(239) 772-2122

(239) 368-1020

(239) 949-1190

Eyewear for Dry Eyes

Eyewear for Dry Eyes

There are two basic categories for eye wear for dry eyes which are daytime wear and nighttime wear.

When should you consider wearing these types of eye wear?

Daytime Wear

  • Significant dry symptoms which are not responding to traditional treatments
  • You have increased symptoms while outdoor such as windy days, riding bicycles or motorcycles, running, and etc..
  • You are uncomfortable at work where the air-conditioning has the air very dry and/or you work at a computer or do a lot of near work
  • You have increased symptoms driving as you stare at the road and decrease your blinking and the air-conditioning blowing air on you in the car
  • You have increase sensitivity to light

Nighttime Wear

  • You wake up every morning with eye pain and sensitivity
  • When you get up at night your eyes are very painful
  • You use a c-pap machine which blows air around your eyes
  • Your eyes are stuck together when getting up at night or in the mornings
  • Your eyes don’t completely shut at night either routinely or from eyelids abnormalities
Dry Eye Syndrome Treatments
Dry Eye Syndrome Treatments

Studies have shown that protecting the eyes from the environment can improve dry eye symptoms. There are sunglasses that help protect the eyes. You can wear a wrap-around type sunglass that will help protect the eyes to some extent. There frames the further protect the eyes by sealing them from the environment. In some of the frames you can have your glass prescription added to the frames. Some models use a special foam that seals the eye from the environment and others use a silicone shield to protect the eyes from the environment. The moist around the eye is significantly elevated and the eye is protected from the outside wind and air. Some examples.

Warm Compresses

Warm compresses can have a significant benefit for dry eye patients especially with Meibomian gland disease and evaporative dry eye syndrome. The warms compresses need to be done in the correct manner to have an effect. The heat needs to be consistent and have a long enough duration to be of benefit. It needs to be warm enough as well to work. The warm compress should be as warm as you feel comfortable with and not so hot to cause a burn.

Applying warm compresses to the eyelids for a minimum of 15 minutes helps bring increased blood flow to the area. This helps keep the Meibomian glands healthier for a better oil layer of the tear film and may delay the progression of Meibomian gland disease.

Dry Eye Syndrome Treatments

Methods of Applying Warm Compresses:

  • You can stand at the sink with a wash cloth and apply the warm cloth to your eyes. You have to stay at the sink as the wash cloth cools off very rapidly. This is not very convenient but works.
  • You can take an old sock and fill it with rice and tie a knot in the sock.  You can microwave the sock which will stay warm for a while. The length of time in the microwave will depend on the power of your microwave. You can experiment trying 15 or 20 seconds at a time to get the proper temperature.
  • You can purchase a variety of heat pads, gel packs, and others at the drug store to use on your eyes.
  • Tranquileyes makes a couple different types of goggles that you place in the microwave to heat. These stay warm for an adequate amount of time.

Amniotic Membrane

Human amniotic membranes are able to treat several diseases involving the surface of the eye. They provide significant benefits in treating different diseases of the conjunctiva and cornea. The amniotic membrane is a fetal membrane that is harvested in a sterile manner from placental tissue during elective C-sections. The donors are screened for transmittable diseases and are treated with antibiotics immediately after obtaining the tissue. The membrane is composed of three layers which are the epithelium, basement membrane, and stroma. The membrane contains several types of collagen which are similar to the collagen present on the eye.

The amniotic membrane promotes healing through epithelial growth, inhibits cell death, reduces inflammation through cytokines, and inhibits fibrovascular growth (scarring).

There are two types of amniotic membranes available which are cryopreserved and dehydrated.

Cryopreserved Amniotic Membrane

With this type of membrane, it is slowly frozen to -80 degrees C using a preservation media which allows for slow freezing without ice formation. ProKera (BioTissue) makes this type of membrane. The amniotic membrane is attached to a ring for placement on the eye. The tissue has to be stored in a freezer and thawed before use. This is inserted onto the eye just like applying a contact lens. It is usually left on the eye for 1 week and is removed. The tissue usually melts or is absorbed within the week and just the ring is left.

