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DESCRIPTION
If an eyelid is scratched and the scratch becomes infected, an ulcerated area may develop. Ulcerated eyelids also can occur as a result of chronic blepharitis. It is highly recommended to consult with your health care provider if you have any type of eye infection for proper diagnosis and treatment.
BLEPHARITIS OVERVIEW
Blepharitis is inflammation of the eyelid margins that may be acute or chronic. Symptoms and signs include itching and burning of the eyelid margins with redness, edema, and often, a sensation of having something in one's eye. Other possible symptoms include swelling of the eyelids, loss of eyelashes, excessive tearing, and sensitivity to light. Secretions may form crusts that "glue" the eyes together during sleep.
This condition is caused by an infection of the eyelash follicles or glands at the outer edges of the eyelids. Eyestrain, poor hygiene, poor living and sleeping habits, poor nutrition, and systemic disease with resulting immuno-depression commonly contribute to the problem. Blepharitis, may also be associated with seborrhea of the face or scalp.
There are 3 forms of blepharitis (staphylococcal, seborrheic, and MGD). All three forms of blepharitis are chronic in nature. People with staphylococcal blepharitis are relatively young (average age 42 years) with a short history of ocular symptoms (average about 1.8 years). People with seborrheic blepharitis and MGD blepharitis are generally older and have a longer history of ocular symptoms.
In staphylococcal blepharitis there is scaling and crusting along the eye lashes. In seborrheic blepharitis there is greasy scaling along the eyelashes. Patients frequently have seborrheic dermatitis as well. In Meibomian gland dysfunction (MGD) there are prominent blood vessels crossing the eyelid margin. In addition there is pouting or plugging of meibomian gland openings, and poor expressibility and/or turbidity of the oily meibomian secretions. Patients with MGD frequently are noted to have coexisting rosacea and seborrheic dermatitis. Use of isotretinoin (Accutane), an oral medication for severe cystic acne, has also been implicated as a cause of blepharitis.
BLEPHARITIS TYPES
Blepharitis is inflammation of the eyelids.
- Blepharitis angularis is inflammation involving the angles of the eyelids.
- Blepharitis ciliaris is also known as marginal blepharitis, a chronic inflammation of the hair follicles and sebaceous gland openings of the margins of the eyelids.
- Non-ulcerative blepharitis is also known as seborrheic blepharitis. Blepharitis with seborrhea of the scalp, brows, and skin behind the ears, marked by greasy scaling, hyperemia, and thickening.
Blepharitis may be acute (ulcerative or non-ulcerative) or chronic (meibomian gland dysfunction, seborrheic blepharitis).
ULCERATIVE BLEPHARITIS
Ulcerative blepharitis a form of blepharitis in which a staphylococcal infection of the follicles of the eyelashes and glands of the eyelids results in sticky crusts forming on the lid margins marked by small ulcerated areas.
If the crusts are pulled off, the skin beneath bleeds. Tiny pustules develop in the follicles of the eyelashes and break down to form shallow ulcers. Other symptoms include burning, itching, swelling, and redness of the eyelids; a loss of eyelashes; irritation of the conjunctiva with tearing; photophobia; and gluing together of the eyelids during sleep by the dried secretions.
ACUTE ULCERATIVE BLEPHARITIS
Acute ulcerative blepharitis is usually caused by bacterial infection (usually staphylococcal) of the eyelid margin at the origins of the eyelashes involving the lash follicles and the meibomian glands. It may also be due to a virus, such as herpes simplex, varicella zoster.
NON-ULCERATIVE BLEPHARITIS
Non-ulcerative blepharitis is a form of blepharitis characterized by greasy scales on the margins of the eyelids around the lashes and hyperemia and thickening of the skin. Non-ulcerative blepharitis is often associated with seborrheic dermatitis.
ACUTE NON-ULCERATIVE BLEPHARITIS
Acute non-ulcerative blepharitis is usually caused by an allergic reaction involving the same area, such as atopic blepharodermatitis and seasonal allergic blepharoconjunctivitis, which cause intense itching that leads to rubbing, causing the rash; or contact sensitivity (dermatoblepharoconjunctivitis).
