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What’s The Link Between Dry Eye and Accutane (Acne Medication)

What’s The Link Between Dry Eye And Accutane 640×350Accutane, generically called isotretinoin, is an oral medication that is widely prescribed to treat severe acne that hasn’t responded to other treatments.

Although this drug often does a great job of reducing acne, it has several potential side effects that can affect many bodily systems, including the eyes.

Isotretinoin and Dry Eyes

Isotretinoin works by decreasing the size of the oil glands that secrete oil onto the skin. By reducing the production of the facial oils, the pores become less clogged and the amount of acne diminishes.

As the medication travels through the bloodstream, it also penetrates the eyelids’ meibomian glands, which produce the oil for tears.

These meibomian glands, which line the inner portion of the eyelids, play an important role in keeping the eyes hydrated and healthy by secreting oil to stabilize the tear film. When Accutane suppresses their function, the oil layer in the tear is inadequate, allowing excessive tear evaporation. As a result, the eyes dry out.

A 2012 study published in JAMA Dermatology analyzed the ocular effects of isotretinoin and concluded that taking it places patients at a significantly higher risk of experiencing a range of adverse ocular effects.

Common ocular conditions that were associated with this acne medication were dry eye syndrome, blepharitis, conjunctivitis, photosensitivity, contact lens intolerance and papilledema.

The researchers found that the ocular conditions resulted from changes to the cornea, eyelids, retina and meibomian glands. Additionally, the drug was found in the tear film and caused increased ocular irritation.

The good news is that these effects are often temporary, and resolve within a few months after completing treatment. One study, published in Optometry and Vision Science (2015), however, found that 1% of patients developed permanent meibomian gland dysfunction after taking isotretinoin.

How a Dry Eye Optometrist Can Help

Some dermatologists will refer their patients to an optometrist for a dry eye evaluation before prescribing isotretinoin to treat acne. If the patient already has signs of ocular surface disease or is taking other medications that interfere with tear production, the doctor may decide against prescribing isotretinoin.

We can help by thoroughly assessing your ocular condition to help your dermatologist determine the best acne treatment for you, as well as help you manage your dry eye symptoms.

If you or a loved one is currently taking or has taken isotretinoin and is experiencing symptoms of dry eye syndrome such as eye irritation or burning eyes, we can offer lasting treatment and solutions.

To schedule your dry eye consultation or learn more about our services, call Cornea and Contact Institute of Minnesota today.

 

Frequently Asked Questions with Dr. Zachary Holland

Q: Should I use lubricating eye drops while taking acne medication like isotretinoin?

  • A: Lubricating eye drops may be an appropriate treatment for medication-induced dry eye syndrome However always consult with your optometrist before purchasing drops from the drugstore. The huge range of choices in your local pharmacy can be hard to navigate alone, and not all eye drops will be right for you. We can help guide you to the best eye drops for your condition.

Q: What are the common symptoms of dry eye syndrome?

  • A: Common symptoms of dry eye syndrome include watery eyes, gritty eyes, burning or painful eyes, red and irritated eyes, mucus around the eyes, the inability to wear contact lenses, sensitivity to light and blurred vision. The frequency and severity of these symptoms can range greatly from patient to patient, and treatment will depend on the underlying cause of your symptoms.

serves patients from Edina, Maple Grove, Wayzata, and Excelsior, Minnesota and surrounding communities.

Request A Dry Eye Appointment
Think You Have Dry Eye? Call 952-300-2151

Blinking Exercises for Dry Eye

Blinking Exercises 640×350Did you know that the average person spends around 7 hours a day looking at a screen? The glare and reflections from computer, smartphone, and tablet screens can reduce blink rates by as much as 60%. When we concentrate intensely we tend to blink less, which can, in turn, lead to dry eye syndrome.

Symptoms of dry eye syndrome include red and dry eyes, irritated eyes, blurred vision, painful or stinging eyes, light sensitivity and mucus around the eyes.

Blinking helps keep our eyes healthy and comfortable. With every blink, the ocular surface is cleaned of debris and lubricated, so less blinking means more irritation and dryness.

Below are a few blinking exercises to help you ensure that your eyes remain lubricated and refreshed throughout the day.