Dehydrated Amniotic Membrane

The membrane is dried using low temperature heat in a vacuum which retains the cellular components. This tissue can be stored at room temperature and needs to be rehydrated when applied onto the surface of the eye. A bandage contact lens is place over the membrane. It is usually left on the eye for 1 week and any remaining tissue and the contact lens are removed. Manufacturers of this type of membrane are AmbioDisk, BioDOptix, and Seed Biotech.

The vision will be blurred during the time the tissue is on the eye. People tolerate the membrane well. Some people may complain of some mild discomfort with the ring on the eye. People with severe dry eye disease that have not achieved results with other treatments are good candidates for the application of an amniotic membrane.

Blinking

Dry Eye Syndrome Treatments

You normally blink your eyes 12 to 15 times a minute. This is to keep your tear film smooth and have the proper levels of the different portion of your tear film. There are diseases such as Parkinson’s which diminishes the number of blinks per minute and these people can have terrible dry eye problems secondary to not blinking. Poor or incomplete blinking can a significant effect on dry eyes as well. The tear pool on the lower lid due to gravity. When you blink, the upper eyelid comes down and touches the lower eyelid. The upper eyelid pulls the tears back up over the surface of the eye. The LipiView instrument monitors your eyes during the test and counts the number of blinks and whether they are complete or incomplete blinks. If you have poor blinking or incomplete blinking, it can greatly exacerbate the dry eye syndrome. There are exercises to help improve blinking.

  1. Blink exercises require frequency. They must be done every 10 to 12 minutes for 30 days to be effective. Use an audible signal such as an egg timer or smart phone to remind you, especially during tasks requiring sustained focus.
  2. Close both eyes normally, pause 2 seconds and open. The, close the eyes normally again, pause 2 seconds and aggressively squeeze the lids together for 2 seconds. Open both eyes. Repeat every 10-12 minutes.
  3. Hold your fingers at the corners of your eyes and blink. When you are blinking correctly, you should feel no movement under your fingers. If you feel anything, you are using your defense muscles that run along the side of your head. Your blinking muscles are on top of your lids.
  4. Blinking is very task-dependent and the blink rate decreases with sustained visual activity. Examples are reading, watching TV, looking at a computer or flat screen, and/or driving a car. You might want to put a note on your computer or TV to remind you about blinking exercises.
  5. If you are having difficulty remembering the blinking exercises, do the exercises during TV commercials, every time after you use your phone, or look at a computer. Post a note if necessary.

True Tear™ Intranasal Tear Stimulator

The True Tear stimulator provides a temporary increase in tear production during neurostimulation in adult patients. The device produces small electrical pulses to stimulate production of the liquid portion of the tear film. The electrical pulses are delivered by a disposable tip attached to the True Tear device that you place in your nose for a short period of time. Patients may respond differently to the treatment.

Potential Complications with Using True Tear:

  • Discomfort or pain in the nose
  • Nose bleeds
  • Excessive sneezing
  • Irritation or numbness of the nose
  • Infection, abrasion, or inflammation of the nose
  • Irritation or sensitivity of the nasal tissue stimulated
  • Headache
  • Should not use if a cardiac pacemaker implanted or wearable defibrillator. Other implanted metallic or electrical device in the head or neck
  • Chronic or recurrent nose bleeds
  • Bleeding disorders
  • A known sensitivity to the ultrasound gel used to lubricate the device

Facial pain

Dry Eye Syndrome Treatments

Tacrolimus

Tacrolimus is used in the treatment of preventing rejections in organ transplants in its systemic form. In eye care it has been used in treating uveitis (ocular inflammation inside the eye) and blepharitis. There are some new studies with its use in dry eye syndrome. It is believed to help dry eye patients by decreasing inflammation. Topical 0.02% Tacrolimus is used twice a day. Most patients complained of irritation for 30 minutes after instillation. Still, most patients chose to continue the treatment secondary to their improved dry eye symptoms. It is still too early to tell whether this will become a mainstream treatment. As of now it is only available through a compounding pharmacy and is available as a drop or ointment.

Which Treatment is Best?

There is no best treatment for dry eye disease. The best treatment is one that is based on the diagnostic testing done prior to beginning treatment. Your treatment should be customized to the type and severity of your dry eye disease. If you are not producing enough of the liquid layer of your tear film, the treatment should be based on improving that layer of the tear film. If the lipid layer of the tear film is deficient, then the treatment should be geared to the improvement of the lipid layer of your tear film. If there is inflammation present, the inflammation needs to be addressed as well. The eye doctor should begin with a baseline level of treatment for your particular type of dry eye disease. Additional treatments are added until you have reached the maximum benefit and relief of symptoms. It may take a few months to get the results that you need depending on the severity of the dry eye disease.

VisionLock Approved Seal
*Click on the logo to learn more about criteria for eye physician certification.
Verified Reviews
*Click on the logo to view more reviews on Dr. Croley.
ACCREDITED SEAL
*Click on the logo to learn more about dry eye treatment.
  • (One of Dr. Croley’s patients wrote the following letter to local news organizations)

    Good Afternoon:
    Thought I’d give you a heads-up for a true community service feature.

    James Croley, MD is an eye surgeon located in Cape Coral [Bonita Springs and Lehigh Acres]. He has been serving in Cape Coral for about 30 years and has grown to be world renowned.

    Dr. Croley enjoys a reputation, as a result of his professionalism and accomplishments, that serve to set him apart from any other in a delicate field. He’s a giving, feeling individual, dedicated to making better those things that serve to improve the quality of life in our society.

    Dr. Croley has now authored a fabulous book entitled “Believing is Seeing.” The book is designed to provide insights into how to improve one’s health and welfare in a complicated world….and does just that!

    I believe that a feature focusing on the life and times of this extraordinary man would represent a true community service.
    In line with the Doctor’s giving persona…proceeds from the book sales will be donated towards Missions.

    Happy Easter & God Bless,

    Dick
  • Dr. Croley,
    Thank you for seeing me as a new patient! You came highly recommended by [a friend] and I found my experience to be not only professional and thorough, but friendly as well! See you in February for a six-month check.

    My Best,
    Kerry

    Ps. It was a pleasure meeting your staff as well!”

    Kerry
  • Very professional office, staff and doctor.

    Ron
  • I did not always know why I was doing some procedures but the end result was great and much better than expected.

    Zadok
  • I trust Dr.Croley with my eyes. He is the best eye doctor I have ever been to. He is genuinely concerned about my pressures and being diabetic he keeps track of any changes. I would and have recommended him to my friends. I feel blessed that Dr. Croley is looking after me.

    Karen
  • Trust completely. Do not want to ever have to change doctor.

    Barbara
  • Very pleased and love the entire staff. Will highly recommend Dr. Croley. I have good results.

    Beverly
  • I’m now excited to get the other eye done.

    Judith
  • Dr.Croley and his friendly, efficient staff make my appointments very pleasant. I also appreciate Dr. Croley’s current knowledge of new procedures and possibilities.

    Judy
  • Very nice office, great staff very caring & friendly

    Angela
  • Has many patients but devotes time only for you when with you. Made me feel very much at ease with her compassion and personal interest. Office staff very courteous & definitely trust Dr. Croley.

    Mareann
  • Dr.Croley is well-versed and articulate and maintains state-of-the-art knowledge and technology. No reservations in recommendations.

    Gerald

The Cataract & Refractive
Institute of Florida

James E. Croley III, M.D.

Office Hours

  • Monday

    7:30am – 4:00pm
    Dr. Croley sees patients at 7:30am in Cape Coral.

  • Tuesday

    8:00am – 4:00pm
    Dr. Croley performs surgeries on this day.

  • Wednesday

    7:30am – 4:00pm
    Dr. Croley sees patients at 7:30am in Cape Coral.

  • Thursday

    8:00am – 3:30pm
    Dr. Croley sees patients at 8:30am in Lehigh.

  • Friday

    8:00am – 3:30pm
    Dr. Croley alternates also in Bonita & Cape Coral.

Request an Appointment

(239) 772-2122

(239) 368-1020

(239) 949-1190