Are Expensive Dry Eye Treatments Really Worth It? These Dry Eye Treatments Are Worth The Money$$!!
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- Опубликовано: 25 июл 2024
- The past couple of years have been incredible for the advancement of Dry Eye treatments and therapies. Dry Eye Syndrome(keratoconjunctivitis sicca or meibomian gland dysfunction) has seen treatments like IPL(intense pulsed light), Gland Expression, and Radiofrequency become more mainstream. But many of these newer Dry Eye treatments are expensive or not covered by insurance or both! So how do you decide which expensive treatments are actually worth it, so you don’t break the bank in treating your dry eye? #dryeye #dryeyesyndrome #dryeyedisease #dryeyes #eyedoctor
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⏱️ Timecodes:
00:00 Intro
00:47 What are you trying to accomplish?
01:24 Autologous serum eye drops
02:41 Amniotic membranes
04:14 IPL
05:53 Gland expression
07:19 Prescription medication
07:44 Summary
Remember that there are basically two goals to consider in dry eye treatments: 1) reduce inflammation and 2) clear obstruction. If the treatment isn’t going to solve an issue you have, it’s never worth the money.
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👁️ We are Salisbury Eyecare and Eyewear - a cold start optometry practice and optical shop that is owned and operated by Dr. Melanie Denton Dombrowski in downtown Salisbury, NC. We provide medical and routine eye care and Dr. Denton specializes in dry eye treatment and management of various ocular diseases. Dr. Denton is a member of the Bausch and Lomb Speakers Bureau, a former member of the Alcon Contact Lens Speakers Bureau, a current Alcon consultant, a member of the Allergan Advisory Board, a member of the Valeant Advisory Board, a TearCare consultant, a Lumenis consultant, and a member of the North Carolina Board of Examiners for the North Carolina Optometric Board. We started this channel to provide patient education and eye-related product reviews, as well as to share our experiences in the office and at community events. None of our videos are directly sponsored. We hope you enjoy our videos! Make sure to leave comments and suggestions about what you’d like to see next!
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I wish there would be a real solution to this problem.. what makes it even harder is that most people and insurances don’t acknowledge what you‘re going through at all, which can leave one extremely lonely and feeling worthless
I get Lipflow yearly and tried IPL prior to Lipiflow this year. Had good results. Lipiflow has always been my gold standard treatment. Prokera was great. The ring on the Prokera lens caused a small erosion on my cornea because my eye surface is so irregular from severe astigmatism. I am still a fan of Prokera as it was effective in my eye with less astigmatism. Experiencing a severe flair of ocular rosacea now with giant papilla after COVID. Using Azithromycin oral and Eysuvis drops with good results. However, had recurrence as soon as I weaned off meds. I think I should try autologous drops next. Thanks for your comprehensive videos.
I have an appointment for an IPL session due tomorrow, so I didn´t know whether or not to watch this video. What a relief to know that you consider said treatment to be worthy. Greetings from Argentina.
it is the treatment that has changed my patients lives the most! i hope it works well for you!
I stopped listening with “autolagous serum.” I’d been using it for years, 40% 15X a day or more. It felt soothing for all of one minute. I recently stopped AS and switched to PRP drops. They are far superior! I’m using 4X/day and they have healing properties, not just moisture that quickly evaporates away.
I recently added inexpensive and super helpful do-at-home remedies. I started wearing a sleep mask as well as Stoggles moisture-chamber safety-glasses. They both are an immense help in retaining moisture by preventing evaporation.
I don’t know if this video will get to it-I won’t bother since it opens with AS-but amniotic membranes (expensive and reimbursable by Medicare) worked *wonders!* after 5 days the cracks in my eyes were all healed and just a few dry spots remained.
I followed the amniotic membranes with my first IPL and manual expression. Next week IPL #2. So far I have a very high level of symptomatic relief.
I have a list but these top my list. Good luck all you dry eye sufferers out there.
Thank You, very informative!
you're welcome, thanks for watching!
I have done IPL and IPL maintenance, Eye Luxe with expression and also Blephx treatments. I find they help but will need maintenance treatments. Love your videos!
thank you!! glad you're getting some help/relief!
