Apply a warm compress to the eyes 2 times per day for 5-10 minutes. Gel eye masks, heating pads, a sock filled with dried rice microwaved for 20 seconds work well to retain the heat needed for this amount of time.
Follow warm compresses with gentle lid scrubs and lid massage. Use either pre-packaged wipes or baby shampoo and wash cloth.
Avenova lid cleanser applied with a Q-tip to upper and lower lids and lashes
Increase omega 3 fatty acids by eating more fish and flax seed, or begin fish oil supplements 1000-2000mg/day – Nordic Naturals® (650EPA/450DHA).
Begin using an artificial tear ointment. Apply a quarter inch strip into lower lids at bed time. Avoid sleeping with fans.
Begin Preservative free artificial tears x times per day. (Doctor will recommend)
Stay away from products that say “Redness Relief” or “Get the red out.”
Increase your water intake to 8-10 glasses per day.
Insertion of punctal plugs to increase tear retention on the eyes. They can be temporary (collagen) or semi-permanent (silicone).
Lotemax® – 1 drop in each eye 4 times per day for 1 week, taper to 3 times per day for 1 week, 2 times per day for 1 week, 1 time per day for 1 week and then stop
Restasis®/Xiidra® – 1 drop in each eye every 12 hours
Azasite - 1 drop in each eye at bedtime
Doxycycline – Oral tablets, take 40mg 2 times per day for 4 weeks, then 1 time per day for 4-8 weeks.