Is This the End of Dry Eye? New Dry Eyes Treatments Revealed!

Doctor Eye Health
25 Oct 202357:39
EducationalLearning
32 Likes 10 Comments

TLDRIn this comprehensive video, Dr. Joseph Allen, a practicing optometrist from Minnesota, dives into the latest developments in dry eye treatment. He discusses new over-the-counter options like the Drye drink, which contains anti-inflammatory ingredients and electrolytes, and the PM version designed to improve sleep quality, a factor linked to dry eye symptoms. Dr. Allen also highlights clinical research on treatments such as Rinada, a device for rinsing the eye, and Tear Care, a warming device that shows promising results compared to Restasis. He covers new prescription treatments, including Xdy for Demodex blepharitis and Meibum, a liquid designed to replace the oil layer of the tear film. Additionally, Dr. Allen explores treatments in the pipeline, like Azura Ophthalmic's cream for eyelid application and Cloudbreak Pharma's eye drop for dissolving cholesterol in the eyelid. The video is an insightful resource for those seeking innovative solutions to manage and alleviate the discomfort of dry eye disease.

Takeaways
  • πŸ‘¨β€βš•οΈ Dr. Joseph Allen, a practicing optometrist from Minnesota, discusses new treatments for dry eye disease in a video aimed at educating viewers about recent developments.
  • πŸ’§ Over-the-counter options for dry eye relief include 'Drye' drink mixes with anti-inflammatory ingredients and sleep aids, which may help improve symptoms, especially when sleep quality is linked to dry eye conditions.
  • πŸŒ™ The importance of sleep quality on dry eye symptoms was highlighted with new research presented at the Academy of Optometry, emphasizing how sleep can impact ocular health.
  • πŸ’„ Makeup lines designed for sensitive eyes, like 'Eyes of the Story' in 2020 Beauty and 'Lumify Eye Illuminations' from Bosan LOM, are formulated with dry eye research and are available at retailers like Target.
  • πŸ‘οΈ In-office procedures discussed include the Rinada device for rinsing the eye and the Tear Care warming device for treating meibomian gland dysfunction, which may offer relief without the need for daily eye drops.
  • πŸ› οΈ The Tear Care device was compared to Restasis, a long-standing treatment for dry eye, and showed equivalent improvements in certain symptoms, suggesting a potential alternative for those unable to afford Restasis.
  • πŸ’Š Prescription treatments like Xdy for Demodex blepharitis, which affects eyelid inflammation and contributes to dry eye, showed significant improvement in reducing mite infestations and inflammation.
  • 🌊 Meibo, a new medication with perfluorohexane, acts as a substitute for the oil layer of the tear film to prevent evaporation and reduce symptoms associated with meibomian gland dysfunction.
  • 🚫 Dr. Allen warns against purchasing eye drops online due to the risk of fraudulent products and suggests using resources like eyedropssafety.org to verify the safety of medications.
  • πŸ”¬ Future treatments under investigation include creams, eye drops, implants, and punctal plugs with various mechanisms to improve dry eye conditions, such as affecting the lipid layer or stimulating tear production.
  • ⚠️ The speaker emphasizes the importance of proper diagnosis and treatment by a local eye care provider and that the discussed treatments and medications are not guaranteed cures but part of ongoing management of dry eye symptoms.
Q & A
  • What are the common symptoms of dry eye disease?

    -Common symptoms of dry eye disease include redness, irritation, gritty feeling in the eyes, and a foreign body sensation as if something is stuck in the eyes.

  • What is the role of sleep in managing dry eye symptoms?

    -Sleep is important for dry eye management because the quality and duration of sleep can affect the symptoms of dry eye. Poor sleep can exacerbate dry eye symptoms, and improving sleep habits may help alleviate them.

  • What is the 'drye drink' and how does it help with dry eye symptoms?

    -The 'drye drink' is an over-the-counter drink mix containing anti-inflammatory ingredients, electrolytes, and vitamins that support ocular structures and are beneficial for dry eye. It comes in a regular version and a PM version designed to promote sleep.

  • What is the significance of the Tear Care device in treating dry eye?