CHRONIC BLEPHARITIS
Chronic blepharitis is non-infectious inflammation of unknown cause. Meibomian glands in the eyelid produce lipids (meibum) that reduce tear evaporation by forming a lipid layer on top of the aqueous tear layer. In meibomian gland dysfunction, the lipid composition is abnormal and gland ducts and orifices become inspissated with hard, waxy plugs. Many patients have rosacea (see Acne and Rosacea) and recurrent hordeola and chalazia (localized swellings of the eyelid that appear suddenly.)
Many patients with seborrheic blepharitis have seborrheic dermatitis of the face and scalp (see Dermatitis, Seborrheic Dermatitis, acne rosacea). Secondary bacterial colonization often occurs on the scales that develop on the eyelid margin. Meibomian glands can become obstructed. Most patients with meibomian gland dysfunction or seborrheic blepharitis have increased tear evaporation and secondary keratoconjunctivitis sicca.
MoonDragon's Health & Wellness: Eye Disorders: Blepharitis
DIAGNOSIS
Diagnosis is by history and examination.
Diagnosis is usually by slit-lamp examination. Chronic blepharitis that does not respond to treatment may require biopsy to exclude eyelid tumors that can simulate the condition.
SIGNS & SYMPTOMS
Symptoms common to all forms of blepharitis include itching and burning of the eyelid margins and conjunctival irritation with lacrimation, photosensitivity, and foreign body sensation.
Acute ulcerative blepharitis is usually caused by bacterial infection of the eyelid margin at the origins of the eyelash follicles and the meibomian glands. Eyelid margins become edematous and erythematous, and eyelashes become crusted with dried serous fluid.
Acute: In acute ulcerative blepharitis, small pustules may develop in eyelash follicles and eventually break down to form shallow marginal ulcers. Tenacious adherent crusts leave a bleeding surface when removed. Eyelids can become glued together by dried secretions during sleep. Recurrent ulcerative blepharitis can cause eyelid scars and loss of eyelashes.
In acute non-ulcerative blepharitis, eyelid margins become edematous and erythematous; eyelashes may become crusted with dried serous fluid.
Chronic blepharitis is caused by non-infectious inflammation associated with seborrheic dermatitis, or with meibomian gland dysfunction such as occurs in patients with rosacea.
Chronic: In meibomian gland dysfunction, examination reveals dilated, inspissated gland orifices that exude a waxy, thick, yellowish secretion with pressure. In seborrheic blepharitis, greasy, easily removable scales develop on eyelid margins. Most patients with seborrheic blepharitis and meibomian gland dysfunction have symptoms of keratoconjunctivitis sicca such as foreign body sensation, grittiness, eye strain and fatigue, and blurring with prolonged visual effort.
PROGNOSIS
Acute blepharitis most often responds to treatment but may recur, develop into chronic blepharitis, or both. Chronic blepharitis is indolent, recurrent, and resistant to treatment. Exacerbations are inconvenient, uncomfortable, and cosmetically unappealing but do not usually result in corneal scarring or vision loss.
TREATMENT
ACUTE ULCERATIVE BLEPHARITIS
Acute ulcerative blepharitis is usually treated with topical antibiotics or systemic antivirals. Acute non-ulcerative blepharitis is occasionally treated with topical corticosteroids.
Acute ulcerative blepharitis is treated with an antibiotic ointment (0.3% qid for 7 to 10 days).
- Bacitracin (AK-Tracin, Baciguent, Baciim): Bacitracin is used for the treatment of susceptible bacterial infections mainly; has activity against gram-positive bacilli; due to toxicity risks, systemic and irrigant uses of bacitracin should be limited to situations where less toxic alternatives would not be effective.
Ophthalmic Ointment Usage: Instill as many times per day as directed. Wash hands before using. Gently pull lower eyelid forward, instill prescribed amount of ointment into lower eyelid. Close eye and roll eyeball in all directions. May cause blurred vision; use caution when driving or engaging in tasks that require clear vision. Report any adverse reactions such as rash or itching, swelling of face or lips, burning or pain in eye, worsening of condition, or if condition does not improve.
Usual Ophthalmic Dosage: 500 units/g (3.5 g). Instill 1/4 inch to 1/2 inch ribbon every 3-4 hours into conjunctival sac for acute infections, or 2-3 times/day for mild-to-moderate infections for 7-10 days.