@@EyeSchoolwithDrD have also done both spent $700 and absolutely no relief
Wish to visit USA and your clinic in near future Mam🤗
I didn't see any comments on radiofrequency treatment - which part of the video was this in? I am looking at RF treatments for my dry eyes.
A price range for the other treatments other than IPL would have been nice
Orbital fracture ，do you have experience about it ? what time streatment ,or not ? sorry ,i just ask about it .
With IPL, by Lumenix, it is just the 4 sessions, correct? Or is there maintenance work involved afterwards? And if there is maintenance, what exactly is that? Just trying to figure out the cost - thought it was just the 4 sessions?
I have searched your videos and see that you don't use Lipaflow treatment. I am scheduled for a $700 Lipaflow treatment in a couple of weeks. It will be my second one in about 2 years. What do you think about the Lipaflow treatment?
I have to ask why its so incredibly expensive for the IPL or other treatments that merely heat up your eyelids to enable a mechanical expression of your meibomian glands, which by the way is quite simple and can even can be done by the patient at home. I bought the tool myself and I easily and effectively express my own glands at home. It takes just a few moments and can be learned in minutes.
There's a lot to this answer. The IPL machine itself is incredibly expensive for doctors to bring into their practice. While it's a light therapy and not a laser, its still very powerful and takes training and experience. I don't believe Meibomian gland expression is really that simple. The heat prior to expression needs to be well controlled in order to adequately heat the meibum to a temperature level where it can be expressed. The devices on the market that do this have a high cost to the doctor and have disposable costs for every treatment done. My expressions are tailored to each individual patient, with their MG imaging in mind. I apply varied levels of pressure and use a microscope to make sure I have expressed all possible meibum. I'm not saying you can't express at home or learn the technique but there is a big difference in the expression I'm able to provide and that's because of tools available to me as well as experience. Many of my patients have such severe gland inspissation and keratinization that a specialized approach is warranted. For early, mild MG problems....yes, I can see where it may be fine to express at home but even then, you may be doing a cold expression which could harm the gland function. Just some of my thoughts.
Triple layer amniotic membrane healed my scratched cornea in two days last week.
have been suffering from dry eyes, red eyes and a pinguecula for years now. do you have any recommendations and tips for dealing with a pinguecula besides the usual treatments for dry eyes? thanks.
In some cases, pinguecula can be removed. In addition, if it becomes inflamed it can be managed with topical steroid
would the autologous serum drops be affective for aqueous deficiency? I'm concerned about there not really being any data for long-term use of Xiidra..
yes, the composition of autologous serum is much closer to that of actual tears so is a better alternative.
Can you use autologous serum drops and cequa at same time?
yup! - just wait at least 5 mins between them
Informative video. thanks. Can you do IPL on darker skin people, FP V? I am getting mixed messages.
Fitz 5 is borderline which is why you'll get both answers. I would say probably yes, but would decrease the fluence and probably do a test spot first to be sure of your skin reaction. Practice caution for sure. Hope that helps!
@@EyeSchoolwithDrD Thank you, Dr. D
you're welcome!
Ask your doctors for the EPI-C. It’s an IPL and LLLT !!! Instant relief, you can have so much better results after 4 sessions
Yes but i do not think they need to be as expensive as thry are. Companies capitilise off peoples pain and desperation.
Vitamin a also omega 3 fish oil cleared my dry eyes up.
hey! did you use anything else or thats it…? and how long did you consume those vitamins?
Took a couple of weeks for vitamins to work. Also was using systane no preservative eye drops.
@@dianestahr4421 you see i’ve been consuming omega 3 for 2 weeks now and it doesn’t seem to help
@@dianestahr4421 also i sometimes use eye drops (whenever it starts hurting) and thats it. I’ve had dry eyes for over a year now and nothing helps, not even the doc
You did not comment on RF. Does this mean you do not think that RF is worth the money?
I don't have personal experience with RF, I don't have it in my clinic. I do hear great results from colleagues who use it. My concern is around peri-orbital fat loss, that's why I haven't brought it into my clinic yet. Still gathering info on that one.
@@EyeSchoolwithDrD Many thanks!
7:10 why u lie i other video u said warm compress is so good ???😡😡😡
new treatments for DED just milk desperate for money and hardly do anything..
That woman is bull shitting all the way to the bank!
i am sorry ,i found you are younger