Vida Trümpelmann

Dry Eye Program

“Real thing” Omega 3 (1000 mg) (At Least 2000 mg a day)
Flax seed oil (2 capsules a day)
Relestat or Patanol drops (If Allergy) (2 x daily both eyes) Hylo dual instense also good.
1.5 Litres water a day minimum
Lubrication drop/or gel (discuss with Ocularist)

The Program:

2 x daily hot compressions and massage lid with fingers. Ocularists must demonstrate.
2 x daily clean lids with Blephagel, Naviblef foam, Dr Fisher Hydrating Cleansing Wipes
Remove the eye in the evening. Clean thoroughly with LDC (from Ocularist) or Bostonlens cleaner. Store clean in a dry in holder. Holder must be verified by Ocularist as some plastics can react with the ocular prosthetic plastic.
Make sure that a good lubricant is used such as Artificial Eye Lubricant which is formulated for the acrylic prosthesis.
Scleral shell wearers must not use oils unless told otherwise. Use Allergan Celluvisc, Xailin fresh or Duratears, Xailin gel/night.
Re-visit Ocularist after 3 weeks.

Excessive caffeine – diuretic effect
Lack of sleep
Excessive alcohol
Medications: diuretics, antihistamines, antispasmodics, antiparkinson, HRT’s
Environmental factors: humidity, dust, wind,smoke
Use of computers: extensive visual tasking – poor blinking
Hormonal changes
Nutrient deficiency – omega 3 and 6
Medical conditions – Meibomian gland dysfunction,diabetes, rheumatoid arthritis, lupus, thyroid disorders, radiation therapy, Sjogren’s syndrome, enucleation, evisceration, lagophthalmos, trauma, lacrimal disorders
Inflammatory conditions
Dermatologic conditions
Poor tear breakup (optometrist or ophthalmologist can help with that)