- Polymyxin B (Poly-RX): Polymyxin is used in the treatment of acute infections caused by susceptible strains of Pseudomonas aeruginosa; used occasionally for gut decontamination; parenteral use of polymyxin B has mainly been replaced by less toxic antibiotics, reserved for life-threatening infections caused by organisms resistant to the preferred drugs (eg, pseudomonal meningitis - intrathecal administration).
Ophthalmic Ointment Usage: Tilt head back, place medication into eyes (as frequently as prescribed), close eyes, apply light pressure over inside corner of the eye for 1 minute. Do not let tip of applicator touch eye; do not contaminate tip of applicator (may cause eye infection, eye damage, or vision loss). You may experience some stinging or burning or temporary blurring of vision; use caution driving or when engaging in hazardous tasks until vision clears. Report any adverse effects including respiratory difficulty or unusual numbness or tingling of mouth or tongue, increased nervousness or irritability, or excessive drowsiness.
Usual Opthalmic Dosage: A concentration of 0.1% to 0.25% is administered as 1-3 drops every hour, then increasing the interval as response indicates to 1-2 drops 4-6 times/day.
- Erythromycin (Ery-Tab, Erythrocin): Erythromycin is used in the treatment of superficial eye infections involving the conjunctiva or cornea; neonatal ophthalmia.
Ophthalmic Usage: Preparations should be used exactly as directed. Always wash hands before applying ophthalmic preparations and do not let tip of applicator touch eye or become contaminated.
Usual Ophthalmic Dosage:
Neonates Ophthalmic - Prophylaxis of neonatal gonococcal or chlamydial conjunctivitis: 0.5-1 cm ribbon of ointment should be instilled into each conjunctival sac.
Children & Adults Ophthalmic - Instill 1/2 inch (1.25 cm) 2-6 times/day depending on the severity of the infection.
- Gentamicin (Garamycin): Gentamicin is used in the treatment of susceptible bacterial infections, normally gram-negative organisms including Pseudomonas, Proteus, Serratia, and gram-positive Staphylococcus; treatment of bone infections, respiratory tract infections, skin and soft tissue infections, as well as abdominal and urinary tract infections, and septicemia; treatment of infective endocarditis; used topically to treat superficial infections of the skin or ophthalmic infections caused by susceptible bacteria.
Ophthalmic Usage: Administer any other ophthalmics 10 minutes before or after gentamicin preparations.
Usual Ophthalmic Dosage (Children & Adults:
Ointment: Instill 1/2 inch (1.25 cm) 2-3 times/day to every 3-4 hours.
Solution: Instill 1-2 drops every 2-4 hours, up to 2 drops every hour for severe infections.
Topical: Apply 3-4 times/day to affected area.
Acute viral ulcerative blepharitis is treated with systemic antivirals (e.g., for herpes simplex), 1 g po tid for 7 days).
- Acyclovir (Zovirax): Acyclorvir is used for cold sores, treatment should begin at with earliest symptom (tingling, itching, burning). For genital herpes, treatment should begin as soon as possible after the first signs and symptoms (within 72 hours of onset of first diagnosis or within 24 hours of onset of recurrent episodes). For herpes zoster, treatment should begin within 72 hours of onset of rash.
This medication is not a cure for genital herpes; it is not known if it will prevent transmission to others. Use appropriate precautions to prevent spread to other persons. Take as directed, with or without food. Begin use at first sign of herpes. Maintain adequate hydration (2-3 L/day of fluids) unless instructed to restrict fluid intake. May cause headache, dizziness (use caution when driving or engaging in potentially hazardous tasks until response to drug is known); or nausea, vomiting, or abdominal pain (small, frequent meals, frequent mouth care, chewing gum, or sucking lozenges may help). Immediately report difficulty swallowing or breathing; rash or hives; changes in menses; or other persistent unresolved adverse effects. Breast-feeding precaution: Consult prescriber if breast-feeding.
Usual Dosage: 400 mg po tid for 7 days.
For varicella zoster:
- Famciclovir (Famvir): Famciclovir is used for the treatment of acute herpes zoster (shingles); treatment and suppression of recurrent episodes of genital herpes in immunocompetent patients; treatment of herpes labialis (cold sores) in immunocompetent patients; treatment of recurrent mucocutaneous/genital herpes simplex in HIV-infected patients.
Take this medication for the prescribed length of time, even if condition improves. Do not discontinue without consulting prescriber. This is not a cure for genital herpes. May cause mild GI disturbances (eg, nausea, vomiting, constipation, diarrhea), fatigue, headache, or muscle aches and pains. If these are severe, contact prescriber. Breast-feeding precaution: Do not breast-feed.
Usual Dosage: 500 mg po tid.
- Valacyclovir (Valtrex): Valacyclovir is used in the treatment of herpes zoster (shingles) in immunocompetent patients; treatment of first-episode and recurrent genital herpes; suppression of recurrent genital herpes and reduction of heterosexual transmission of genital herpes in immunocompetent patients; suppression of genital herpes in HIV-infected individuals; treatment of herpes labialis (cold sores).
For cold sores, treatment should begin at with earliest symptom (tingling, itching, burning). For genital herpes, treatment should begin as soon as possible after the first signs and symptoms (within 72 hours of onset of first diagnosis or within 24 hours of onset of recurrent episodes). For herpes zoster, treatment should begin within 72 hours of onset of rash.
Usual Dosage: 1 g po tid for 7 days.
ACUTE NON-ULCERATIVE BLEPHARITIS
Treatment of acute non-ulcerative blepharitis begins with avoiding the offending action (eg, rubbing) or substance (eg, new eye drops). Warm compresses over the closed eyelid may relieve symptoms and speed resolution. If swelling persists longer than 24 hours, topical corticosteroids can be used.
- Fluorometholone (Larex, FML Forte, FML): Used for the treatment of steroid-responsive inflammatory conditions of the eye, ophthalmic ointment 0.1% tid for 7 days) can be used.
Usage: For ophthalmic use only. Apply prescribed amount as often as directed. Wash hands before using. Wipe away excess from skin around eye. Do not use any other eye preparation for at least 10 minutes. Do not touch tip of applicator to eye or any other surface. Do not share medication with anyone else. May cause sensitivity to bright light (dark glasses may help); temporary stinging or blurred vision may occur. Do not wear contacts during administration and for 15 minutes after. Inform prescriber if you experience eye pain, redness, burning, watering, dryness, double vision, puffiness around eye, vision changes, or other adverse eye response; worsening of condition or lack of improvement. Pregnancy/breast-feeding precautions: Inform prescriber if you are pregnant. Consult prescriber if breast-feeding.
Ointment: Gently squeeze the tube to apply to inside of lower lid. Close eye for 1-2 minutes and roll eyeball in all directions.
Suspension: Shake well before using. Tilt head back and look upward. Gently pull down lower lid and put drop(s) in inner corner of eye. Close eye and roll eyeball in all directions. Do not blink for 30 seconds. Apply gentle pressure to inner corner of eye for 30 seconds.
Warnings: May exacerbate severity of viral infections. Use caution in patients with history of herpes simplex. Re-evaluate after 2 days if symptoms have not improved. Prolonged use may result in glaucoma and injury to the optic nerve and lead to or mask secondary ocular infections (eg, bacterial, viral, fungal). Visual defects in acuity and field of vision may occur. Posterior subcapsular cataracts may form after long-term use. Use with caution in presence of glaucoma (steroids increase intraocular pressure). Perforation may occur with topical steroids in diseases which thin the cornea or sclera. Steroid use may delay healing after cataract surgery. Intraocular pressure should be monitored if this product is used for more than 10 days. Some products contain benzalkonium chloride which may be adsorbed by contact lenses; remove contacts prior to administration and wait 15 minutes before reinserting.
Ophthalmic Dosages:
Children greater than 2 years and Adults: Re-evaluate therapy if improvement is not seen within 2 days; use care not to discontinue prematurely; in chronic conditions, gradually decrease dosing frequency prior to discontinuing treatment.
Ointment (FML): Apply small amount (1/2 inch ribbon) to conjunctival sac 1-3 times/day; may increase application to every 4 hours during the initial 24-48 hours.
Suspension (FML): Instill 1 drop into conjunctival sac 2-4 times/day; may instill 1 drop every 4 hours during initial 24-48 hours.
FML Forte: Instill 1 drop into conjunctival sac 2-4 times/day.
Adults: Suspension (Flarex): Instill 1-2 drops into conjunctival sac 4 times/day; may increase application to 2 drops every 2 hours during initial 24-48 hours. Consult prescriber if no improvement after 14 days.
CHRONIC EYE DISEASE
Chronic disease is treated with warm compresses (meibomian gland dysfunction), eyelid hygiene (seborrheic blepharitis), tear supplements (seborrheic blepharitis, meibomian gland dysfunction), and occasionally oral antibiotics such as tetracycline or erythromycin (meibomian gland dysfunction).
The initial treatment for both meibomian gland dysfunction and seborrheic blepharitis is directed toward the secondary keratoconjunctivitis sicca (see Corneal Disorders: Keratoconjunctivitis Sicca). Tear supplements, bland ointments at night, and, if necessary, punctal plugs (inserts that obstruct the puncta and thus decrease tear drainage) are effective in most patients. If needed, additional treatment for meibomian gland dysfunction includes warm compresses to melt the waxy plugs and occasionally eyelid massage to extrude trapped secretions and coat the ocular surface. Tetracycline (e.g., Doxycycline 100 mg po bid tapered over 3 to 4 mo) may also be effective because it changes the composition of meibomian gland secretions. If needed, additional treatment for seborrheic blepharitis includes gentle cleansing of the eyelid margin 2 times a day with a cotton swab dipped in a dilute solution of baby shampoo (2 to 3 drops in 1/2 cup of warm water). A topical antibiotic ointment (Bacitracin / Polymyxin B / Sulfacetamide, 10% bid for up to 3 mo) may be added to reduce bacterial counts on the eyelid margin when cases are unresponsive to weeks of eyelid hygiene.
- Tetracycline (Achromycin V, Tetracyn, Tetrex): Treatment of susceptible bacterial infections of both gram-positive and gram-negative organisms; also infections due to Mycoplasma, Chlamydia, and Rickettsia; indicated for acne, exacerbations of chronic bronchitis, and treatment of gonorrhea and syphilis in patients who are allergic to penicillin; as part of a multidrug regimen for H. pylori eradication to reduce the risk of duodenal ulcer recurrence.
Do not use more or more often than recommended. Preferable to take on an empty stomach, 1 hour before or 2 hours after meals. Take at regularly scheduled times, around-the-clock. Avoid antacids, iron, or dairy products within 2 hours of taking tetracycline. You may experience photosensitivity (use sunscreen, wear protective clothing and eyewear, and avoid direct sunlight); dizziness or lightheadedness (use caution when driving or engaging in tasks requiring alertness until response to drug is known); or nausea/vomiting (small, frequent meals, frequent mouth care, chewing gum, or sucking lozenges may help). Report rash or intense itching, yellowing of skin or eyes, fever or chills, blackened stool, vaginal itching or discharge, foul-smelling stools, excessive thirst or urination, acute headache, unresolved or persistent diarrhea, respiratory difficulty, condition does not improve, or worsening of condition. Pregnancy/breast-feeding precautions: Do not get pregnant while taking this medication. Use appropriate barrier contraceptive measures. Breast-feeding is not recommended.
- Doxycycline (Periostat, Vibramycin): Doxycycline is a Tetracycline derivative used principally in the treatment of infections caused by susceptible Rickettsia, Chlamydia, and Mycoplasma; alternative to mefloquine for malaria prophylaxis; treatment for syphilis, uncomplicated Neisseria gonorrhoeae, Listeria, Actinomyces israelii, and Clostridium infections in penicillin-allergic patients; used for community-acquired pneumonia and other common infections due to susceptible organisms; anthrax due to Bacillus anthracis, including inhalational anthrax (postexposure); treatment of infections caused by uncommon susceptible gram-negative and gram-positive organisms including Borrelia recurrentis, Ureaplasma urealyticum, Haemophilus ducreyi, Yersinia pestis, Francisella tularensis, Vibrio cholerae, Campylobacter fetus, Brucella spp, Bartonella bacilliformis, and Calymmatobacterium granulomatis, Q fever, Lyme disease; treatment of inflammatory lesions associated with rosacea; intestinal amebiasis; severe acne.
