Proper Gloves Removal

Pinch the wrist of the outside of the glove, about 1 inch from the edge.

Make sure you don’t touch your arm. 

Pull off so the glove turns inside out, without touching your skin.

Bunch it up in your hand.  

Slip your index finger, or 2 fingers under the remaining glove.

Don’t touch the outside of the glove

Slide the glove off (both gloves will be inside out)

Wad into your hand or directly into the trash.

Throw away!

Itchy Eyelids? It Could Be Mites!

One of the microorganisms that can cause eyelid  inflammation, itching and dry eyes is actually a mite. Dr. B can see evidence of these critters using the biomicroscope, and may prescribe an eyelid wipe formulated to kill them. “Tea tree oil acts against bacteria, fungus, mites, and inflammation, all of which may be involved in some forms of blepharitis” said the Ophthalmology Times. 

According to the American Academy of Ophthalmology, “On average, mites have a three-week lifespan, and hygiene is critical for interrupting their life cycle, said Dr. Tseng. ‘Mites should die out if you don’t let them mate.’ Unfortunately, eyelids are less accessible to thorough cleaning because they are surrounded by the nose, eyebrow, and cheekbone”.

Tea tree oil is a natural antiseptic for certain organisms that cause eyelid irritation which can lead to dry eyes and styes. Eyelid wipes formulated with tea tree oil like Quidel lid’n lash wipes provide enough to be effective at removing bacteria, debris and dandruff, yet not too strong to cause irritation. They also provide moisture and skin-firming hyaluronate to tighten eye wrinkles as an added plus.

Another product that Dr. B will prescribe for certain cases is Demodex wipes from Ocusoft, which “adds buckthorn seed oil to the tea tree oil, as both ingredients have been shown to be effective against Demodex mites”, according the the Review of Optometry.

“In addition to its application in various pathologies, tea tree oil also being used quite successfully as a makeup remover and ingredient in face wash and shampoo.” – Covalent Careers.

Eyelid wipes aren’t just for eyelid mites. The tea tree oil and other ingredients in them keeps bacteria, fungus, and other microorganisms in check, as well as possessing inherent anti inflammatory properties.  That’s why Dr. B recommends using an eyelid wipe daily for general eyelid hygiene, to remove make-up and hydrate the skin. 




Fastest Way To Eye Relief

Dry eyes can be a real pain in the eye! You might feel your eyes are dry, irritated, red, blurry vision that comes and goes, stinging or burning like something’s in your eyes, or like sandpaper, as you blink, among others. 

In our clinic, Advanced Vision Care and Dry Eye Spa in Tucson, Arizona, our dry eye program for the fastest relief possible include a combination of the following take-home treatments:

Fish Oil Complex

Improves the quality of oils our meibomian glands produce, which keeps the eyes hydrated.  My choice is “E-Z Tears” Omega 3 from Eye Promise because it provides naturally sourced, high-quality factors such as evening primrose oil, turmeric root extract, green tea leaf extract which reduce inflammation of the glands.  Alternatively,  Retaine flax Omega 3 has also been shown to provide a similar effect.

Preservative-Free Artificial Tears 

The key is to use a drop that is preservative-free. Preservatives are chemicals that can actually irritate the surface of the eye after the liquid drop evaporates.  I always recommend Oasis tears because they provide lubrication to maintain a healthy eye surface and alleviate dry eye symptoms. There are two types: individual-use vials which are good for 24 hours, or a preservative-free bottle which is specially designed so no air gets into the bottle, keeping them sterile.  The vials come in two versions: regular and “plus”, which are just thicker and last longer for more effective relief; however, they may cause a bit of “oily” vision for a few minutes.

Hot Compress

Applying heat over closed eyes aids in opening the eyelid pores so the hardened oil from your meibomian glands can make its way out. Using a facecloth with hot water can work but it cools off after just 2 or 3 minutes and needs to be reheated. Our program includes an Oasis heat mask that you heat in the microwave for 20 seconds and it delivers moist heat for up to 15 minutes. 

Lid Wipes 

These remove debris and oils released from clogged eyelid glands and as well as unwanted bacteria or hardened makeup around the eyelashes and skin. The I-LID ‘n LASH wipes by Quidel are available in regular and with tea tree oil (a natural antimicrobial). Scrub eyelashes side to side with your finger over closed eyes using gentle pressure for 5 seconds each. Use morning and night.

Eyelid Foam or Gel

Instead of using harsh soaps or body wash which can contain chemicals that irritate eyelids (the thinnest skin in the body), eyelid foams are gentle on eyelid skin and formulated to dissolve hardened oil build-up on your eyelashes and reduce bacterial overgrowth. Among those we prescribe are Zocular’s zocufoam, Ocusoft’s platinum plus foam, and Demodex foam. To use in conjunction with lid wipes by applying to the lid wipe or directly to your eyelids.

Hypochlorous gel or spray

Hypochlorous acid is an organic substance found in the body’s neutrophil cells. It is an antimicrobial agent and neutralizes bacteria, toxins, and inflammatory mediators in the body. It also works to prevent biofilm formation as well as deactivate problematic enzymes. I recommend Ocusoft Hypochlor gel or spray, which may be applied to a lid wipe or index finger to spread across your lashes and leave it on or rinse.

Home therapies are a key part of the success of a dry eye treatment plan, so you have to do your part for it to work well. You may feel better right away, or it may take a couple of months to get noticeable and lasting relief. Be persistent and follow-through, and it will pay off.

