

Signs and symptoms of ocular rosacea are similar to dry eye. Those with the condition may experience:

  • Burning, red, itchy, or watery eyes
  • Grittiness or the feeling of having a foreign body in one or both eyes
  • Red, swollen eyelids
  • Blurred vision
  • Sensitivity to light (photophobia)
  • Recurrent eye or eyelid infections, such as blepharitis, pink eye (conjunctivitis), chalazia or styes
  • Dilated small blood vessels on the sclera (the white part of the eye)

What Causes Ocular Rosacea?

The exact cause of ocular rosacea is unknown, but researchers have found that 85% of people with the condition have blocked oil glands around the edges of their eyelids. When these glands are blocked they cause dryness and the area around them can get irritated and swollen. This can lead to crust in your eyelashes and itching and redness in your eyes.

Other potential triggers:

  • Bacterial involvement
  • Blocked glands in the eyelids
  • Environmental factors
  • Eyelash mites
  • Heredity

There are also a number of things that can aggravate ocular rosacea, including alcohol consumption, hot baths and saunas, hot or spicy foods and beverages, strenuous exercise, stress, sunlight, wind, and extreme temperatures.

Is There Treatment For Ocular Rosacea?

Ocular rosacea can usually be controlled with home eye care and medication, but these don’t actually cure the condition.

Treatment may include applying a warm moist compress to your eyelids. Your eye doctor might recommend antibiotics, prescribe eye drops, or ointments with steroids to help with your symptoms.

In rare circumstances, left untreated, severe ocular rosacea can damage your cornea or scar your eyelid. Both can affect your vision.

To help prevent flare-ups:

  • Gently wash your eyelids at least twice a day with warm water or a product your doctor recommends. This will keep your eyelids clean.
  • Avoid makeup. If your eyes are inflamed, makeup can irritate them. If you do decide to wear makeup when they aren’t inflamed, choose types that are non-oily and free of fragrance.
  • Avoid wearing contact lenses during flare-ups.
  • Avoid things that trigger or worsen your ocular rosacea. Items that tend to dilate blood vessels in the face include alcoholic beverages and hot, spicy foods.

To learn more about ocular rosacea and dry eye, contact The Dry Eye Center at Precision Family Eyecare. We can help you prevent flare-ups and treat your ocular rosacea-induced dry eye.

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Dry Eye After LASIK

Many individuals with refractive errors like nearsightedness choose LASIK (laser-assisted in situ keratomileusis) surgery to correct their vision due to its safety and effectiveness. But dry eyes are a remarkably common after-effect of LASIK surgery, affecting up to 95% of patients who’ve undergone this procedure. In fact, dry eye symptoms are the primary reason for patient dissatisfaction after LASIK. Although symptoms of dry eye syndrome (DES) most commonly occur in the immediate postoperative phase and are generally only temporary in nature, some individuals develop chronic and severe DES that can negatively impact their quality of life.

twin femalesWhat Is DES?

Dry eye syndrome is a multifactorial condition that is characterized by a chronic lack of ocular lubrication, which can be caused by poor quality tears, insufficient tears, pollution, allergies, or irritants.

Some symptoms of DES include, but are not limited to:

  • Redness
  • A feeling of dryness or irritation
  • Grittiness – the sensation that something is stuck in the eye
  • Fatigued eyes
  • Blurred vision
  • Watery eyes
  • Photophobia (light sensitivity)

To learn more about DES, visit our main Dry Eye page.

How Can LASIK Lead To Dry Eye?

During the LASIK procedure, some of the cornea’s nerves are cut, leading to reduced corneal sensitivity. The eye may respond to the decreased sensitivity by not sensing the need for lubrication, thereby producing fewer tears. This reduction in tear production is usually the culprit in post-LASIK DES.

LASIK surgeons are now aware that healthy tears promote healing following surgery. For this reason they perform certain screening tests prior to the procedure to ensure that DES will not significantly interfere with the outcome of LASIK.

What Are Risk Factors For Post-LASIK Dry Eye?

The following conditions increase a person’s risk of developing DES after undergoing LASIK surgery:

  • Having a high degree of myopia
  • Being above the age of 50
  • Being a female, especially post-menopausal
  • Having an autoimmune disease, such as Sjorgen’s syndrome
  • Living in a dry climate

How We Can Help Manage Your Symptoms

If you’ve undergone LASIK or are considering it for the future, know that we are here to help treat your DES symptoms, should any arise? At The Dry Eye Center at Precision Family Eyecare, we provide dry eye relief to many patients who’ve had refractive surgeries and have helped make the healing process more comfortable. You don’t have to live with the discomfort of dry eye syndrome — speak with Justin Douglass, O.D. about finding long-lasting relief.

Resources

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You Have Dry Eye? Call 281-238-5525
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Electronic Devices And Dry Eye

Nowadays, screen usage has become a normal part of most people’s daily routine. Whether you use a smartphone, tablet, laptop, or other devices, the time you spend focusing on a screen can often be felt in your eyes.

Dry eye syndrome (DES) is an eye condition characterized by dry, uncomfortable, red, itchy eyes, and can be caused by several factors: poor quality tears, insufficient tears, allergies, environmental irritants, and spending excessive time staring at a screen. Left untreated, DES can cause corneal damage and scarring, and sometimes permanent vision loss.

If you think you have DES or are experiencing any of its symptoms, our The Dry Eye Center at Precision Family Eyecare optometric team can help.

How Using Electronic Devices Can Lead To Dry Eye Syndrome

Several studies have linked digital screen usage to symptoms of DES. While research is ongoing, it’s already known that the following factors all play a role.

Reduced Blink Rate

smart devices and dry eye 640Our blink rate is reduced by 66% when staring at a digital device’s screen. This finding is significant because blinking less frequently increases the risk of developing dry eye syndrome.

Blinking is a major component in keeping the eyes feeling fresh and healthy. With every blink, the eye’s tear film is replenished and spread evenly across the eye’s surface. When that happens at a reduced rate, symptoms of DES can develop.

Even if you blink often enough, you may not be fully blinking, leaving a tiny gap between the upper and lower eyelids upon closure. This tiny gap causes a ‘dry spot’ on your cornea, which does not receive any replenished fresh tears and can compromise your eye comfort. So make sure that you fully shut your lids when you blink.

Recent studies have shown that incorporating a blinking exercise into your daily routine can reduce your DES symptoms. Consider setting up reminder that pops up on your screen every few minutes.

Reduced Tear Stability

A stable tear film keeps the eyes feeling comfortable and functioning optimally.

Mucin 5AC, a protein, is an essential component of a healthy tear film that helps the watery portion of the tears cling to the surface of the eye. A study in Japan found that employees who spent the most time in front of screens (7 or more hours per day) had the lowest amount of mucin 5AC in their tears. This led them to complained of DES symptoms, like itchiness and irritation.

The employees who endured the least amount of screen time from the group (less than 5 hours per day) had higher amounts of mucin 5AC in their tears, similar to those without DES.

Higher Rate of Meibomian Gland Dysfunction

The meibomian glands are the tiny glands that line the lid margin and secrete essential oils onto our tears. When these glands don’t function properly, an eye condition known as meibomian gland dysfunction (MGD) occurs.

MGD is an umbrella term for gland complications that can lead to an altered tear film composition, ocular and eyelid discomfort, evaporative dry eye, and ocular surface disease.

Studies have shown that people who spend 4 or more hours staring at a screen have higher incidences of MGD and DES symptoms.

So, What Can You Do To Protect Your Eyes?

Here are a few tips that may help you combat symptoms of DES when using a digital device:

  • Take frequent blink breaks
  • Use a cool-mist humidifier near your work station
  • Avoid having a fan or air conditioner blow air directly into your face
  • Stay hydrated with water, fresh fruit or vegetable juices, milk or soups
  • Eat water-based dairy foods such as yogurts, smoothies, and oatmeal
  • Use artificial tears or prescription eye drops if necessary

The most important thing you can do for your eyes is to visit a dry eye optometrist. At The Dry Eye Center at Precision Family Eyecare, we know how uncomfortable and even debilitating DES can be — and we’re here to help.