    -The Tear Care device is a warming device that applies heat to the eyelids to melt the oil glands, which can then be expressed manually. It has been shown to improve tear film evaporation and meibomian gland health, and its effects are comparable to Restasis, a commonly prescribed medication for dry eye.

  • How does the medication Xiidra help with dry eye?

    -Xiidra is used to treat Demodex blepharitis, which is a condition where mites in the eyelids contribute to inflammation and worsening of meibomian gland dysfunction, a major contributor to dry eye.

  • What is the potential impact of Azura Ophthalmic's AR1 15512 on dry eye treatment?

    -AR1 15512 is a drug that activates a thermo receptor on the eye, which may increase basal tear production and reduce ocular pain. It could potentially be a significant treatment for dry eye, especially for those experiencing neuropathic pain due to the condition.

  • What is the role of diet in managing meibomian gland dysfunction (MGD)?

    -Diet may play a significant role in managing MGD. A balanced diet rich in omega-3 fatty acids, which can be obtained from fish or vegetable sources, may benefit meibomian gland production and tear film stability. However, it's believed to be individualized, and a one-size-fits-all approach may not apply.

  • How can the use of vitamin A creams potentially affect the eyes?

    -Vitamin A creams, particularly those used for acne treatment, can cause structural and functional changes to the meibomian glands in the eyelids, potentially contributing to dry eye disease. If used around the eyes or taken orally, it's important to monitor for dry eye symptoms and consult an eye doctor if necessary.

  • What is the current understanding of the role of the microbiome in dry eye disease?

    -There is emerging research suggesting a link between the microbiome, particularly the gut microbiome, and inflammation in the eyes and eyelids. However, the exact nature of this relationship is not yet fully understood and is an area of ongoing study.

  • What are the potential treatments for dry eye due to graft-versus-host disease?

    -For dry eye caused by graft-versus-host disease, treatments may include anti-inflammatory medications like cyclosporin. Steroids may also be used to manage the inflammation and immune response associated with the condition.

  • How can the Pentacam device be used in the diagnosis of dry eye?

    -The Pentacam device is a high-resolution tomographer that creates a 3D image of the eye, including the cornea. It can detect subtle irregularities in the eye's surface, which may indicate dry eye. However, it is typically used for more severe or obvious cases of dry eye rather than mild cases.

Outlines
00:00
πŸ‘“ Introduction to Dry Eye Treatments

Dr. Joseph Allen, an optometrist from Minnesota, introduces the topic of new dry eye treatments. He discusses the symptoms of dry eye disease, such as redness, irritation, and a foreign body sensation, and mentions an upcoming release of new treatments. Dr. Allen also expresses gratitude to his channel members for their support and for choosing the topic of the live stream. He invites viewers to share their experiences with dry eye symptoms and any treatments that have helped them, setting the stage for an educational discussion on over-the-counter options, medications, and in-office procedures.

05:00
πŸ›’ Over-the-Counter Options and Sleep Aids

The discussion begins with over-the-counter options for managing dry eyes. Dr. Allen mentions a product called 'drye drink,' which contains anti-inflammatory ingredients, electrolytes, and vitamins supportive of ocular health. He shares his experience with the PM version of the drink, which includes sleep aids like passionflower and valerian root, and discusses the importance of sleep quality in relation to dry eye symptoms. He also talks about makeup lines designed for sensitive eyes and a new product from Bosan LOM, which is available in eye care aisles and has undergone clinical trials for safety and efficacy.

10:01
πŸ‘οΈβ€πŸ—¨οΈ In-Office Procedures for Dry Eye Management

Dr. Allen shifts the focus to in-office procedures, starting with Rinada, a device that flushes debris from under the eyelids, potentially reducing inflammation associated with dry eye. He references a study showing a reduction in Matrix metalloproteinase 9, an inflammatory marker, after using the Rinada device. Another procedure discussed is Tear Care, a warming device that melts oil glands in the eyelids and is compared to Restasis, a long-standing treatment for dry eye. The study suggests Tear Care may be as effective, if not superior, and could be more affordable due to Restasis being generic and often covered by insurance.

