OcuMed, Theratears Nutrition & Sterilid
Effective treatments for dry eye and blepharitis

In our dry eye clinic, these are the products which are most often prescribed. Our experience is that new dry eye products are not always a step forward and there is certainly nothing as good as human tears, which is why punctal occlusion is so effective. Some products appear similar by their ingredients yet have different clinical results. The correct treatment for you depends upon the cause of your dry eye which only be determined by professional examination and consultation.

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Below are links to other effective dry eye products.

SUPRANETTES (mechanical lid cleaning wipe without any irritating boric acid) VISMED MULTI ( convenient multi-dosing hyaluronate ) BLEPHASOL and BLEPHACLEAN (a technically advance in mechanical lid wipes) EYE LOGIC LIPISOMAL SPRAY ( for evaporative dry eye )

TheraTears Lubricating Eye Drops: £10.50
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TheraTears Lubricant Eye Drops have provided relief to many sufferers in North America, now they are available in the UK. Unlike other products that simply lubricate the eye's surface, TheraTears is an electrolyte solution specifically designed to lower elevated tear film osmolarity and be sufficiently hypotonic to rehydrate the eye. Its method of action is based on a comprehensive understanding of the mechanism of ocular dryness and incontrovertible biological principles. Box contains 24 x 0.6mL ampules.

Clinitas Soothe 0.4% Sodium Hyaluronate : £9.30
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• Great for night time
• re-sealable caps are useful
This is a clinical substitute for Ocumed Tears which is sometimes difficult to obtain. Soothe's composite hyaluronate contains more impurities than Ocumed's but still has good visco-elastic properties. It has the highest viscosity of any hyaluronate product commercially available. When Ocumed was out of stock a few patients actually preferred it. Soothe 0.4% certainly does not feel twice as thick as 0.2% Ocumed. The re-sealable tops are welcome. Like all the products featured it is preservative free.

Theratears Nutrition Capsules [4 weeks supply]: £20.30
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            £54.00 for 3 tubs [ 12 weeks treatment supply ]
Now available to all dry eye patients, TheraTears Nutrition is taken by mouth and is a dietary supplement of pharmaceutical grade EPA typed omega-3 with DHA-enriched flaxseed oil and vitamin E. Eciosapentaenoic acid (EPA) suppresses high levels of TNFa which cause lacrimal gland cell death in Sjogren's Sydrome and other aqueous deficiency dry eye conditions. The anti-inflammatory effects of EPA also extend to meibomium glands and this explains why this formulation is so helpful in treating dry eye patients with posterior blepharitis or meimbomitis.
Contra-indicated for patients taking anti-coagulant blood thinning medicines such as Warfarin. A welcome side effect is that many patients with inflammatory arthritic joint problems report a significant decrease in symptoms. Begins to work 6-8 weeks from start with full effect after 12 weeks.

Ocumed Tears 0.2% High Definition :
50 Capsules   UNFORTUNATELY CEASED PRODUCTION TRY SOOTHE
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                   50 x 0.40ml capsules containing 6-7 drops
Ocumed Tears 0.2% still reigns supreme of the Sodium Hyaluronate (SH) genre of dry eye products on the market. It is sometimes difficult to obtain, with German hospitals and laser eye surgery clinics having priority of supply. Here in the UK it is not available on the NHS drug tariff.

The SH used in Ocumed tears has a very high molecular weight above 1million Daltons and it is impossible to manufacture a 0.4% solution with this because it is produced sterile by a fermentation process using 0.2micron filtration. Ocumed is free of animal proteins and the phosphate levels in Ocumed are physiological - same as in human tears.

The SH used in other products have lower molecular weights which bind less water and will disperse more quickly from the eye with much lower biological efficacy (moisturising and anti - inflammatory effect ). Cheaper lower molecular weight products are typically of animal origin and can be considered as a break down product of the high molecular weight product with chemical additives.

Ocumed tears is a preservative-free non-newtonian hypotonic fluid with biphasic muco-adhesive properties. This means it mimics human tears by gripping the eye's surface and penetrates human tissue to re-hydrate the eye. It is impossible to over-dose - the dry eye simply absorbs what it needs to fully hydrate from the Ocumed. Then with a blink, as the upper lid closes, Ocumed's viscosity decreases to allow non-frictional lid closure (great for corneal healing). Moments after a blink, Ocumed's viscosity increases, giving extended wetability during the waiting time before the next lubricating blink - perfect for computer users starring at screens in air conditioned offices. What sets Ocumed apart from other Hyaluronate products is its manufacturing purity. "High definition" - in pharmacology means molecules almost the same size without impurities. It is this attention to detail which gives Ocumed its clinical lead. Somehow the manufacturers have created a non-blurring super lubricant that lasts a long time with no side effects. Used before sleep to lubricate during the rapid eye movements (REM) of dream-phase sleep - and saturate dosing upon wakening to fully re-hydrate a dry eye at the day's start. Dry eye patients no longer require sticky gels at night and short-acting watery products during the day.

Ocumed Tears 3 x Box 50 :
150 Capsules -     UNFORTUNATELY CEASED PRODUCTION TRY SOOTHE
lasts around five months using one a day.

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         Use-by dates are at least 12 months in advance.



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