"Why Intervene/5 D's” Reference Guide Now Available Online

To support doctors using PROKERA and inform others who may be interested in implementing Bio-Tissue’s biologic corneal bandage device in your practice, we recently made our "Why Intervene/5 D's" reference guide available to everyone online. This handy guide provides a quick reference to various indications where PROKERA provides clinical value, and we received such positive feedback to the print version that we decided to offer it electronically.

Part 2: The Business Impact of Offering Cliradex in Your Practice

In part two of her series, Patti Barkey, CEO, Bowden Eye & Associates, in Jacksonville, Fla., discusses how Cliradex has assisted in practice efficiency, clinical outcomes and how it has improved business and their bottom line.

Part 1: The Business Impact of Offering Cliradex in Your Practice

In part one of a two-part series, Patti Barkey, CEO, Bowden Eye & Associates, in Jacksonville, Fla., discusses why they decided to implement Cliradex in their practice, how it fits into their “Dry Eye Disease" toolbox, and how it is used.

Cosmetics and Demodex

In part two of her series, Sarah Darbandi, MD discusses the role of cosmetics in Demodex and the importance of daily ocular hygiene.

Q:             Is there a correlation between cosmetics and Demodex?

A:              Yes. Typically what I see under the microscope is layers of dead skin, collarettes, with mascara stuck to it and eye shadow particles entrapped in the sleeves of debris on the lashes. Since some ingredients in makeup are toxic for dry eye patients who are already very sensitive, this is just one more insult to their eyelids. They typically have red, irritated eyes, and with makeup they are adding waxes and parabens that block the glands and add more inflammation.

Cosmetics and Blepharitis – A Two Part Series

In part one of a two-part series, Sarah Darbandi, MD discusses the effects of cosmetics on the eyes, particularly for patients with dry eye and blepharitis.

Q:             How are cosmetics harmful to the eyes, particularly for patients with dry eye or blepharitis?

There are many things we apply around our eyes and on our eyelids, which is the thinnest skin on our body, including cleanser, moisturizer, under eye cream, concealer, eye shadow, mascara, eyeliners and more. Many of these products contain wax (synthetic, paraffin or beeswax) as well as potentially toxic chemicals such as carcinogens and parabens. Although parabens prevent the growth of bacteria in makeup, they can be absorbed through the skin and transmitted into the bloodstream. Parabens can also make dry eye worse as they prohibit the oil glands that line the eyelid from secreting enough oil.

Five Ways to Be More Proactive About Ocular Hygiene

We have all heard the saying “If people never got sick, there would be no need for doctors.” However, this is simply not true. As doctors, we have sworn to improve those who have pathology, however one of our most important jobs is disease prevention. Although it took many years to accomplish, we need only look to our dental colleagues as models for preventive care and development of good habits. This emphasis does not eliminate the need for dentists, but it does help reduce the number of dental procedures. Eye care is slowly moving in this direction, but still has a ways to go to operate from a truly preventive standpoint.

Dentistry advocates see patients twice a year and promote routine cleaning and polishing of teeth. Contrast this with our own profession, where routine check-ups are typically done every one to two years, and the importance of lid and lash cleanliness and good ocular hygiene is oftentimes not routinely mentioned. As doctors, there are many things we can do early – really at every stage of patient care – to guide patients towards improved ocular health. As a start, we can help patients understand the importance of ocular hygiene, its implications on long-term ocular health, and the development of good hygienic habits.

By being more proactive about preventive care, including looking at chronic, progressive diseases like blepharitis and meibomian gland dysfunction differently; we can help keep our patients’ ocular surface functioning at a higher level throughout their lives. Following are five ways we can be more proactive: