OcuMed 0.2%, Theratears Nutrition & Sterilid 
-  an effective combination treatment in dry eye / blepharitis cases
Here are the clinically noteworthy products we have used in our dry eye clinic which you are welcome to try. Their effectiveness depends upon which type of dry eye you have and whether your dry eye co-exists with anterior or posterior blepharitis  Only an examination can determine this so please don't email with questions.

TheraTears Lubricating Eye Drops: from £8.99 / box*
IN STOCK   
                             
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            £31.60 for 3 boxes       *£107.89 for 12 boxes

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 not only wet but 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. 

Theratears Liquid Gel : from £9.99 / box*
TWO IN STOCK
                            
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            £34.60 for 3 boxes   *£119.89 for 12 boxes

• Great for night time • Extra strength for daytime TheraTears Liquid Gel is just the right thickness to provide a less blurring, non-crusting, protective film that is ideal for night time use. It is also used for severely dry patients who need soothing longer-lasting protection during the day. Many frustrated dry eye patients report their eyes feel dry and irritated upon wakening. Try TheraTears Liquid Gel at bedtime and you will feel the difference in the morning. Like all the products featured it is preservative free.

Theratears Nutrition Capsules [4 weeks supply]: £19.80
WAITING FOR STOCK delayed until July
                         

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            £52.00  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. Eicosapentaenoic 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 : £21.00
Practice Pack         [ text below by Optometrist David Crystal MCOptom.DipTp ]

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          IN STOCK            50 x 0.40ml tubes containing 6 drops

The new Ocumed Tears 0.2% is the best of the Hyaluronate genre of dry eye products  I have seen during 20 years of specialising in this field. It is difficult to obtain in the UK, being hugely popular with German eye doctors. Like all Hyaluronate products it is not available on the NHS drug tariff. In our dry eye clinic, it has now displaced all the other lubricants listed here. Finally I can unreservedly recommend a single dry eye product - it's all rather exciting.

Ocumed tears is a preservative-free non-newtonian hypotonic fluid with biphasic muco-adhesive properties. This means it mimics human tears by not only gripping the eye's surface but actually penetrates 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 speeds downwards to close, Ocumed's viscosity decreases to allow non-frictional lid closure (great for corneal healing). Just 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" is not clever marketing terminology, it means Ocumed's molecules are almost the same size. 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. I am prescribing it before bed to lubricate the eye during the rapid eye movements (REM) of dream-phase sleep - and also upon wakening to fully re-hydrate the 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 is now used exclusively in our dry eye clinic.

Ocumed Tears 3 x Practice Packs of 50 : £53.00
IN STOCK                             150 x 0.40ml preservative-free tubes
web only offer                                                 
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Multi-buy discount - the use-by date is at least 18 months in advance.