Evotears Augentropfen, 3 ml

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The diagnostic challenge is further increased for dry eye disease because no single test is available to correctly diagnose its various forms. Current research suggests that inflammation at the ocular surface plays an important role in the pathogenesis of dry eye. 6

One recent article concluded that Murine Tears provided the drop volume closest to the volume of the natural tear fluid and was also the least expensive per year of treatment compared to artificial tears from seven other manufacturers. 23 The surface of your eye is covered by a thin layer of tears, called the Tear Film which protects, nourishes and lubricates the eye. EvoTears ® are the first water-free drops in the treatment of dry eyes, as they contain only the substance perfluorohexyloctane. Thus EvoTears ® does not require any additives such as preservatives, phosphates or emulsifiers. Carboxy methylcellulose (CMC, discussed below) and hydroxypropyl methylcellulose (discussed later) are polysaccharides known as mucilages. 8 The methyl and hydroxpropyl cellulose derivatives are widely used in artificial tear formulations. They increase the residence time of tears as well as increase the viscosity of tears. 8 Interestingly, the refractive index of 1% methylcellulose is 1.336, which closely matches that of human tears. 8

60 Blephaclean Sterile Eyelid Cleansing Wipes - 20 Wipes x 3

EvoTears is preservative, phosphate and water-free making it suitable for daily management of Dry Eye & MGD.

The definition and classification of dry eye disease: report of the Definition and Classification Subcommittee of the International Dry Eye WorkShop (2007). Ocul Surf 2007;5(2):75-92. Brignole F, Pisella PJ, Dupas B, et al. Efficacy and safety of 0.18% sodium hyaluronate in patients with moderate dry eye syndrome and superficial keratitis. Graefes Arch Clin Exp Ophthalmol 2005;243(6):531-8. Mertzanis P, Abetz L, Rajagopalan K, et al. The relative burden of dry eye in patients" lives: comparisons to a U.S. normative sample. Invest Ophthalmol Vis Sci 2005;46(1):46-50. EvoTears ® is lipophilic, thanks to the innovative substance perfluorohexyloctane, and yet has the same refractive index as the tear. Thus, vision is not impaired. McCabe E, Narayanan S. Advancements in anti-inflammatory therapy for dry eye syndrome. Optometry 2009; in press.Dry as well as irritated eyes. Red and painful eyelids. Waking up in the morning with encrusted eyelids. This could indicate a meibomian gland dysfunction, which is considered one of the main causes of dry eyes 2. What role do meibomian glands play in dry eyes? Simmons PA, Vehige JG. Clinical performance of a mid-viscosity artificial tear for dry eye treatment. Cornea 2007;26(3):294-302.

The recent International Dry Eye WorkShop (DEWS) defined dry eye disease as follows: Dry eye is a multifactorial disease of the tears and ocular surface that results in symptoms of discomfort, visual disturbance, and tear film instability with potential damage to the ocular surface. It is accompanied by increased osmolarity of the tear film and inflammation of the ocular surface. 2 As outlined in the DEWS definition, dry eye disease not only causes ocular irritation, but also affects the quality of the patients visual acuity and can affect the integrity of the ocular surface. The epidemiology of dry eye disease: report of the Epidemiology Subcommittee of the International Dry Eye WorkShop (2007). Ocul Surf 2007;5(2):93-107. Alcon. Tears Naturale. Available at: www.tears naturale.com/tears-naturale-bion-tears.asp (Accessed January 2009).Recent studies have shown that SH eye drops are useful in improving subjective symptoms (as well as the ocular health) of dry eye patients, treating lipid tear-deficient patients and managing Sjgrens syndrome patients. 16-20 Sodium hyaluronate also seems to have protective effects on the corneal epithelium. 21 Polyvinyl alcohol (PVA) based artificial tears, such as Murine Tears (Murine Eye Care), Tears Again (Cynacon/Ocusoft) and HypoTears (Novartis), also work on the principle of lubricating the ocular surface. Tears Again is available in the eyedrop as well as the gel formulation. All items are carefully inspected by our team prior to dispatch. If an item becomes damaged in transit, you must notify [email protected] no more than 24 hours after receiving your item, as items damaged in transit must be reported to the relevant carrier within 24 hours of delivery. Identification of the underlying cause of dry eye aids in successful treatment of this disease. However, its multifactorial nature makes it complicated to identify a single cause in a particular patient.

Johnson ME, Murphy PJ, Boulton M. Carbomer and sodium hyaluronate eyedrops for moderate dry eye treatment. Optom Vis Sci 2008;85(8):750-7.Khanal S, Tomlinson A, Pearce EI, et al. Effect of an oil-in-water emulsion on the tear physiology of patients with mild to moderate dry eye. Cornea 2007;26(2):175-81. The different components of artificial tears offer distinct advantages, and it is your responsibility to choose the best formulation for your patients dry eye therapy.