Foods that hydrate the eyes

Dry eyes have a lot of causes.  Some are out of our control, like systemic diseases, skin type, skin disorders, and genetics.  But there are always things we can do to improve the severity of dry eye symptoms, and diet is one of them.

Our eyelids have tiny glands, like oil glands in our skin, which produce a special kind of oil that blend with our tears to keep the tears in the eyes and coat our eyes. When the meibomian glands don’t work properly, the tears evaporate quickly, leading to dry eye.

More than we realize, the foods we eat can help give moisture to our eyes.  Our meibomian glands use omega 3 fatty acids to produce the oils which hydrate our eyes. By getting 1000 to 2000mg of omega 3 daily, the meibomian glands produce a better quality oil for the eyes. There are two essential fatty acids: omega-6 and omega-3. 

Here are the foods they are found in:

  • Omega-6s: seeds and oils like (sunflower, sesame), hemp, poultry and eggs
  • Omega-3s: fish oils, flax and chia seeds

How much fish do you have to eat?  Here is how much you would have to eat of these foods to consume 1200 mg of omega 3:

Even if you absolutely love fish, you would be spending a lot of coin to get your recommended dose.  Because most of us don’t consume that much, Dr B recommends taking a high-quality omega 3 supplement such as EZ Tears from Eye Promise (read about how to avoid the fish burps here).  Vegetarian or not a fan of anything “fish”?

Retaine’s Flax seed oil is a good alternative to fish oil, suggests Dr. B.  Learn more about how fish oil helps the eyes here.




Fish Oil For Dry Eyes

Taking a high quality, daily fish oil supplement is a safe way to boost our diet with the essential omega 3 fatty acids that have so many good effects on dry eyes and general health, especially if we don’t eat enough fish each week.  


Dry eye is a complex and chronic condition that can worsen or improve with multiple variables.  One of them is diet. The Mayo Clinic confirms: “Taking an omega-3 fatty acid supplement can reduce symptoms of dry eyes”. The reason fish oils can help with dry eye symptoms is because our tears are made up of an oily layer and a watery layer, and the oily layer is produced by oil glands that line our eyelids called meibomian glands. Taking a fish oil supplement improves the stability of the oil layer of our tears, making the tears take longer to evaporate, so they stay in our eyes longer. 

How it works:

Fish oil contains docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), which are natural anti-inflammatory agents that are important for healthy brain development and retinal function. When the meibomian glands are inflamed (meibomitis) they don’t produce the oils needed to keep the eyes hydrated, and the EPA in fish oil suppresses this inflammation, which dramatically reduces the gritty irritation you might have upon waking in the morning. It also protects the gland that produces the watery part of the tears (the lacrimal gland), thereby inhibiting secondary inflammation of the eye tissue. Turmeric, which is found in curcumin, also demonstrates anti-inflammatory properties that help with meibomitis.

How much to take:

Fish oil contains omega-3 fatty acid, which is a natural anti-inflammatory with no side effects. Most health organizations recommend a daily intake of at least 250–500 milligrams of combined EPA and DHA. A typical 1,000-mg fish oil softgel contains about 250 mg of combined EPA and DHA, while one teaspoon (5 ml) of liquid fish oil has around 1,300 mg of omega 3.  

In general, people of all ages should take between 2,000mg and 3,000 of fish oil with food daily for dry eye. It’s important that each capsule contains a combined total of at least 600mg of DHA and EPA. If you eat a meal of salmon, herring, sardines, trout or codfish, you can skip one capsule. 

How much is too much? 

“According to the European Food Safety Authority, omega-3 fatty acid supplements can be safely consumed at doses up to 5,000 mg daily,” according to Rachael Link MS, RD. Beyond this amount, possible side effects are, “increased bleeding risk, higher levels of low-density lipoprotein (LDL, or “bad”) cholesterol, blood sugar control problems, and a fishy aftertaste or odor. In some at-risk populations, such as people who have had a heart transplant, omega-3 fatty acids may affect heart rate. If you have heart disease, only take omega-3 fatty acids under the direction of your health care provider,” says Katherine Zeratsky, R.D.  “As a general rule of thumb, if you experience any negative symptoms, simply decrease your intake or consider meeting your omega-3 fatty acid needs through food sources instead”.

What to take:

EZ tears by Eye Promise is a high quality omega 3 supplement that contains all the recommended ingredients: a high percentage of DHA and EPA as well as other anti-inflammatory factors (evening primrose oil, turmeric root extract, etc.) to reduce inflammation and improve dry eye symptoms. With a 30 day money-back guarantee, this is Dr. B’s top choice. 

What else does fish oil do?

In addition to alleviating dry eye, taking omega-3 supplements has shown other eye health benefits, such as a lower incidence of age-related macular degeneration and nuclear cataracts. 

“Omega-3s help repair our bodies by fighting chronic inflammation that can adversely affect our eyes, heart, blood vessels, joints and skin. Much like an oil change helps an engine run more smoothly by cutting down on friction, omega-3s can re-oil parts of our bodies that have worn down over time…Pregnant women and individuals over 40 years of age particularly benefit from omega-3 supplementation”, says Dr. Michael Geiger.

How long will it take to work?

You can expect to feel the benefits after a month, but it often takes up to 3 months to reach the maximum effect. 




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