If administered by infusion, report immediately any acute back pain, difficulty breathing or swallowing, chest tightness, pain, redness, or swelling at infusion site. Oral: Do not take any new medication during therapy unless approved by prescriber. Take entire prescription as directed, even if you are feeling better. Follow exact directions for administering the form of drug you are using (eg, tablet, capsules, liquid, or delayed release). Generally, the medication may be taken with food if gastric irritation occurs. Avoid alcohol and maintain adequate hydration (2-3 L/day of fluids) unless instructed to restrict fluid intake. If you have diabetes, drug may cause false test results with Clinistix® urine glucose monitoring; use of another form of glucose monitoring is recommended. You may be sensitive to sunlight (use sunblock, wear protective clothing and eyewear, or avoid exposure to direct sunlight). May cause nausea or vomiting (small frequent meals, frequent mouth care, or sucking lozenges may help) or diarrhea (buttermilk, boiled milk, or yogurt may help). Report skin rash or itching; easy bruising or bleeding; yellowing of skin or eyes; pale stool or dark urine; unhealed mouth sores; vaginal itching or discharge; persistent diarrhea; and fever, chills, or unusual cough. Pregnancy/breast-feeding precautions: Inform prescriber if you are pregnant. Do not get pregnant while taking this medication. Consult prescriber for appropriate barrier contraceptive measures. Breast-feeding is not recommended.
Usual dosage range:
Children greater than 8 years (Under 45 kg): Oral, I.V.: 2-5 mg/kg/day in 1-2 divided doses, not to exceed 200 mg/day.
Children greater than 8 years (More than 45 kg) and Adults: Oral, I.V.: 100-200 mg/day in 1-2 divided doses.
- Bacitracin (AK-Tracin, Baciquent, Baciim): See Above.
- Polymyxin B (Poly-RX):See Above.
- Sulfacetamide (Bleph-10): Sulfacetamide is used as an ophthalmic treatment and prophylaxis of conjunctivitis due to susceptible organisms; corneal ulcers; adjunctive treatment with systemic sulfonamides for therapy of trachoma.
Ophthalmic Use Warnings: Inactivated by purulent exudates containing PABA; use with caution in severe dry eye; ointment may retard corneal epithelial healing. For topical application to the eye only; not for injection. Safety and efficacy have not been established in children under 2 months of age. Adverse Ocular (following ophthalmic application) reactions include burning, conjunctivitis, conjunctival hyperemia, corneal ulcers, irritation, stinging.
Ophthalmic doses for children greater than 2 months and Adults:
- Ointment: Apply to lower conjunctival sac 1-4 times/day and at bedtime.
- Solution: Instill 1-2 drops several times daily up to every 2-3 hours in lower conjunctival sac during waking hours and less frequently at night; increase dosing interval as condition responds. Usual duration of treatment: 7-10 days.
- Trachoma: Instill 2 drops into the conjunctival sac every 2 hours; must be used in conjunction with systemic therapy.
Use as directed. Complete full course of therapy even if condition appears improved. Pregnancy/breast-feeding precautions: Inform prescriber if you are pregnant. Consult prescriber if breast-feeding. For ophthalmic use, do not use other eye preparations at this time without consulting prescriber. Store at room temperature. Shake solution before using. Apply prescribed amount as often as directed. Wash hands before using. Do not let tip of applicator touch eye; do not contaminate tip of applicator (may cause eye infection, eye damage, or vision loss). When using solution, tilt head back and look upward. Gently pull down lower lid and put drop(s) in inner corner of eye. When using ointment, place medicine inside the lower lid, close eye, and roll eyeball in all directions. Do not blink for 1/2 minute. Apply gentle pressure to inner corner of eye for 30 seconds. Wipe away excess from skin around eye. Do not use any other eye preparation for at least 10 minutes. Do not share medication with anyone else. May cause sensitivity to bright light (dark glasses may help); temporary stinging or blurred vision may occur. Inform prescriber if you experience eye pain, redness, burning, watering, dryness, double vision, puffiness around eye, vision changes, or other adverse eye response; worsening of condition or lack of improvement within 3-4 days.