15:02
πŸ’Š Prescription Treatments for Dry Eye

The conversation moves to prescription treatments, beginning with Xdy, a medication for Demodex blepharitis, which is linked to dry eye. Dr. Allen explains the role of Demodex mites in eyelid inflammation and the benefits of Xdy in reducing these symptoms. He also covers a new medication called Meibo, which is a substitute for the oil layer of the tear film, helping to prevent tear evaporation and lubricate the eyelids. Clinical trials have shown improvements in corneal staining and dry eye symptom scores with the use of Meibo.

20:04
πŸ”¬ Future Developments in Dry Eye Treatments

Dr. Allen explores future medications and treatments under investigation, such as a cream by Azura Ophthalmic containing selenium sulfide to treat keratin buildup in meibomian gland dysfunction. He also discusses Cloudbreak Pharma's CBT 00006, an eye drop aimed at dissolving cholesterol and lipids in the eyelids. Additionally, he mentions a higher-strength cyclosporine A with perfluorohexyloctane, which may work faster and more comfortably than existing treatments. Other treatments include a cyclosporin-loaded punctal plug and AR1 15512, a TRPM8 agonist, which has the potential to improve basal tear production and reduce ocular pain.

25:06
🌱 Lacroprep: A Promising Treatment for Dry Eye

Dr. Allen highlights Lacroprep by Tear Solutions, a formulation designed to supplement and protect lactin, a protein reduced in dry eye. Animal studies have shown increased tear production with Lacroprep, and phase one and two trials in humans with SjΓΆgren's syndrome have demonstrated improved tear secretion, corneal health, and symptoms. Furthermore, Lacroprep has shown potential in promoting corneal nerve regeneration, which could be a game-changer for treating dry eye and other conditions affecting the eye.

30:08
πŸ€” Q&A Session and Medical Advice Disclaimer

The session concludes with a Q&A segment where Dr. Allen addresses various questions from viewers. He provides insights on the potential of generic versions of Zyra, the cost of Tear Care, and the sensitivity of the eyes. He also discusses the causes of dry eye, the challenges of treating corneal scarring, and the possibility of reversing meibomian gland dysfunction (MGD) caused by treatments like Accutane. Dr. Allen emphasizes the importance of consulting with a local eye care provider for proper diagnosis and treatment and shares his practice location for those interested in his services.

35:10
πŸ”¬ The Role of Diet in MGD and Dry Eye

In the final part of the session, Dr. Allen discusses the potential impact of diet on meibomian gland dysfunction (MGD) and dry eye. He suggests that diet may play a significant role, with some evidence linking the microbiome to eye disease and the potential benefits of omega-3 fatty acids for tear film stability. Dr. Allen acknowledges the complexity of the issue and the need for further research, but he also shares anecdotes from viewers who have experienced dry eye improvements through dietary changes. He encourages viewers to explore the connection between diet and eye health further.

Mindmap
Keywords
πŸ’‘Dry Eye Disease
Dry Eye Disease is a common condition where the eyes do not produce enough tears for comfort and lubrication, or the tears are not the right composition to protect the eyes. It is characterized by symptoms such as redness, irritation, gritty feeling, and a sensation of a foreign body in the eye. In the video, Dr. Joseph Allen discusses various treatments for dry eye disease, emphasizing the importance of managing this condition to prevent chronic degradation and tissue damage.
πŸ’‘Meibomian Gland Dysfunction (MGD)
Meibomian Gland Dysfunction is a condition where the meibomian glands, which are responsible for producing the oily layer of the tear film, do not function properly. This can lead to a deficiency in the lipid component of the tear film, causing dry eye symptoms. The video mentions MGD as a primary cause of the evaporative component of dry eye and discusses treatments aimed at improving gland function.
πŸ’‘Cyclosporin
Cyclosporin is an immunosuppressive agent that is used in eye drops to manage dry eye disease by reducing inflammation. The video references Restasis, a cyclosporin eye drop that has been on the market for nearly 20 years, and discusses new formulations that may offer faster relief with less discomfort.
πŸ’‘Ocular Surface Disease
Ocular Surface Disease refers to a group of disorders that affect the cornea and conjunctiva, which can be caused by dry eye disease among other factors. The video talks about the impact of dry eye treatments on the health of the ocular surface and how certain procedures and medications can improve symptoms and signs of ocular surface disease.
πŸ’‘Tear Film
The Tear Film is the layer of tears over the surface of the eye, which consists of three layers: the outer lipid layer, the middle aqueous layer, and the inner mucin layer. The video explains the importance of the tear film in maintaining eye health and how disruptions to its composition can lead to dry eye symptoms. Treatments discussed aim to restore balance to the tear film.
πŸ’‘Inflammatory Markers
Inflammatory markers are substances in the body that increase in response to inflammation. In the context of the video, Matrix metalloproteinase 9 (MMP-9) is mentioned as a specific protein indicating inflammation on the eye's surface. The video discusses how certain treatments can reduce the levels of these markers, suggesting a decrease in ocular inflammation.
πŸ’‘Over-the-Counter (OTC) Options
Over-the-counter options refer to products that can be purchased without a prescription. The video mentions several OTC products, such as the Drye drink, which is a drink mix with anti-inflammatory ingredients and vitamins supportive of ocular health. These options are often the first line of defense in managing dry eye symptoms.
πŸ’‘Clinical Trials
Clinical trials are research studies that involve human volunteers and are designed to answer specific health-related questions, including the safety and efficacy of medical treatments. The video discusses various treatments for dry eye that are currently undergoing clinical trials, highlighting the importance of this research in advancing the understanding and management of the condition.
πŸ’‘Punctal Plugs
Punctal plugs are small devices that can be inserted into the punctum, the small opening at the inner corner of the eyelid where tears drain. They are used to block tear drainage to help with dry eye by keeping the eyes more moist. The video mentions a new type of punctal plug that releases cyclosporin over time as a treatment for dry eye.
πŸ’‘Ocular Rosacea
Ocular Rosacea is a chronic eye condition that can cause redness, irritation, and a gritty feeling in the eyes. It is associated with an overgrowth of Demodex mites, which can exacerbate dry eye symptoms. The video discusses the link between ocular rosacea and dry eye, as well as treatments that can help manage both conditions.
πŸ’‘LipiFlow
LipiFlow is a thermal pulsation system used to treat MGD by applying heat and massage to the meibomian glands to improve their function. The video compares LipiFlow to TearCare, another thermal expression device, and discusses their respective benefits and mechanisms for treating dry eye related to MGD.
Highlights

Dry eye disease can cause symptoms such as redness, irritation, gritty eyes, and a foreign body sensation.

New treatments for dry eye have emerged in the last few weeks, with more in the pipeline.

Dr. Joseph Allen discusses the importance of sleep quality on dry eye symptoms and its impact based on recent research.

Over-the-counter options like the Drye drink mix, containing anti-inflammatory ingredients, electrolytes, and vitamins, support ocular health.

The PM version of the Drye drink mix aids sleep and is designed without green tea extract to prevent stimulation.

Eyes of the Story and Bosan LOM's Lumify eye illuminations are makeup products designed for sensitive eyes based on dry eye research.

The Rinada device is used to rinse the eye, particularly underneath the upper eyelid, potentially reducing inflammation associated with dry eye.

TearCare, a warming device for the eyelids, showed improvement in meibomian gland health and was comparable to Restasis in a recent study.

XDy, a medication for Demodex blepharitis, has shown significant reduction in collarettes and eradication of mites in patients.

MiBo (Meibo) is a new medication designed to support the oil layer of the tear film, helping to prevent evaporation and lubricate the eyelids.

Azura Ophthalmic's cream containing selenium sulfide is being studied for treating keratin buildup associated with meibomian gland dysfunction.

Cloudbreak Pharma's CBT 00006 eye drop aims to dissolve cholesterol and lipids to address meibomian gland dysfunction.

AR1 15512, acquired by Alcon Pharmaceuticals, is a TRPM8 agonist that activates a thermo receptor on the eye to increase tear production and reduce ocular pain.

Lacro Prep by Tear Solutions is a formulation that may promote tear secretion and corneal nerve regeneration, potentially benefiting dry eye patients.

Dr. Allen emphasizes the importance of consulting a local eye care provider for proper diagnosis and treatment of dry eye conditions.

The potential of future medications and treatments for dry eye, including those that address pain and inflammation, offers hope for more effective management of the condition.

Transcripts
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