What Is Neurostimulation For Dry Eyes? | How Does Neurostimulation Work? | An Optometrist Explains

Dr. D explains how neurostimulation can help to heal dry eyes and increase the production of your own natural tears at home. She explains several of the neurostimulation devices and how they work to help cure dry eyes. What if you could increase the production of your OWN natural tears at home with an easy-to-use device? Well, what I just described is possible through something called NEUROSTIMULATION. In today’s video, we’ll discuss neurostimulation for dry eye past, present, and future and I’ll try to convince you why it's something you should consider if you suffer from aqueous deficient dry eye syndrome. #neurostimulation #dryeyedisease #dryeyes #dryeyesyndrome #dryeyestreatment #dryeyetreatment #dryeyedrops #eye #eyes #eyesight #eyeball #eyecare #eyedisease #eyediseases
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⏱️ Timecodes:
00:00 Intro
01:22 What is Neurostimulation?
05:14 True Tear: The first Prototype
06:34 iTear100: Current Model
09:53 Nasal Spray
Neurostimulation is an activation of the nervous system for therapeutic means. You may have heard of its usage in pain management specifically related to implantable devices. Recently, neuroscience technology has emerged in the Dry Eye space that is extremely effective at helping patients produce more tears.
📚 Research and other helpful links:
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www.healio.com/news/optometry...
www.reviewofoptometry.com/art...
www.optometrytimes.com/view/d...
eyelovethesun.com/blogs/dry-e...
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🏡 We are Salisbury Eyecare and Eyewear - a cold start optometry practice and optical shop that is owned and operated by Dr. Melanie Denton Dombrowski in downtown Salisbury, NC. Our office operates out of a darling Victorian home where we provide medical and routine eye care and Dr. Denton specializes in dry eye treatment and management of various ocular diseases. Dr. Denton is a member of the Bausch and Lomb Speakers Bureau, a former member of the Alcon Contact Lens Speakers Bureau, a current Alcon consultant, a member of the Allergan Advisory Board, a member of the Valeant Advisory Board, a TearCare consultant, a Lumenis consultant, and a member of the North Carolina Board of Examiners for the North Carolina Optometric Board. We started this channel to provide patient education and eye-related product reviews, as well as to share our experiences in the office and at community events. None of our videos are directly sponsored. We hope you enjoy our videos! Make sure to leave comments and suggestions about what you’d like to see next!
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⚠️ MEDICAL DISCLAIMER: Disclaimer Information contained within our channel and videos is intended solely for educational purposes and is neither intended nor implied to be a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your physician or other health care provider for any questions you may have regarding your medical condition. Only your physician can provide specific diagnoses and therapies. By using our channel and watching our videos, you agree to this Medical Disclaimer.
📹 Filming and editing by @DREAMENCY, LLC. ocular surface disease, keratoconjunctivitis sicca, computer screens vision issues, amniotic membrane for dry eye, thyroid eye disease, tear film

[@rka9773]

I just found out you can accomplish similar results with a sonic type electric toothbrush

[@buckw65]

Thanks for posting the information

[@mbryan65]

I am using the Tyrvaya so happy to be given the opportunity to use it…

[@jakec5618]

hi dr, thanks for making this video. it was great and very informative. u explained everything really well and how n y it wrks as to the science n research behind it. i have a question for u if u dont mind. i had lasik done (biggest regret of my life) and have really bad dry eyes now. ive been wondering whats the cause of this and is there a cure to this? the artificial tears and hot packs i use help but not enough. im wondering if the cornea can be healed to how it was pre surgery and if there is any research into corneal regeneration or healing.

[@dylanquinn7]

I've been using the iTear for just over 2 weeks. Thanks for making this video about it!

[@dylanquinn7]

@IndianMusicRoks i asked my eye dr to order it. She put in an order and then the company contacted me directly. If i recall it was about $150 for initial 30 days and then if i wanted to continue using it there was an additional $30 fee for 30 more days?

[@dylanquinn7]

@IndianMusicRoks of course! good luck!

[@JaspreetSingh-nc8px]

@@dylanquinn7 how’s itear working out for you? Is it good?