An eye doctor with specialized training and knowledge of DES can diagnose and treat the underlying cause of your condition and provide a range of effective, life-changing options.

To schedule your appointment and find the relief you need, call The Dry Eye Center at Precision Family Eyecare in Cypress today.

References

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You Have Dry Eye? Call 281-238-5525
Learn More About Dry Eye
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Are Your Contact Lenses Causing Dry Eye?

Among the more frequent complaints, eye doctors receive from patients is that their contact lenses are making their eyes dry. While dry eye syndrome (DES) is very common among both contact lens wearers and non-wearers alike, the symptoms can be more severe and uncomfortable if you wear contact lenses. Typically, DES symptoms include irritated, red and itchy eyes.

The best way to deal with contact lens-induced dry eye syndrome is to visit Justin Douglass, O.D., so we can determine exactly why your eyes are dry and provide ways to increase your comfort while wearing contact lenses.

What Is Contact Lens-Induced Dry Eye?

The cornea, the front of your eye, is the only area of your body that receives oxygen directly from the air. One reason contact lens wearers are predisposed to dry eyes is because the contact lens on your cornea can partially block oxygen from entering the eye. Although many contact lenses are designed to allow larger amounts of oxygen to permeate the eye, wearers can still experience dry, gritty eyes, especially towards the end of the day.

Another cause of contact lens-induced dry eye is the lenses’ absorption of tears. Lenses need liquid to stay soft and maintain their shape and integrity.

This is known as contact lens-induced dry eye.

In a healthy eye, tears allow the contact lens to comfortably swim in the tear film above the cornea. A shortage of lacrimal fluid can lead to gaps in the tear film, causing the contact lens to irritate the surface of the eye. That, in turn, causes pain, redness and itchiness.

This effect can be further exacerbated if the lenses are low in quality or are poorly fitted to the eye. Such contacts absorb too much liquid from the tear film, causing the eye to lose vital moisture. This can also occur when traditional soft lenses are worn for an extended period of time.

Getting Relief for Contact-Lens Induced Dry Eye

The following can provide relief from contact lens-related dry eye.

  • Eye drops – Be sure to get eye drops that can be applied safely with contact lenses to reduce discomfort and refresh eyes. If, for any reason, the over-the-counter eye drops aren’t working, consult Justin Douglass, O.D., who can provide more effective treatment options.
  • Eye vitamins – Certain vitamins, taken orally, can increase the amount of nutrients your eyes receive. This not only improves eye health, but also increases contact lens comfort. The best eye vitamins and supplements include lutein, zeaxanthin, Vitamin A, Vitamin C and Omega-3.
  • Silicone hydrogel contact lenses – These lenses are made from the most innovative contact lens material available on the market. They are extremely breathable because they permit up to 5 times more oxygen to reach the eye than older-generation contact lenses. This allows them to be worn over a long period of time. They reduce dryness and boost comfort.
  • Low water content contact lenses It is a common misconception that the higher the water content, the more comfortable the contact lens. For certain wearers, particularly those suffering from dry eyes, it can have the inverse effect. High water contact lenses allow more oxygen to flow to the cornea but over time, as they lose liquid, they draw it from the tear film, thus exacerbating dry eye symptoms.
  • Daily disposable contact lenses – Also called dailies, these single-day contact lenses are a great option for dry eye sufferers. This is because protein deposits don’t have the time to build-up and cause discomfort, and lenses don’t dry out as a result of improper cleaning routines.
  • Scleral lenses – These large-diameter rigid gas permeable (GP) lenses vault over the entire corneal surface, ensuring that the front surface of the eyes don’t dry out. The liquid reservoir between the lenses and the cornea provides a continuous moist environment that protects the cornea and provides relief for those with dry eyes.
  • Orthokeratology – Would you like to wear contact lenses only when asleep? Orthokeratology (or ortho-k) is a gas permeable contact lens prescribed for overnight wear only. These lenses reshape the cornea while you sleep and temporarily correct nearsightedness and other refractive errors, thus enabling you to see clearly during the day without any need for contacts or glasses. This reduces contact lens-related dry eye symptoms.
  • Adhering to the hygiene routine advised by your eye doctor – Those who wear monthly lenses need to adhere to a specific hygiene routine advised by their eye doctor. If you’re using the wrong solution or not cleaning your lenses properly, this could be why you’re suffering from dry eye. Keep in mind that not all multi-purpose cleaning solutions are designed to clean silicone hydrogel contact lenses, so make sure the solution you’re using is correct.

