What Is Dry Eye Syndrome? | Dry Eyes Definition


In today’s Dry Eye Show we’re going over dry
eye disease I’m Dr. Travis Zigler and I’m Dr. Jenna Zigler in the next ten minutes
you’re going to learn about the dry eye definition according to DEWS II
symptoms of dry eye and then we’re going to go into a little bit of treatment
into dry eye as well but if you’re serious about getting rid of your dry
eye make sure you head to www.dryeyebook.com pick up our free Rethinking Dry Eye
Treatment paperback book for a limited time we pay for the book you pay for
shipping go check this out it’s free for a limited time www.dryeyebook.com we’ve
had hundreds of patients go through this book and it’s going to teach you how to
naturally heal your body from the inside out and heal your dry eye internally as a
result so also we want you to let us know what are the worst symptoms that
you have with your dry eye let us know in the comments
below we want to know what it is for you what’s the worst symptom that you have
so with that being said what is dry eye syndrome according to DEWS II and what is DEWS II basically the tear film
and Ocular Surface Society does a dry eye workshop every couple years so DEW
stands for dry eye workshop basically their second one was in 2017
and I’m going to read off the definition of dry eye that they came up with so
basically dry eye is a multifactorial disease of the ocular surface
characterized by a loss of homeostasis of the tear film and accompanied by
ocular symptoms in which tear film and stability and hyper osmolarity ocular
surface inflammation and damage and neurosensory abnormalities play ideological roles if you break it down which we will it
encompasses everything and they just put it in one sentence
which is great and if you want to read if you want to read that definition we
posted a link for a blog post that has that definition so check
it out and if you want to read the whole paper you can do that too so the
problems that are occurring basically lead to a loss of homeostasis in the
tear film which basically means that the tear film is no longer functioning as it
should be accompanied by ocular symptoms means that you’re just going to notice
those typical dry eye symptoms that we’re going to go over below so
hyperosmolarity just means an increased salt content in your tears this is
measured by a device called Tear it’s by Tear Science and they actually just
measure the osmolarity of your tears and if your hyperosmolaric meaning you have
more salt in your tears that usually means that you have more ocular surface
inflammation and damage and then damage to ocular surface means you have
inflammation irritation to the front surface of your eye so neurosensory
abnormalities is really the last part of that and it means that the nerves and
the front of the eye are damaged and you may not have as much feeling in your
eyes as you used to or the nerve innervation may have changed and it may
not be what it used to be so on the other hand you may not have as
much feeling or you may even be more sensitive when you have dry eyes it’s
just everybody’s a little bit different and how that works so click the share
button to share this video if you find it helpful and share it with somebody
who you think would benefit also let us know in the comments below what is your
worst symptom of dry eye itchiness red eyes is mine let’s jump into
how tears work so tears have three different layers they probably actually
have more but we just know of the three main layers and the outside layer is
typically the one that we treat the most and that’s because it comes from the
eyelids and so the eyelids have glands in them called meibomian glands these
meibomian glands release an oil called meibom and that’s your outside layer of
your tears now meibomian gland dysfunction is what affects that we
use warm compresses to help with meibomian gland
dysfunction and we’ll get into all that later but the middle layer is a salty
layer and it comes from the lacrimal gland your lacrimal brand you have two
of them one sits right here one sits right here and that’s in charge of your
salty layer your middle layer of your tears and then the inside layer is
called the mucin layer the mucin layer is kind of like a mucus substance and
it comes from the goblet cells the goblet cells are on the conjunctiva
which is that invisible layer on the front surface of your eye these
cells release that mucin and so the mucin then binds to the salt middle
layer and then the oil layer comes on top of that and so all three of these
are very important components of your tears and if one of these isn’t in homeostasis or isn’t normal that’s when dry eye occurs
and so these are important because they ward off infections they keep your
eye clean they promote clear vision and then they keep your eye comfortable and
then reduce dry eye symptoms so let’s jump into we just talked about tears and
how important those are so why is blinking important so blinking is
so important because blinking basically spreads the tears across the front of
your eye and excess tears they end up being pushed this way to your
puncta your little holes the cool thing is if you blink slowly
it actually goes from lateral which is out here toward your nose
so it just kind of like moves those tears towards your nose the puncta are just tiny holes in your
eyelids they’re up by your nose here and those actually drain into your nose so when got allergies going on you can feel it
everywhere up in here so that’s one of the reasons why blinking is so important
the second point I want to make is that studies have shown that we blink almost
60 percent less when we are on our phones computers tablets and when we’re
reading which equates to like 4 to 4 1/2 blinks per minute which
is nothing at all we’re supposed to blink at least 10 blinks a minute
that’s crazy so that’s quite a difference that you get there basically
what this does is it reduces your tears because it increases evaporation and
this also increases inflammation staring at those digital devices are just awful for you so click the share button if you find
