If you have been hanging around with me for a while now, then you know that I preach the same rules over and over and over again.  In the past couple of weeks, I've had some thinking time. I started to re-evaluate my hard and fast rules.

I would like to review these 4 dry eye rules. Last week, I reviewed 2 of them.  If you haven't read about those two, please check it out here.  It turns out that there are times when it's okay to break the rules.  Let me tell you when you can break three of them.  Then, I'll explain why you can never, ever, ever, ever, ever break one of them.

Rule #1)  Never Use Waterproof Mascara

Why is it bad for you?

It's a rule because waterproof mascara contains toxins. The ingredients that makes it stick onto your eyes makes it hard to remove. Some of it stays...

I am honored to have a special guest with me, Dr. A Pavly Moawad, MD, MRCSEd(Ophth), FICO. She is a Lecturer and Consultant Ophthalmologist at Cairo University Hospital in Egypt. In her ophthalmology practice she specializes in seeing patients with Sjogren's Syndrome. 

What is Sjogren's Syndrome?

Sjogren's syndrome is an autoimmune disease. The main characteristics are dryness in the eyes, mouth, skin, and vagina.  Sjogren's syndrome attacks the glands that make secretions which lubricate our different parts of our body. But, the main two organs are the eyes and mouth. 

How is Sjogren's syndrome defined?

• Using lubricating eye drops more than three times per day
• Experiencing these symptoms more than three months
• Also has dry mouth

What's the next step in a Sjogren's Diagnosis?

The cause of Dry Eye Disease is multifactorial.  This means that the factors that make it worse come from all around us.  It is our lifestyle, or the things you're, or are not, doing on a daily basis that can either improve or hinder your dry eye symptoms. 

Last month, I did a webinar with Scope Eyecare to explore how to deal with Dry Eye Disease while you're working.  Your computer and other digital devices can play a big role in how dry your eyes feel. Download the guide to Digital Eye Strain Relief here.

In this webinar, we took a deep dive into:

• How to know if you have dry eyes. Yes, there are tons of tests your doctor can do, but you can do this quick test to find out for yourself.
• Blink regularly and intentionally.  Close your eyes and intentionally squeeze the lids closed for
...

Happy New Year!

I like to take the time at the beginning of the year to think about where I am going on purpose.   A lot of times, we feel that life is just happening to us, but that is not the case.  We are all living the life that we ourselves have created. 

Take a minute to look back over 2021 and be thankful for all that you were able to create in your own life.  There is one accomplishment in 2021 that I am most proud of (see #3 below).  But, there were tons of accomplishments along the way as well.  Celebrating your wins is part of living a full life.  You put in the work to accomplish them, so don't hold back on giving yourself the credit you deserve. Here are 3 of my wins from this year:

1. 2021 marked my 20th year since graduation from Optometry School.  It's hard to believe I h
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My patients and some of my students in my Alleviate Dry Eye course often ask me about how to express their meibomian glands.  You may have been told to do this by your own doctor.  Or, maybe you have read about it or heard about it from a friend.  A lot of folks are still confused as to how to do it.  

If you've been following my blog for a while, then you know I talk about doing four simple steps to take care of our dry eyes daily.  To review, the first step is hydrate, so using an artificial tear. The second step is to cleanse your lids and lashes. The third step is to heat your lashes, and right after that heating you often want to express those meibomian glands, so we're going to talk about that. The fourth step is to take a dry eye supplement. I always recommend HydroEye to my patien...

I was able to take my first trip a couple of weeks ago to an in-person education meeting.  I was so excited to travel again and traveling now causes some new problems for those of us who suffer from dry eyes. 

Getting ready to go on a trip caused me to think a bit about packing up my dry eye supplies.  It is so important not to skip out on your eye care routine even if you are out of town.  The results of missing a few nights of care can be disastrous.  I've been there.

I previously wrote a blog about traveling with dry eyes.  You can check out that blog here.  It goes over specifically all the things you need to pack in your carry-on versus your checked bag.  

What has changed?

Airlines are requiring you to wear a mask for the duration of your flight.  Mask wearing can be particularly...

A few weeks ago, we talked about Demodex mites in the eyelashes and how I don't recommend the use of tea tree oil anymore to remove those Demodex mites. There is a new study out of Harvard Medical School indicating that Tea Tree oil is toxic to the cells of the meibomian glands. You can read the original article here.

Demodex mites normally live on human eyelids and lashes. These are microscopic and you can't see them with the naked eye. Below is a super magnified image of the Demodex mite. They have little mouths and they bury themselves inside of the lash follicle. Their little tails hang out at the top of the follicle. If you know you have an overgrowth of Demodex mites you will need an in office treatment or use a daily cleanser to get rid of them.

How do you know if you have a Dem...