Blinking Exercises

Blinking exercises are simple to do and can be seamlessly integrated into your daily routine. These exercises should be done a few times an hour. Try alternating between the 2 exercises below.

1. Close-Pause-Pause-Open-Relax

  1. Without squeezing, gently close your eyes.
  2. Pause and keep your eyes closed for 2 seconds.
  3. Gently open your eyes and relax them.
  4. Repeat 5 times

2. Close-Pause-Pause-Squeeze-Open-Relax

  1. Without squeezing, gently close your eyes.
  2. Pause and keep your eyes closed for 2 seconds.
  3. While keeping your eyes closed, squeeze your eyelids together slowly and gently.
  4. Gently open your eyes and relax them.
  5. Repeat 5 times

The Importance of Fully Blinking

It’s important to fully blink to completely lubricate your eyes. If you’re only partially blinking, it can render your dry eye symptoms worse.

To find out whether you are fully blinking, just look at your eyes in the mirror. If they feel dry or appear red, or if you see a horizontal stripe of red blood vessels across your eyes, then you have been partially blinking.

If you’ve incorporated blinking exercises into your routine but are still experiencing eye irritation, you may have dry eye syndrome. We can diagnose the underlying cause of your symptoms, and offer a variety of dry eye treatments to alleviate any discomfort. Schedule an eye exam with Cornea and Contact Institute of Minnesota today to receive effective, long-lasting relief.

Cornea and Contact Institute of Minnesota serves dry eye patients from Edina, Maple Grove, Wayzata, and Excelsior, Minnesota and surrounding communities.

Frequently Asked Questions with Dr. Zachary Holland

Q: What is dry eye syndrome?

  • A: Dry eye syndrome is caused either by insufficient tears or poor tear quality. Every time you blink, you leave a thin film of tears over the surface of your eyes. This helps keep your vision clear and your eyes healthy. If your tears don’t keep the surface of your eye moist enough, you will experience dry eye symptoms. Some medical conditions, certain medications, dysfunctional glands, allergies and environmental irritants can all cause dry eye symptoms.

Q: What are the symptoms of dry eyes?

  • A: Symptoms of dry eye include irritation; a gritty, scratchy or burning sensation; blurred vision; excessive tearing; and/or a feeling of having something stuck in the eye.

Request A Dry Eye Appointment
Think You Have Dry Eye? Call 952-300-2151

7 Ways to Wish Dry Eye ‘Goodbye’

7 Ways to Wish Dry Eye Goodbye 640×350There’s no reason to suffer through the uncomfortable, sometimes debilitating symptoms that can accompany dry eye syndrome. Living with chronically dry, red and irritated eyes can affect your productivity and overall enjoyment of life.

That’s why we’ve put together 7 of our top tips for relieving dry eye syndrome.

1. Stay Hydrated

The tears are mostly made up of water, supplied by the tear glands. People need to drink enough liquid to maintain a stable tear film, so if your body isn’t sufficiently hydrated, your eyes won’t be able to produce sufficient tears and will suffer the consequences.

Keep your water bottle at arm’s reach throughout the day. You can even sip on juices, broths and dairy or plant-based milk to keep your body and eyes properly hydrated. Many health authorities recommend drinking between 2-3 liters of hydrating fluids per day.

If your eyes have been feeling dry or irritated, try limiting your alcohol intake because it is a diuretic.

2. Use Artificial Tears

Artificial tears aren’t just great for making your eyes feel more comfortable; they also have protective properties that can prevent ocular surface damage from occurring or worsening.

The tricky part is choosing the correct drops for your specific condition.

By assessing your eyes, your eye doctor can determine what’s causing your eyes to be dry and recommend the most appropriate drops. There are numerous types of artificial tears on the market, and what may work for a friend or relative may not be the best option for you.

3. Up Your Omega-3 Intake

A healthy tear film consists of three layers: water, oil and mucus. An imbalance in any of these components can result in tears that evaporate prematurely. To ensure that your eyes can produce enough of the oils that stabilize your tears, include the recommended daily intake of Omega-3’s in your diet. You can take a supplement and/or eat foods like fatty fish, seeds and nuts.

*It’s best practice to speak with your healthcare provider before making any changes to your diet or introducing a new supplement to your routine.

