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A growing body of evidence links the dietary intake of omega fatty acids with benefits for patients with dry eye conditions.  Essential fatty acids provides the building blocks for the prostaglandins that modulate tissue inflammation. Because of the benefits to vascular, cardiac, chlosterol, skin and dry eyes, most clinicians suggest 2g to 3g per day of high-quality OTC fish oil capsules or flaxseed. 

Lid scrubs help to remove oil, bacteria and debris, as well as to stimulate the eyelid oil glands. Baby shampoo has historically been recommended to patients with seborrheic forms of lid disease. But even though the bottle says "No Tears", it often irritates the eyes. OcuSoft (OcuSoft) and SteriLid (Advanced Vision Research) are bactericidal OTC products available in pharmacies. These products may be less irritating to the conjunctiva than shampoo or soap. 

Using Drops

Doxycycline and other tetracyclines appear to inhibit bacterial lipase production. This reduces free fatty acids, which helps to reduce inflammation and the symptoms of dry eyes. Tetracyclines also help inhibit keratinization of the meibomian glands, and also reduce the number of eyelid bacteria.  The current modality is to prescribe doxycycline dosage 100mg twice a day for one month and reduce the dosage to 20mg to 50mg twice a day. for a two-month course. Patients may be kept on a maintenance dose as long as necessary.

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