Top 5 Artificial Tears | Which drop is best for dry eyes? How can I treat dry eyes at home?

In a sea of artificial tears, which ones should you pick? In this video, I'll cover my top 5 picks.
#artificialtears #dryeyesyndrome #dryeyes #dryeyedisease #dryeye #eyedoctor #eyedrops #eyedrop
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Timecode:
00:00 Intro
04:51 Tears if you Wear Contact Lenses
06:50 Thicker Drops
07:46 Refresher during Computer Work
09:09 Oil Component
09:48 Viscous Drop
10:56 Summary
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Thank you so much for tuning into our channel! 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. 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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[@msorsky1]

Fellow eye doc here... Freshkote has also been approved for contact lens wear, and is my personal favorite for contact lens wear. It contains povidone/polyvinyl alcohol. This apparently makes the contacts hydrophilic, and the also reduces microcyst edema from contact lens wear... Without a doubt at our office a patient and doctor favorite! Retaine MGD (that you mentioned) is another favorite... It is (apparently) ionically charged opposite of the eye, so it (supposedly) binds better to the eye for improved coverage and longer time between drops. Also, I always recommend to my patients to refrigerate their dry eye drops if possible for improved and more immediate comfort.

[@senseofwonder4734]

So happy to see another video from you! I just yesterday bought the Optase drops based on your video. And quitting with the Retin A so close to the orbital bone. And warm compresses. I wish so much I had access to an Eye doctor with as much enthusiasm and knowledge, you are very impressive! I'm 51 and struggling with astigmatism and presbyopia, plus I had a crossed as a child and eyes don't really focus together. Every bit of knowledge helps! Thank you!

[@EyeSchoolwithDrD]

Yay!!! I’m so happy to hear you’re taking those steps! Make sure to let me know how your eyes feel after stopping retinol and starting the warm compresses and optase! I will keep the videos coming as long as they’re helping someone!

[@ratherbfishing455]

You can have your lazy eye muscles tightened. I go to a peditriciation opthamoligist. I had the surgery done 20 years ago.

[@fiery.mercaba]

"5:01" -- Oasis Tears (good for contact lens wearers) "5:38" -- Blink Tears (good for contact lens wearers) "6:51" -- Optase Advance (thicker product) "7:23" -- Sistane Hydration "7:48" -- Sistane Dry Eye Spray "8:42" -- a dry eye spray Dr. D is unsure of how to pronounce (Asimalacine?) "9:09" -- Retaine MGD (oil component) "9:32" -- Refresh Optive Mega 3 (oil component) "9:48" -- Hylo (spelling?) Gel "9:56" -- Retaine PM "10:43" -- Celluvisc

[@fiery.mercaba]

You are welcome, @The R&R Channel! 🙂👍🏼

[@janesmith1398]

10:43 is called Refresh Celluvisc. I've used it for 29 years. Love it. 💜

[@fiery.mercaba]

Thank you for the additional info, @@janesmith1398. Much appreciated. 🙂👍🏼 I will go ahead & edit my post to incorporate your spelling of the product. Thanks again.

[@janesmith1398]

@@fiery.mercaba You're most welcome.

[@annbarron7415]

I have dry eyes and the Optician told me to use a heated eye mask night and morning and use Hylo eye drops also I started taking omega fish oil tablets I cant believe the difference in my eyes such a relief

[@leslovesliberty1776]

2-3 times per day?? I WISH! I need drops 2-3 times per HOUR!

[@sdh4557]

I’m with you✋🏻

[@leeketyee6574]

Me too. After lasik surgery at least 2 times per hour😢

[@mortonfan3607]

Same

[@salahaldinfarhat5691]

Hello,I'm a 4th year medstudent,I'm 22 years old,I suffer from dry eyes since the age of 15. Because of my limited capabilities,I just use systane eye drops and warm compresses to treat my condition, I still do undergo alot of difficulties through my life,but somehow I still manage to get things done. I was wondering if it's possible that you make a video on the long term effects-consequences of dry eyes and the use of artificial tears on eye health?(being only 22 years old,I do doubt and ask myself what does the future hold for me from a medical standpoint). I would like to thank you doctor for all your various videos.

[@medhikasingh6327]

Do you get tears while crying or cutting onion?

[@kellyburnett1833]

Thank you for all the information. 😁

[@pattyschrider1681]

Dr. D, again Patty here 66 yr. Old female from Florida hopefully relocating to NC Very soon. I have a question. What is YOUR opinion of serum drops? It has been mentioned,however I have not gone forward. I don’t trust my doctors. I’ve never heard you mention them unless I missed it. Thank you, Patty S.

[@judyfrench7004]

Thanks for going over all these, it really helps. 💕

[@tweevers2]

How does one know/find out if needing a drop with oil in it or just regular drops?

