I prefer Tea Tree Oil when my eyes feel particularly crusty or uncomfortable as one can feel it working. The Avenova company says they are but there are no head to head studies. Is Avenova equivalent truly to Tea Tree Oil in getting rid of Demodex? Likely it does not dilute very much as oil and water do not mix, but this works best for me.ġ2.
I use pure tea tree oil “diluted” on a warm wet towel to clean my eyes. 50% dilution with coconut oil, mineral oil, olive oil is likely best.
WARM EYE COMPRESS CAUSES VASODILATION SKIN
How best should I dilute the Tea Tree Oil?ĭifferent patients and their skin prefer different dilutions. Likely it makes sense to throw out the make up every year or 2 but I do not have studies to back this up.ġ1. We now know that the bacteria & mites will come back even if you get new make up. When I was a resident, we used to recommend patients throw out their make up if we saw “Blepharitis”–the catch all phrase for bacteria and now Demodex mites seen on the microscope. Many of my severe dry eye patients, though, have stopped being able to use make up as they do feel it makes their eyes feel worse even if they remove it completely. I could not find any study saying make up permanently clogs the glands if removed. Likely yes as long as you are taking off the make up completely. I have a post on this which I will link up shortly. A ‘no-drug company money” study showed that Retaine is the best. But again we do not have good studies to show it is dangerous that I could find. As long as this self expression is not done too aggressively, it makes does not seem to be dangerous. Using an instrument to self express again would be a concern for potentially scratching the cornea. I could not find any studies to show this is dangerous, but my main concern would be a potential corneal abrasion from scratching the eye. It depends on what we mean by “self-express.” Some patients I know pinch their eyelid margin trying to push out the oil for relief. I have not heard of massaging your eyelid too much if there are no skin issues. The key thing to remember is that the warmer the better but do not burn your skin. I recommend massaging for 20 seconds with warm water applied to eyelids at same time (mostly to save time), or with a warm compress as noted below. How should I massage my eyelid margin? And can I massage my eyelids too much? Studies show massaging pumps out the oil, especially if the oil has been melted with warm compresses beforehand.Ħ. Furthermore, the minimal amount of liquid secretion obtained upon diagnostic reexpression after drainage suggests that a meibomian gland in this condition may contain inadequate liquid secretion to be available with habitual blinking, which applies a force less than 1 g/mm 2.
WARM EYE COMPRESS CAUSES VASODILATION SERIAL
At that serial expression when liquid secretion is first observed, it then takes approximately half of the time required to drain the gland originally to redrain the gland, indicating a partial recovery. After a central optimally secreting gland has been drained of its liquid secretion, it takes a mean time of 2.17 ± 0.49 hours to again secrete liquid during waking hours, using the same amount of force to express the new liquid secretion. “The results show that a single central meibomian gland can be drained of its liquid secretion in 8-20 seconds upon application of a constant force of 1 g/mm 2. The only good study I could find to say it was superior is called the Bundle Method. How exactly should I do the warm compresses? Thus it may be better to do warm compresses more often (but not within 2 hours of each session–see below) 3 times a day instead of 2 times a day for as long as you can.ģ. But no one I know really has 15 minutes 2-3 times per day to do there warm compresses. For how long should I put the compress on?ĭr. They created the LIPIFLOW machine which provides steady state temperature of 42.5☌ for 12 minutes at the eyelid margin.įor daily cleaning, this means the water should be very warm but not hot enough to cause pain or burn the skin.Ģ. Based on the most conservative safety thresholds in the literature, temperatures below 40☌ will not result in thermal injury to the cornea or crystalline lens.(Reference 1 below) However, increasing temperature without safety controls raises the issue of potential thermal damage to the cornea. Therefore, each degree of temperature increase over 40☌ could be critical in melting severely obstructed material. Only using mildly war m water may not be adequate to relieve the meibomian gland obstruction. Reported melting temperatures of normal meibomian secretions vary significantly with the majority of reports ranging from 32 to 40☌ severely obstructed meibomian glands have considerably higher melting points. Blackie, who are excellent optometrists, have done the most research on this question that I could find thus far: But there is some data to answer some of these questions:ĭr.
0 kommentar(er)