HOLISTIC RECOMMENDATIONS & NUTRITION
HERBS
If an eye becomes inflamed due to an ulcerated eyelid, take Yellow Dock tea. Yellow Dock tea can also be used to make a compress. Saturate a clean cotton cloth or piece of sterile cotton with the tea, and apply it to the inflamed eyelid. Leave the compress in place for 10 to 15 minutes. Repeat the procedure several times daily, as needed.
Herbal Remedies: Yellow Dock Root, 500 mg, 100 Caps
Yellow Dock root is one of the best blood cleansing herbs for chronic skin diseases, purges lymph glands, liver ailments, psoriasis, anemia, rheumatism, coughs and helps with Iron deficiency.
Herbal Remedies: Yellow Dock Supplement Tincture, 2 fl. oz.
This Yellow Dock Supplement is used in treating conditions of the blood and glandular system and is indicated in scrofula, eruptive diseases, especially when discharges are experienced, as in running of the ears, ulcerated eyelids and skin conditions, itch, scurvy, brittle nails, etc.
NUTRITIONAL SUPPLEMENTS
The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for those over the age of 18. For a child between 12 and 17 years old, reduce the dose to 3/4 the recommended amount. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended amount.
EYE CARE SUPPLEMENTS & PRODUCTS
Information, supplements and products for eye-related problems.
Beta Carotene (Natural Dunaliella Salina), 100% Natural, Nature's Way, 25,000 IU, 100 Softgels
Nature's Way Beta Carotene is 100% all natural from Dunaliella Salina.CamoClear Soothing Eye Wash, Herbal Eye Wash, CamoCare, 10 Single Use Droppers
CamoClear Soothing Herbal Eye wash gives you instant, natural and long lasting relief for dry, tired or irritated eyes, due to dust, pollen, pollution, smoke irritants, sun glare, wind, swimming, air conditioning/heating and computer work.Clear Eye Herbal Tea, 20 Tea Bags
To nurture the eye and pacify the nervous system, protect retina, and improve eyesight.Clear Eye & Sharp Ear, TCM Formula, Shanze Xiaozhi, 60 Caps
Clear Eye & Sharp Ear Chinese Formulas are made of extracts from astragalus root, pueraria root, seashore vitex, common peony root, cimicifuge, phellodendron, licorice, cnidium, Chinese angelica root (Dong Quai) and ginseng.Digestive Enzymes, 750 mg, 100 Caps
Since cooking destroys many of the digestive enzymes in food, taking plant fiber-based digestive enzymes aids in digesting even the heaviest meal.Dry Eye Relief Eye Drops, Homeopathic, 0.33 fl. oz.
Eye Doctor recommended Similasan Eye Drops for dry, red eyes stimulate the eye's natural ability to fight dryness and clear redness due to smog, stress, age, contact lens wear, etc.Essential Fatty Acids, By Deborah Lee
"Woodland Health Series". Describes the benefits and functions of the three essential fatty acids, linoleic acid, linolenic acid and arachidonic acid.EyeFactor HAÖ for Healthy Vision with HA, Hyalogic, 120 Count
Hyaluronic acid makes up 95% of the fluid inside the eye. Acts as a shock absorber for the eye and also serves to transport nutrients into the eye.Eye Support Formula With Bilberry, Lutein & Antioxidants, NOW Foods, 60 Caps
NOW "Health Care Provider Recommended" Eye Support Formula eye supplement offers a full range of antioxidant nutrients which may aid in maintaining some visual functions with Lutein and Bilberry.Fisol Fish Oil Supplement, EPA DHA, Enteric Coated, Nature's Way, 500 mg, 90 Softgels
Fisol, enteric coated, fish oil supplement delivers 30% EPA and 20% DHA. The unique coating withstands stomach acid so Fisol dissolves in the small intestine and maximizes the body's absorption of Omega-3 Essential Fatty Acids.Magnesium Citrate Complex, Nature's Way, 250 mg, 100 Caps
Nature's Way Magnesium Citrate is an advanced chelate from which enhances absorption of magnesium by providing excellent solubility.Nature's Way Ginkgold Eyes Plus Lutein, 20 mg, Vegetarian, Eye Supplement, 60 Caps
Nature's Way Ginkgold eye supplement supports visual function and is the only Ginkgo extract shown to stimulate activity in all areas of the brainNeuromins DHA Supplement (Docosahexaenoic Acid), Nature's Way, 100 mg, 60 Softgels
Neuromins brand high quality DHA Supplement is sourced from microalgae and fortified with Vitamin C and E.Once Daily Multi-Vitamin With Iron, All Natural, Lactose Free, Nature's Way, 100 Tabs
Nature's Way Daily Multi Vitamin with Iron provides many of the essential nutrients that modern diets may lack. They are useful for protection, growth and maintenance of body systems as they age.Selenium, 100% Natural, 200 mcg, 100 Caps
Selenium is an essential component of glutathione, the body's most potent natural antioxidant system. It is a popular choice in many antioxidant regimens.Synthovial Seven, Pure Hyaluronic Acid, Hyalogic, 1 oz.
