Welcome to Question of the Day #356
EyeTools Question of the Day #356
I’ve I’ve noticed that a lot of my older patients complain of gritty and watery eyes. Many of them have tried to use comfort drops but some patients can’t instill drops and others find comfort drops of no benefit. What can I do?.
My clinical work involves examining people over the age of 75. I too have noticed that many of them complain of gritty and watery eyes.
I have recently started to ask all the patients I see if they have gritty and/or watery eyes even if they don’t mention it in their presenting symptoms
In my experience around 30% of the people I see have gritty and/or watery eyes. Many of them have tried to use comfort drops without success for a variety of reasons.
I have started to recommend a lid wipes trial even if they are no obvious signs of blepharitis. Posterior blepharitis can be very difficult to detect. A person complaining of gritty and/or watery eyes is very likely to have inefficient meibomian gland function and deserves to be informed of the potential benefits to eye comfort from the use of lid wipes.
Lid wipes are commercially available as small sterile cloths that are impregnated with artificial and natural chemicals. They are preservative, soap, and fragrance-free. Each cloth is individually packaged. A cloth can be used to wipe the upper and lower eyelid margins.
The wiping action will remove debris and dead skin, help clear the openings of the Meibomian glands and also stimulate the Meibomian glands to produce natural oils. These natural oils flow onto the eye surface and into the tear film. This helps create an improved tear film and tears which are more likely to stay on the eye surface rather than run out of the eye onto the skin.
It is important to let patients know that symptoms will not be resolved in a few days but may take 2 to 3 weeks and for them to continue with lid wiping if their symptoms don’t resolve in a few days.
It is also important to let patients know that their eye problem is a long-term one and that if their symptoms resolve and they stop using lid wipes their symptoms will return.
Several of the patients I have seen have improved eye comfort since using lid wipes and have continued to use them. Many patients tell me that they are willing to pay the cost of lid wipes to keep their eyes comfortable and their cheeks dry.
Support what they do
You can become a member of EyeTools and support them in building a better and more sustainable professional development platform through kindness and appreciation for what them do. It also helps them build a better relationship with you over a longer period of time and you will receive some cool benefits along the way such as Certificates of Completion. To become a member, go to https://eyetools.in/
EyeTools-use it to get even better at what you do. Get the edge and be better than your competitors.Get Frank’s most recent books The Art of Investigating Binocular Vision Anomalies and The Art of Clinical Practice in Optometry for a deeper insight into everyday clinical practice.If you know someone that might benefit from these messages, please forward this to them. We are always looking to bring EyeTools to new people and we could use your help!