Dry Eye and Blepharitis London

Do you have dry eye and blepharitis symptoms?

Watery eyes

Dandruff around the eyelids

Light sensitivity

Fluctuations in vision

Sore, red, inflamed eyelids

Contact lens discomfort

Eyelids that are difficult to open in the morning

Burning or gritty sensation in the eyes

Quality of life

  • Chronic dry eye results in a significant drop in QOL – on a par with angina (Schiffman et al 2003)
  • Depression and anxiety 1.5 x more prevalent in patients suffering with Blepharitis (Chaing et al 2013)
  • Dry eye linked to poor visual performance whilst driving (Deschamps et al 2013)
  • Dry eye reduces productivity at work (Yamada et al 2012)
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How does the tear film work?

Blinking spreads the tear film across the eye surface.

The aqueous layer and mucus layer create a lubricated environment so the lids aquaplane over the cornea and conjunctiva.

The tear film nourishes the ocular surface.

MEIBOMIAN GLAND PRODUCES LIPID

 

The lipid layer of tear film is produced in Meibomian glands.

Blinking forces the lipid out onto the ocular surface.

Lipiscan imaging assesses the integrity of the meibomian glands.

TYPES OF DRY EYE

AQUEOUS DEFICIENT -EVAPORATIVE - COMBINATION

Aqueous deficient dry eye, means a lack of the aqueous tear layer.

Evaporative dry eye means the tear film is evaporates too quickly, due to lack of lipid layer.

Many people have a combination of both the above.

Treating Dry Eye and Blepharitis

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Cleanse

Capture

Heat

hydrate

Hydrate

Cleanse 

Cleansing your eyelids daily removes debris, bacteria, oils, inflammatory biofilm that can deposit on the lid margins.

At home- there are many lid wipes that can be bought over the counter to clean along the lid margins.

In clinic- Blephex is employed to exfoliate the lid margins precisely and carefully, using a medical grade micro-sponge.

Heat

At home- apply a heated eye mask over closed eyes for 10 minutes, unblocks pores along the lid margin like melting butter in a pan.

Apply firm fingertip pressure along the lid margin to unblock the pores along the lid margin.

In clinic- we offer Lipiflow- Vector thermal pulsation deeply unblocks meibomian glands.

Hydrate

Sharmina will help rationalise the eye drops you use.

Modify Behaviour & Environment

  • Reduce prolonged contact lens wear
  • Reduce prolonged computer/video display use
  • Reduce chronic exposure to low humidity environment
  • Blinking matters
  • Improve diet- increase omega- 3 and vitamin D intake