Hyaluronic Acid (HA) has been proven by numerous medical studies to alleviate pain and suffering from arthritis of the knee and other joints.Taurine, Free Form, NOW Foods, 500 mg, 100 Caps
Taurine is a conditionally essential amino acid which is not utilized in protein synthesis, but is mainly found free in most tissues, especially throughout the nervous system.Visi Clear With Lutein, Bilberry, Zeaxanthin & Lycopene, 60 Caps
Visi Clear Eye Vitamin with Lutein and Bilberry is one of the few products that provide both lutein and whole kale and Zeaxanthin, another powerful carotenoid, to maximize antioxidant activity.Vision Formula With Lutein & Bilberry, Eye Supplement, 60 Caps
Vision formula with Lutein & Bilberry Eye Supplement supports normal eye function by utilizing Lutein, a key carotenoid found in fruits and vegetables, which protects the retina by blocking harmful blue light.Vitamin A, 100% Natural, Nature's Way, 100 Softgels
Nature's Way Vitamin A is 100% natural from fish liver oil. It contains no artificial ingredients or preservatives.Vitamin B-12 Supplements & Products
An assortment of various B-12 products.Zinc Chelate, 100% Natural, Zinc Supplement, Nature's Way, 30 mg, 100 Caps
Nature's Way chelated Zinc supplement is 100% natural chelated with an advanced amino acid complex for superior absorption.
Herbal Remedies: Eye Problem Information
Herbal Remedies: Conjunctivitis Information
Herbal Remedies: Stye Information
NOTIFY YOUR HEALTH CARE PROVIDER IF...
You or a family member (such as a child) is having problems distinguishing colors or find colors confusing. This member may need to be tested for color blindness.
You or a family member are having problems with vision and/or you suspect an infection. Call your health care provider immediately if you experience severe eye pain or a sudden change in your vision, such as loss of vision or double vision.
You have any increase of symptoms. You may need frequent changes in your eyeglass prescription. If you have blurred or double vision that develops slowly; are having a problem seeing because of daytime glare or have difficulty driving at night because of glare from headlights, you need to see your health care provider.
You have any unexpected or unusual symptoms. There may be underlying health issues that need to be addressed.
Are having vision problems that are affecting your ability to perform daily activities.
Call your child's health care provider if your baby does not look directly at or respond readily to faces or large, colorful objects by age 2 to 3 months or if your child scowls, squints, or shields his or her eyes more than expected when in sunlight, or light seems to hurt your child's eyes.
You and your family members should have your eyesight checked regularly by your health care provider to rule out any problems and to receive a prescription for contacts or eyeglasses, if they are needed. Preserve you vision... it is very important.
TYPES OF EYE PROBLEMS & DISORDERS
Maintaining Healthy Eyes
HELPFUL RELATED LINKS
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HELPFUL PRODUCTS & FURTHER EDUCATION
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 2nd Edition
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- by Phyllis A. Balch
The Complete Guide to Natural Healing
If you see a suggested Amazon product "not there" as indicated by an orange box with the Amazon logo, this only means the specific product link has been changed by Amazon.com. Use the "click here" icon on the orange box and it will bring you to Amazon.com and you can do a search for a specific product using keywords and a new list of available products and prices will show. Their product and resource links are constantly changing and being upgraded. Many times there are more than one link to a specific product. Prices will vary between product distributors so it pays to shop around and do price comparisons.
Educational materials and health products are available through Amazon.com. Use the search box provided below to search for a particular item.
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