        There is also a chance you may have sensitive eyes and that your dry eye symptoms may be an adverse reaction to the preservatives in the solution. If your eyes feel irritated, yet you are using your regular cleaning solution, speak to Justin Douglass, O.D., who will recommend a preservative-free lens solution for improved comfort.

        Tips to Avoid Dry Eye When Wearing Contact Lenses

        Dry Eye Girl 640×350To prevent eye dryness or inflammation, we recommend the following tips:

        • Make sure you’ve been fitted for your contact lenses by an eye doctor, as the eye practitioner can determine the exact strength and curvature of the contact lenses you need, and recommend the most suitable lenses for your eyes.
        • Regularly get your eyes examined for vision acuity and general ocular health. Contact The Dry Eye Center at Precision Family Eyecare today for a comprehensive eye evaluation.
        • Purchase high-quality lenses and make sure they have good oxygen permeability. Lenses with hyaluronan, particularly silicone hydrogel lenses, are excellent for people prone to developing dry eyes. Hard lenses also come highly recommended, as they draw very little liquid from the tear film.
        • Until you find a better solution, do not wear contact lenses for extended periods. If you suffer from dry eyes, it is best that you only wear them for a few hours and on special occasions, such as for an outing or to play sports. Avoid wearing contact lenses when watching TV or working at your computer, as these place a strain on your eyes.
        • Make sure to dispose of lenses every day, fortnightly or monthly, depending on what your eye doctor recommends. Your contact lens containers should also be changed every few weeks to prevent any germ build-up.
        • Avoid wearing contact lenses when ill with a cold or the flu, as there is an increased risk of transferring germs into the eyes. Remove contact lenses if you have an eye infection like conjunctivitis (or pink eye), as germs can build up extremely well underneath them.

        If you wear contact lenses and struggle with dry eyes, ask your The Dry Eye Center at Precision Family Eyecare eye doctor about scleral lenses. Justin Douglass, O.D. will patiently assess and explain your condition to you, and will provide solutions and treatments for optimal visual clarity and comfort. Fortunately, there’s a vast array of contact lens types and brands available, so those who fear that they may have to discontinue contact lens wear altogether need not worry.

        Call the The Dry Eye Center at Precision Family Eyecare today to schedule your consultation.

        Request A Dry Eye Appointment Today
        You Have Dry Eye? Call 281-238-5525
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        Everything You Need to Know About Meibomian Gland Dysfunction

        If your eyes itch, burn, sting, look red, or you have a constant feeling of something being lodged in your eye, you may have a condition called Meibomian (“my-BOH-mee-an”) Gland Dysfunction, or MGD. This condition is the leading cause of Dry Eye Syndrome.

        Patients from throughout the Cypress area suffering from Meibomian Gland Dysfunction. If you suffer from any of these symptoms or think you might have MGD, contact the The Dry Eye Center at Precision Family Eyecare. Justin Douglass, O.D. can help you with the long-term relief you need.

        What is Meibomian Gland Dysfunction?

        Our tears are made up of three components: the lipid (oil) layer, aqueous (water) layer, and the mucus (sticky) layer. These components work in unison to lubricate and coat the eyes, keeping them moist and comfortable.