[@dylanquinn7]

@@JaspreetSingh-nc8px I didn't notice much of a difference unfortunately :/

[@dylanquinn7]

My extensive eye problems stem from Lasik though so maybe that is part of the reason

[@louisebb4183]

Hi docorD ,a year ago I suffered PVD without a damaging retina and was assured that everything is good but I have noticed that my vision on that eye is not as good as it was before, I have cloudy eye floaters or cobweb like that are not going away ,am I paranoid I am 76 years old and I am terrified of getting blind.

[@raymondjoseph9282]

Where can I buy a unit or two?

[@pattyschrider1681]

Dr. D, Again thank you! Question- I am learning so much from you. First, the trigeminal nerve, I have never heard of it,however I have used the nasal spray. I was given a sample. Makes me sneeze like crazy. It works. I’m curious. I don’t sneeze. I haven’t sneezed in years until the nasal spray. Yes, I have seen my ENT for tinnitus. She put camera up my nose. She said I am incredibly dry. So, in your opinion, could they be related? Curious? Also, I heard you mention “HSA” dollars. Will you explain what HSA dollars are? Is the trigeminal nerve only your eyes? Or possibly involve eyes, nose, dryness, etc. ? PattyS

[@itear100]

The trigeminal provides sensory function through the face. the business end of the response however is the facial nerve with nerves which stimulate the lacrimal glands, meibomian glands and many different responses in the nose. a lot of iTEAR patients mentioned improvements in congestion symptoms so we performed and recently completed a trial in patients with rhinosinusitis and intend to apply for this indication from FDA. stay tuned.

[@Musicalpa]

I have chronic dry eye I'm currently working on correcting naturally with moist heat therapy and massages to the Meibomian glands to increase healthier oil production. I saw the Itears 100, but cannot find any opthalmologists in my area to prescribe it in order for me to also help me to produce more healthy tears. To make matters worse, I have recurrent erosion in both eyes which begins to generally occur more frequently and more severely around Nov. and throughout the winter months due to dryer winter air in Pennsylvania. I've purchased two humidifiers to balance our home relative humidity between 55-60%, and while it does help, the recurrent erosion episodes still persist but at a reduced intensity. In addition to dry winter air causing the recurrent erosion episodes to increase in both frequency and severity, and the humidifiers aiding in reducing the severity of the episodes, could the recurrent erosion episode frequency also be a result of winter barometric pressure being different than that of the warmer months?

[@mrinvestor1932]

Are you still suffering from dryeye

[@Musicalpa]

@@mrinvestor1932 Affirmative. Symptoms are improving slowly with the mibomian gland oil production quality due to minocycline and heat therapy, but it's an ongoing issue still. However, I had PRK vision correction in December of 2022, and there has been ZERO recurrent erosion issues since then.

[@husamothman1]

How can I obtain iTear100? I live outside of the USA and would want one. I live in Dubai and I have Dry Eye Disease for over a year post Lasik.

[@MindyKay333]

Where can I buy the itear100?

[@mr.modernsavage4621]

50$ refill? With what exactly do they refill device? As far i understood it is mechanical device, are there any parts that can last only one month or it is just cheap excuse to encapsulate battery and you need to return to them so they can open it and recharge it.

[@sharonkaczorowski8690]

Sjogrens has destroyed my tear and salivary glands…would this have any impact on my dry…Sahara desert dry…eyes?

[@arthursimsa9005]

Hi! Do you have any idea why this would work on only one of my eyes? For some reason my right side is unresponsive to this stimulation, unlike my left. Unfortunately, my right side is the most symptomatic by far...

[@EyeSchoolwithDrD]

Do you have nerve damage at all? Ever been in a car accident or had an injury to one side that might be the cause?

[@arthursimsa9005]

@@EyeSchoolwithDrD I’ve had a massive adverse effect because of pregabalin last year. All of a sudden, after only two months of use. Increased strabismus ,loss of accommodation, dry eye, photophobia… after two months or so it came back to normal, except for the strabismus. Now it’s been several months I have dry eyes again - and I had never had dry eyes before the adverse reaction. Since that adverse event, I’ve also had constant spasms in the levator pelpabrae, on both sides. I’ve been wondering whether this drug could have caused small but permanent damage on the occulomotor nerve, or others.

[@brucewmclaughlin9072]

Just watched a video using an electric tooth brush on the side of the nose for the same effect although not a cure. Dual purpose teeth and tears !