[@darshan5857]

Thanks for this video. I'm having an eye strain issue since I only use computers for 3 to 4 hours a day. I am also experiencing eye muscle pain. Please help me.

[@Psychiatry.321]

Guess what: Short Fluctuation of IOP (eye pressure between 18-24 note: anything above 22 is high) what causes Dry Eyes Syndrome and affect Meibomian Glands.

[@louiser6155]

Sudden eye pressure can cause dry eye? If so what would cause sudden pressure. Mines is 21 i dont think this is good

[@Psychiatry.321]

@@louiser6155 The air/tear film interface contributes to 70% of the refractive power of the eye (cornea), So eye pressure usually put stress on the drainage angle and cause tear instability which lead to dry eye syndrome. Your IOP consider borderline ocular hypertension (20 - 28 mmHg) and if persisted at 21 for long time could induce glaucoma.

[@Psychiatry.321]

@@louiser6155 Psychological stress could elevate IOP temporary also taking steroid medication. use Vitamin C 500mg 3x daily to lower your eye pressure and prevent spikes. Vitamin C regulate the Aqueous humor inside the eyes.

[@louiser6155]

@@Psychiatry.321 @Ophthalmology and Psychiatry thanks. I dont have much stress and i have naturally low blood pressure. I had sudden onset of dry eye after routine eye exam. I wonder if the inflammation in eye could also cause high eye pressure, i did not consider the eye pressure may have caused dry eye. I am 38 and fit healthy otherwise. I do get aching, heavy tired eyes with constant stinging dry eye. I have though sometimes it feels like fluid building up in eyes. I will try the vitamin c though thanku for your advice. I do worry about my eye pressure though as i cannot get this checked at home or routinely at eye clinic. Can a eye dr see if their is poor drainage and build up of inner fluid? He mentioned my IOP 21 and said this was ok as below 22. He did not mention looking for a cause. Thanks

[@Psychiatry.321]

@@louiser6155 Atropine sulfate eye drops is used to dilate the pupil before eye exams, could cause toxicity to the meibomian glands which lead to dry eye syndrome, also hormonal changes in female cause dry eyes. High eye pressure reading cold be due to thick cornea (do corneal topography to check corneal thickness), regarding checking drainage angle yes there is a test called Gonioscopy, go see a Glaucoma specialist so he/she can do it and also do visual field test. Overall Vitamin C regulate eye pressure and prevent spikes used it on many glaucoma patients and they lowered their IOP by 25% within days. Try to control your blood pressure or low blood pressure in situations where blood pressure drops and eye pressure increases overnight, damage to the optic nerve could be occurring

[@DevendraSinghAcademy]

Oh my god my nose 😘😘 love this reaction 😍

[@itzims5248]

I spray distilled water in my face with my eyes open. I have mgd and blepharitis. I can't stand the feeling of "complete" eye drops. They feel astringent to me. Drops do not last long enough to help at all.

[@ToddTheGunGuy]

Awesome info. Our son uses Blink and likes them.

[@EyeSchoolwithDrD]

love blink for use over contacts!

[@anfieldliverpool7997]

Dear Doctor, recently I having dry eyes because my eyes does not produce on oil (lipid) layer. I am using Cationorm preservative free eye drop. I have one question in my mind, is it safe to use Cationorm preservative free eye drop everyday throughtout my life? Your reply Doctor is highly appreciated and thank you in advance! Have a nice day ahead…

[@medhikasingh6327]

Do you get tears while crying or cutting onion?

[@charlesdowns1691]

have you tried systane hydration pf.? they feel good. last long but not thick. i like the 30 pack+vials

[@leiyue812]

Hi Dr Denton, if I'd like to use warm compress and lubricant eye drops together, which one should I use first? Also, is there any long term side effect for using non-preservative eye drops? Thanks in advance.

[@EyeSchoolwithDrD]

kzbin.info/www/bejne/j4atqHWmirV3hNU I made this video that helps with the order! No, using preservative free drops long term doesn’t have any side effects that we know of unless you’re sensitive to an ingredient

[@leiyue812]

@@EyeSchoolwithDrD Many thanks!

[@kuiikangigi-mr7lx]

What to do while having a black fluid in eye

[@charlesdowns1691]

i enjoyed this content+helpful.

[@austinmeehan3522]

I will be trying out the dry eye spray! Thank you!

[@SunshinePalmer1]

I need materials of analysis of two artificial tears of different viscosity. please am a student optometrist and I need this ...

[@MrKitty-zv3dl]

You are so cute! My eyes feel better already.

[@jasmhus.]

Thank you @Eye School with Dr.D for the great information. What drops would you recommend for someone who had a Clear lenses exchange procedure? Something that would not blur the vision on artificial lenses? Many thanks

[@sandstormelliott]

Always interesting, and I love the dress.