        Your meibomian glands control the lipids in the eye (meibum) which combine with water and mucus in the eye area to create a thin film that consistently lubricates your eyes. Meibum is an essential part of your eye’s makeup as it prevents the evaporation of the eye’s tear film.

        Meibomian Gland Dysfunction occurs when the meibomian glands fail to provide enough meibum. This can be triggered by various factors and causes the tear film to evaporate at a quicker rate, leading the eyes to feel dry and uncomfortable.

        What Are the Symptoms of Meibomian Gland Dysfunction?

        Depending on your specific case, your symptoms may be mild or severe, quick or long-lasting.

        The most common symptoms of MGD include:

        • Blurry vision
        • Burning and dry sensation
        • Difficulty wearing contact lenses
        • Watery eyes
        • Red, sore and gritty eyes
        • Crusty or sticky eyelids

        The increased use of air conditioning or heating systems in the summer and winter months may intensify symptoms. Humid climates, extreme temperatures, and dusty and windy conditions may aggravate eye dryness and itchiness as well.

        What are the Causes of Meibomian Gland Dysfunction?

        • Age: MGD tends to manifest in older people, particularly in women during and after menopause
        • Taking certain medications: particularly retinoic acid (acne treatment), HRT (hormone replacement therapy for menopausal women), antidepressants, antihistamines, anti-androgen medication (used to treat prostatic hypertrophy).
        • Endocrine disorders
        • Pregnancy
        • Wearing contact lenses for an extended period of time.
        • Immune system disorders: atopic rosacea, psoriasis, rheumatoid arthritis and Sjogren’s syndrome.

        Excessive screen time has also been linked to the development of MGD. Staring at a screen on your TV, smartphone, computer or tablet, causes you to blink less frequently. Blinking naturally moisturizes your eyes, and by doing so, clears any small particles that may have accidentally lodged in your eye. Less frequent blinking results in dryer eyes, which can harm the long-term ability of your meibomian glands to function properly.

        What are the Solutions for Meibomian Gland Dysfunction?

        Treatments for Meibomian Gland Dysfunction range from self-administered or practitioner-administered treatments and typically involve a few methods, such as artificial tears, heat application, and manual gland expression. Justin Douglass, O.D. usually suggests applying warm compresses over your eyelids as a first course of action. This gently opens the clogged glands and loosens the oil that may have accumulated. Warm compresses can provide temporary relief.

        Further therapies used to manage MGD include omega-3 supplementation, topical antibiotics, oral tetracyclines to reduce the level of pro-inflammatory cytokines, corticosteroids, or topical cyclosporine.

        People with MGD commonly purchase over-the-counter eye drops to lubricate their eyes. Unfortunately, these drops tend to provide only transient relief, because, without an adequate layer of Meibomian Gland oil, the liquid from the drops simply evaporate off of the eye. Justin Douglass, O.D. at The Dry Eye Center at Precision Family Eyecare can recommend the appropriate eye drops or treatment for your dry eye case to improve your eye comfort levels.

        Think You Have MGD? We Can Help

        If you are suffering from any of the above symptoms or conditions, then reach out to the The Dry Eye Center at Precision Family Eyecare. Based on the degree of your condition, symptoms, and lifestyle, Justin Douglass, O.D. will recommend the best course of treatment for you.

        “I went to the The Dry Eye Center at Precision Family Eyecare and everyone there was professional and courteous. Justin Douglass, O.D. did a thorough evaluation and treatment. I’m happy to say that my eyes feel comfortable and my vision is back to how it was before the condition began.”

        Jennifer P. Craig, Yen-Heng Chen, Philip R. K. Turnbull; Prospective Trial of Intense Pulsed Light for the Treatment of Meibomian Gland Dysfunction. Invest. Ophthalmol. Vis. Sci. 2015;56(3):1965-1970. doi: 10.1167/iovs.14-15764.

        Request A Dry Eye Appointment Today
        You Have Dry Eye? Call 281-238-5525
        Learn More About Dry Eye
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