Patient Name - Hopewell and Lambertville Eye Associates

QUALITY
Patient Name:
OF LIFE
PLANS FOR DRY EYE
Survey: Initial
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Questions: Hopewell 609-466-0055
Treatment
AND TREATMENT
Lambertville: 609-397-2020
FU: 1
2
3
4
5 other
email: www.seelife.net\contact us
Plan:
Avoid any over the counter products not recommend by your doctor: in particular if it says "gets the red out" do not
use it secondary to potential cardio-vascular side-effects, induced glare sensitivity and reading problems.
Resources:
http://www.agingeye.net/dryeyes/overview.php
http://www.dryeyezone.com/index.html
Oral secretagogues
Omgea 3 - 6
Rx Meibomian gland dysfunction
'"1"
Lacrimal Glana-~"~
Eyelid
Te~ Ducts
"-
Lacrimal Sac
Artificial Tears
Steroid eyedrops
Cyclosporine
)mega 3 -6 oil
• Mucin secretagogues
Warm Compresses
Moisture Chambers
Humidifers
• Androgeneyedrops
Punctal Plugs
Punctal cautery
QUALITY OF LIFE AND TREATMENT
Patient Name:
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Anti-oxidant drops
Lubricant drops
(preservative free)
Refresh PM ointment
57.3% White Petrolatum,
42.5% Mlneral Oil
PreservativeFree.
Omega 3-6
(Hydroeyes)
PLANS FOR DRY EYE
Survey: Initial
Recommend electrolyte balanced fluidsavoid Diuretics such as coffee, tea, soda
Tear Stimulation
Peri-ocular
Tear Stimulation -drops
Climate Control
Warm to Hot Lid
compresses and scrubs
Mentholatum (Vick's vapor rub)
Breath Eze Nasal Strips
Rohto Drops (Menthol) http://myrohto.com/
Humidification
• Eyescrub (Novarits) Pre-moistened pads.
• LidHygenix: Fluid cleanser
• Lid Scrub Foaming Eyelid _(Ocusoft)
• Lid Scrub Pre Moistened Pads (Ocusoft)
• Lid Scrub Solution (Oeusoft)
• Sterilid (Advanced Vision Research)
• Stygiene Sterile Eyelid Cleanser
Moisture Chambers
Sleeping Mask
Prevent Evaporation
Doxcvcline
Azasite (Azithromvcin)
Restasis
Anti-inflammatory
Lacrisert
http://www.lacrisert.com/
Punctal Plugs
Comments:
2
3
4
5 other
Name of Product
Times per day
Viva or Avitears (Vitamin A drops)
3-4/day or with meals
1) Thera Tears (electrolyte)
3-4/day or ----2) Similisan (Homeopathetic)
3-4/day
or ----3) Systane Balance
3-4/day
or ---4) Optive
3-4/day or
--5) FreshKote (Rx)
3-4 Iday or prior to sleep
Tears Naturale PM
Refresh Lacri-Iube
Genteal Gel 0.3%
Tears Again NIGHT &
Hydroxypropyl
ointment 56.8% White
ointment White
DAY Gel 1.5% Carboxy
Methylcettulose, Carbopol
Petrolatum,42.5% Mineral Petrolatum,Mineral Oil
MethylcelluloseDissipate
980 GenAqua.
Oil PreservativeFree.
Chlorobutanol(0.5%)
Essential Fatty acids of fish and seed oils:
As directed on package:
Salmon, Cod, Mackerel, plus Black
1 -2 am I pm as tolerated
Currant Seed
Monitor of gastro-intestinal
increase
Increased anti-coagulant affect
Monitor Blood sugar
Fluid Intake
(careful if Diabetic)
Salagen0
Evoxac0
FU: 1
5 or 7.5 BID
30 mg TID
Warmed sleeping mask increases humidity
in the ocular area to comfort the eyes
• Tranquileyes
• Eyegiene (Gulden Ophthalmics)
• PanOptx Dry Eye / Windless Eyewear,t'J
• NitEye Dry Eye ComforterB
• MoistEye Moisture Panelr5
• Moisture Chamber OecluderrS=
• Swimming Goggles5l
50 mz capsule by mouth
Ophth !!el applied to the eyelid margin
CycJosporine A 1%
1 box of 60 ampullae
Loteprenolol (Lotemax or Alrex)
Flurometholone or Prednisolone 1%
Hydroxypropylcellulose
5 mg
1 box (60 inserts)
Diagnostic Collagen plugs
Semi - permanent Silicone plugs
'Pilocarpine'. It stimulatesin lacrimalgland and
causeincreasedsecretionof tears. 'Cevimeline'.
Evoxacstimulatessecretionfrom the lacrimaland
salivaryglands-higheraffinityfor lacrimalgland
4 - 8 ounces servings per day
Mineral or Spring water
Low caloric sport fluids
Applied to the inner nose or on the
cheek: DO NOT put into the eve
3-4/day
or
Apply hot water to a cotton towel or
ball and apply to the eyelid with a
strong manual massage of the eye lid.
Press downward on the upper lid and
upper on the lower to to expression the
eyelid glands.
Apply mask before sleeping hours
Recommend Gel- Thermal masks
':~'.
: •. ':> , '.'.'.
,. "., ...• ~.
't~~:}
~
l x per day x 14 to 30 days
2 x per day x 7 to 14 days
1 ampullae per eye Am I Pm
1
2
3
4 Iday
Insert, using supplied applicator
lacrisert into lower eyelid cul-de-sac am
To be inserted by the physician
Precautions: breathing problems (such as asthma, chronic
bronchitis, chronic obstructive pulmonary disease·COPO),
certain eye conditions (such as night blindness, acute iritis,
narrow-angle glaucoma), heart disease (such as chest pain,
heart failure, heart attack. slow heartbeat), low or high blood
pressure, liver problems, gallbladder disease (such as
gallstones). kidney stones, mental/mood disorders (such as
depression
_