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a full map of the causes from sleep, burnout and menopause to nutrient deficiencies, long COVID and medications, each linked to a dedicated review
In-office Treatments: MicroBlepharoExfoliation (MBE): BlephEx ZEST NuLids Pro Advanced Thermal (Heat) Expression/Pulsation: OptiPLUS (NuEra Tight) Radio Frequency (RF) Thermal Treatment by Lumenis Lipiflow iLux 2 TearCare Miboflo Light Based Therapy OptiLight Intense Pulse Light (IPL) by Lumenis iLightPro Low Level Light Therapy (LLLT) by MDElite Meibomian Gland Probing or Maskin Probing Optivize - Vaporization Rinsada - High Flow Irrigating Lid Retractor Punctal Plugs Lacrifill HA gel Dilation & Irrigation (D&I) of puncta/nasolacrimal duct Prokera Cryo-Preserved Amniotic Membrane Scleral Lenses OptiLift with Dynamic Muscle Stimulation(DMSt) Technology by Lumenis: for lower eyelid laxity, stregthening of eyelid muscle tone and impaired/incomplete blink At-Home Treatment Devices: NuLids Pro (in-office) & NuLids (At-Home) Eyelid Hygiene iTear100 Neuro-stimulation At-Home Advanced Ocular Therapy Eye Drops (healing): RegenerEyes (Pro vs Lite) Autologous Serum Tears Platelet Rich Plasma (PRP) Mucomyst (N-acetylcysteine) - compounding pharmacy Pharmaceuticals : Prescription Eye Drops (Immunomodulators): Restasis, Cequa, Xiidra, Vevye (below #8) Prescription Eye Drops (Steroidal Anti-Inflammatories): Eysuvis, Flarex, Lotemax, FML, Klarity-L, Pred Forte, Dexamethasone, Durezol Tyrvaya Nasal Spray - Neuro-Stimulation of Tears: Oxervate Eye Drop Neurotrophic Keratitis Low Dose Naltexone (LDN) - Neuropathic Corneal Pain Oral Antibiotic/Steroids: Azithromycin (Zpack), Minocycline, Doxycyline (Oracea or Targadox), Prednisone, Augmentin, Cephalexin Topical Creams/Gels (external use): Ivermectin 1% (Soolantra), Oxymetazoline 1%, Azelaic Acid 10%, MetroGel, Zilxi (Minocycline gel), Triple Cream (Ivermectin, Niacinamide, and Oxymetazoline vs Azelaic Acid), Testosterone Cream
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Hydration & barrier function is important in the treatment of melasma as topical pigment correctors are frequently irritating
The key takeaway is that significant side effects are not common, but it's always best to be aware of what you might experience as your body adjusts