[@arfaatkhan7598]

i am from pakistan and i am patient of steven joinses syndrome my eyes are completly dry n my treatment is continiue n iam using i lube ,lacrilube,5 times in day n tears plus in every 5 to 10 mins plzz make one vedio for steven joinses syndrome

[@rreddy4640]

Try genteal drops and eye gel. Hope it helps

[@keonheemiyvars9570]

Could you please tell me if tears naturale II artificial tears are good for my eyes?

[@g-mabetty3088]

This video is so helpful. Thanks

[@Sbannmarie]

Cute! “Join My pupils”

[@rexmonsselespejo7477]

Is this a lifetime treatment?

[@EyeSchoolwithDrD]

Dry eye is chronic, yes. Artificial tears help with symptoms but there may be better treatments out there for you.

[@rexmonsselespejo7477]

I agree. Artificial tears only work at the beginning. I have dry eyes for almost 15 yrs now. And only Ikervis works for me.

[@charlesdowns1691]

how about blink gel tears.

[@EyeSchoolwithDrD]

I do like blink tears in general!

[@corteltube]

I have tried every one..none for whatever I have.

[@boatman222345]

I suffer from severe dry eye as a esult of sjogren's syndrome. I have tried almost every preservative free eyedrop on the market and most of them not only don't help ease discomfort they increase it. Oasis, supposedly the best drop and certainly the most expensive OTC drop, actually stung my eyes! I used it once on the recomendation of my ophthalmologist and never again! About the only drop thT has worked for me is the preservative free Theratears drops.

[@rreddy4640]

It's terrible to have sjo. Syndrome. I have similar condition. Dry eyes severity is high. In the past I used thera tears. It was better. Later I used genteal gel it was similar. I am looking to find more better eye solutions for severe dry eyes. I have tried a lot but never ending dryness. If you come across better solutions let me know. Thanks

[@rreddy4640]

It's terrible to have sjo. Syndrome. I have similar condition. Dry eyes severity is high. In the past I used thera tears. It was better. Later I used genteal gel it was similar. I am looking to find more better eye solutions for severe dry eyes. I have tried a lot but never ending dryness. If you come across better solutions let me know. Thanks

[@TanyaScorpio]

I had lasix about 20 + years ago and wear glasses now still low under 2.0 vision. Well i have dry eyes always did...i went to our eye Institute (university) had a wonderful experience. They recommended me do the warm compress. So I'm on day 2 of wearing contacts daileys. I previously stopped wearing them due to a previous Dr gave me the wrong fitting 8.4 and my eye was always irritated. Anyway, I'm in the correct radius 8.6. Yes!! Anyway, thus far my left eye feels prefect but my right eye does feel a little dry. Today, I tried Blink they kinda felt a little burn so i didn't do them again. I tried Refresh relieva a few times they feel okay. But i wasn't the best drops considering i may use multiple drops times in a day. Should i try the Optase you mentioned on another video? Or the Refresh Alevia? I'm going to start taking omega 3. Also I work at a computer all day. I started blinking more per your advice. Sorry for the long book. Thank you again

[@denisejane6982]

I’m struggling to find an eye drop that doesn’t irritate my eyes and make them feel worse. I have severe ocular rosacea, blepharitis and MGD. This resulted in severe eye pain and photophobia, which forced me to quit my computer job and become housebound. I tried PF Refresh vials with and without the oil and my eye pain got worse. I was constantly putting the drops in and they felt constantly dry, gritty and burning. The more I put the drops in, the worse they got. Then I tried the Retaine MGD drops, which also caused worsening dryness symptoms and severe pain with worsening photophobia. Systaine PF original and ultra same thing with burning and extreme stickiness. I tried Oyasis plus PF and same issues with eyes burning and more irritated. I found Optase PF bottle at Walgreens snd started using those. They seem to be better tolerated for the dryness, but sometimes burn severely when I put them in. They are so expensive and now Walgreens stopped selling them. I don’t know what drops to use anymore!

[@denisejane6982]

Currently on Cequa, which also severely burns/irritates my eyes. Nothing helps!

[@rreddy4640]

Try thera eye drops and eye gel. Look to find if you have Sjogrens syndrome. Similar conditions exist.

[@dylanchalmers3011]

@Eye School with Dr. D eye twitching could be a sign of dry eyes

[@rakeshtailor8264]

Calmo dry eye spray.

[@charlesdowns1691]

i like the little vials.

[@yongwoo1020]

Graphics would be nice. This is too hard to follow.

[@arfaatkhan7598]

n plzz reply 🙏🙏🙏🙏

[@charlesdowns1691]

i like bio true. refresh. systane.

[@jengus1951]

Thank you for all this information!!!