this video helpful and share it with somebody who you think might benefit
now what’s your worst symptom of dry eye we want to know so put it in
the comments below and I’m going to be listing off a list of symptoms right now
I’m going to be saying a list of symptoms so if one of those rings a bell
is your worst put it in the comments below so stinging, burning, grittiness,
is the most common thing that we hear in in practice stringy discharge is common
blurry vision, double vision is also very common a lot of people come in for
remake up their glasses when really they just have dry eye and so usually if I’ve
remade some of these glasses twice where I’m going for a second time it’s usually a dry eye evaluation at that point and light sensitivity
redness which is her worst common or her worst symptom itchiness is mine decreased
ability to read or work on a computer eye fatigue discomfort with contact lenses
or even an inability to wear contact lenses and then excessive eye watering
now I’m going to go into this just a little bit eye watering sounds crazy because my
eyes are dry why are my eyes watering we get that all the time and so
that’s because the outside layer the oil layer from your meibomian glands is
dysfunctional it’s not working so you have meibomian gland dysfunction if that
tear layer what it does is it holds the tears together if that tear layer is out
there what happens is the tears break up your surface of your eye is exposed and
then your eyes are actually going to reflexively your brain is going to tell
your eyes to water more so your lacrimal gland is actually going to work overtime
as a result of your meibomian glands not working properly so therefore
you’re going to water a lot and that’s why we always recommend starting with the
meibomian glands when your eyes water too much so let’s go into treatments for
dry eye and I want to start out with treatments for dry eye natural remedies
first which is what this whole book is about it’s a step-by-step guide for
natural remedies to dry eye so head to www.dryeyebook.com pick it up for free you
pay for the shipping we pay for the book to get there and literally what we
recommend is reading it all the way through once after you read it through
once go chapter by chapter implement it into your life implement chapter 1
don’t go into chapter 2 until you get fit you master chapter 1 and if
you go through just the first couple things you’re going to love the way you
feel number 1 and you’re going to feel a lot better from a dry eye standpoint so
it goes into hydration plant-based alkalizing diet eliminating toxins
decreasing stress helping you sleep better exercise even if you don’t
exercise if you’re not willing to change though don’t pick up the book because
this is the lifestyle choices you’ve made at this point have gotten you to
where you are now this is in the case for everybody but this is just broadly
speaking about 95% of people now a disease is your body’s way of telling
you that you’re doing something wrong and you need to fix it and so figuring out what that is and fixing it is huge so typical
dry eye treatments so there are a couple different
typical dry eye treatments that we’ve pretty much all heard about but these can
be important too after you go through the book and you do
everything that’s in that book omega-3s are a big one because each cell
in our body needs healthy fats to function properly due to the cell wall
and so if it doesn’t have these healthy fats because it’s getting processed
foods and sugar and dairy and all those things then your cells are just going to
continue to be full of disease so you really need to be taking a high
quality omega-3 also warm compresses are important Travis touched on these a
little bit earlier because warm compresses are super important for meibomian gland dysfunction which a ton of you out there have almost everybody
so warm compresses can help with symptom relief but it can also help in
some cases unclog your glands so your glands have this impacted oil that it’s
kind of the consistency of butter or toothpaste but you have to need oil that’s the consistency of olive
oil so that it comes out onto your eyes so think of it as melting that
oil in your glands and all you have to do is basically heat up a warm compress
eye masks for about 20 seconds in the microwave just test it on your wrist to
make sure it’s not too hot lie it over your closed eyelids for 10 to
20 minutes and you’re good to go once a day is perfect the next one on our list is eyelid hygiene because this is arguably the
most important step in this regular dry eye treatment you want to
first remove all of your makeup make sure that you’re washing your face
really well and then we like to use a hypochlorous acid cleanser we linked to
my routine in the article and below so you can watch my nightly routine if you
want to and it kind of goes over everything that I do for my dry eyes the
next thing that you could try is punctal plugs this is where we plug up those
little holes those little puncta in your eyelids and this
kind of keeps more tears on your eyes which can be great for people with
Sjogren’s syndrome and especially aqueous deficient dry eye so issues with
that lacrimal gland a couple other ones that you could also look into our
Lipiflow and IPL which are great for meibomian gland dysfunction and reviving
those meibomian glands and also Restasis and Xiidra are prescription eye
medications that you can have your doctor prescribe for you that are very
helpful in some people so everybody’s a little bit different and how that works
but those are just some conventional treatments that we like to talk about so
finally visit www.dryeyebook.com to get your Rethinking Dry Eye book and learn
how to treat your dry eye naturally and find a more permanent solution than all
of those other conventional treatments so the book is free for a limited time
all you have to do is pay for the shipping we cover the book so thanks for watching

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