[@samodell2393]

Good Evening Dr. "D" about a month ago it was I requested a video like one that you did three years ago where you record your own personal exam to demonstrate an eye exam, You were kind enough to ask if I would enjoy seeing you have yours done or you doing one on one of your staff, I made a statement that it's kind of neat sometimes seeing a teachers who demonstrates by example, However I didn't think about this at the time but I should have said whatever is convenient for you. Whatever is convenient as I hope it's not holding you up in your video process my request.

[@EyeSchoolwithDrD]

That’s ok! I still really want to do it and I may have an associate doctor soon so if that happens I’ll be able to get my exam done! If that doesn’t happen I’ll do one on someone on my staff!

[@samodell2393]

@@EyeSchoolwithDrD Looking forward to it!

[@WWarthog798]

I recently got a prescription for Tyrfala (the nasal spray). Been using it about two weeks. It works...and is, thus far, THE best treatment for dry eye that I have used. FAR better than Restasis, which as far as I could tell, did nothing...

[@jakec5618]

oh wow, is it still helping, ive been searching for a better therapy. was the spray covered by insurance ?

[@WWarthog798]

@@jakec5618 It is indeed still helping, and no, not covered by insurance. But IMO, worth paying for. I am supplementing with the "poor man's I-Tear100 (a Sonicare toothbrush, which works similarly to stimulate the trigeminal nerve by vibration when applied to the outside of the nose).

[@jakec5618]

@@WWarthog798 i see. ya ill give that a try as well. thx for replying

[@AlexanderOcsa]

Hi where I can but this nasal spray? I have dry eye condition because dysfunctional tear. I tested everything many artificial tears, IPL, and puctual plugs They helped by still can't work with computers 😕🙏🙏

[@WWarthog798]

@@AlexanderOcsa It is prescription through your ophthalmologist. Quite new drug. "If" you care to try it, you can also stimulate the trigeminal nerve with vibration (also a prescription device)...you can do the same thing with a Sonicare toothbrush.

[@AlexanderOcsa]

Hi where I can buy this device? I really need this

[@itear100]

google search for website will take you in right direction

[@gabrielbarrantes6946]

I no longer feel my eyes dry, I feel an intense pain ☹️, tried everything, not sure what happened I am 26 and healthy, can't even stand light changes

[@EyeSchoolwithDrD]

Intense pain can be dry eyes too. Do you have a dry eye specialist? I have a friend with a dry eye specialist finder tool if you would like that!

[@gabrielbarrantes6946]

@@EyeSchoolwithDrD does it work overseas? I live in Costa Rica, already saw a couple of eye doctors but the drops they prescribed me didn't work well, I have evaporative dry eye

[@nanbulla1868]

I have severe dry eye and a history of trigeminal neuralgia for which I’ve had gamma knife treatment. Seems like neuro stim would be contraindicated for me. Seem like consultation with one’s eye specialist would be necessary before trying this remedy.

[@itear100]

this could be more of a neuropathic type pain which might not be treatable with standard dry eye treatments. Neurostimulation could actually make it worse. There are specialists who focus on this type of pain (e.g. Dr. Hamrah in Boston). a lot of patients who approach our company with this type of pain are being prescribed systemic medications used to treat other type of pain syndromes so there is help available but requires a super specialist. Hope this helps

[@jernejtkobal]

Would gluing a bat on each side of my nose also work? At this point I'm willing to try anything.

[@EyeSchoolwithDrD]

If the bats 🦇 flap their wings at just the right frequency….I feel like it could work!

[@john091077]

More likely two bumblebees.

[@betzib8021]

Why can't I use my sonic toothbrush

[@nanbulla1868]

From what I’ve read, electric toothbrush frequency is to high for this type of therapy.

[@betzib8021]

@@nanbulla1868 well heck

[@WWarthog798]

@@nanbulla1868 The Sonicare oscillates at exactly the same frequency as the ITear. Other toothbrushes may not...

[@arthursimsa9005]

@@WWarthog798 This only works on one side for me (my least symptomatic one, unfortunately). Do you have any idea how it could be?

[@WWarthog798]

@@arthursimsa9005 Only thing I can think of is you are not hitting the "sweet spot" for the trigeminal nerve. I'd say "keep trying". One side may be less sensitive.

[@amramhakohen3923]

blah blah blah, until the 6 minute mark. (FYI)

[@mannifests]

You talk to much trying to show off your knowledge using big medical lingo You talk over 5 minutes before getting to the good stuff..

[@arthursimsa9005]

Shut up.