4. Wear Sunglasses

Sunglasses not only reduce your glare symptoms and provide important UV protection but also effectively offer relief from dry eyes. Dry eyes are vulnerable to irritation from light winds that can dry out the eye’s tear film.

Whenever outdoors, wear a pair of protective wraparound sunglasses to minimize the effects of wind and seal out dirt and debris that can be carried in the breeze. For severe cases of dry eye syndrome, ask your optometrist about specific lenses or eye drops to provide even more relief from dry eyes.

5. Use a Humidifier

When the air around you is too dry, it pulls the remaining moisture from your tears, leaving your eyes feeling parched.

Humidifiers combat the dryness in any indoor environment by replenishing moisture in the air. Whether at work or home, use a humidifier to offset dryness, especially if you are using a fan, heater or air conditioner in the room.

6. Try Warm Compresses

Warm eye compresses are a great way to relieve symptoms of mild to moderate dry eye syndrome.

The gentle heat from a compress helps to soften any hardened oils that may be clogged in the little oil glands that line the eyelashes. Your oil glands will work more efficiently to deliver tear-stabilizing oils to your eyes’ surface once the glands aren’t blocked. Your eye doctor will instruct you on how to easily prepare a warm eye compress at home.

7. Visit Your Dry Eye Optometrist

Your [eye doctor] offers a range of successful options to treat your dry eyes to ensure you always have clear vision and comfortable eyes. Call your dry eye optometrist to have your eyes thoroughly evaluated and treated for long-lasting relief. There is a wide range of in-office treatments that can alleviate symptoms of dry eye syndrome and help your eyes feel refreshed.

To learn more about our dry eye services and schedule a consultation, call Cornea and Contact Institute of Minnesota in Edina today!

Cornea and Contact Institute of Minnesota serves dry eye patients from Edina, Maple Grove, Wayzata, and Excelsior, Minnesota and surrounding communities.

Frequently Asked Questions with Dr. Zachary Holland

Q: What are other symptoms of dry eye syndrome?

  • A: Aside from redness and dryness, dry eye syndrome can also cause watery eyes, stinging or burning, stringy mucus, blurred vision, grittiness, light sensitivity and difficulty wearing contact lenses. Symptoms can range from mild to debilitating, and from occasional to chronic.

Q: Does dry eye syndrome need to be treated?

  • A: If left untreated, dry eye syndrome can cause eye inflammation, corneal ulcers or abrasions and even vision loss in severe cases. Dry eye syndrome also puts a person more at risk of developing eye infections. If you have any symptoms of dry eye syndrome, contact us for a tailor-made treatment plan.

Request A Dry Eye Appointment
Think You Have Dry Eye? Call 952-300-2151

7 Common Questions About Dry Eye Syndrome, Answered

7 Common Questions About Dry Eye Syndrome, Answered 640×350Millions of people around the world live with a chronic eye condition called dry eye syndrome (DES). Although DES is quite common, many people don’t know much about it — and that’s where we come in.

Here are answers to 7 of the most commonly asked questions about dry eye syndrome.

1. What is Dry Eye Syndrome?

DES occurs when your eyes chronically lack hydration. The tears in your eyes are responsible for keeping them feeling fresh and your vision clear. When your tear production is disrupted, or the quality of your tears is insufficient, your eyes may feel dry and irritated. DES is most frequently a result of poor functioning of the glands in the eyelids, which produce essential oils for the tears.

2. What are the Symptoms and Causes of DES?

The main symptoms of dry eye syndrome include:

  • Red, painful eyes
  • Dry, irritated eyes
  • Watery eyes
  • Burning or stinging sensation
  • Foreign body sensation
  • [Mucus] around the eyes
  • Blurred vision
  • Sensitivity to light
  • Itchy eyes

Dry eye syndrome can be caused by several factors, including genetics and environment. Specific causes include, but aren’t limited to:

  • Aging
  • Certain medications
  • Eye allergies
  • Dysfunction of the glands in the eyelids
  • Hormonal fluctuations and hormone replacement therapy
  • Refractive surgery
  • Extended screen usage
  • Exposure to windy or dry climates
  • Infrequent or incomplete blinking
  • Polluted air

3. What are Risk Factors for Developing DES?

You are more likely to develop dry eye syndrome if you:

  • Are female
  • Are pregnant
  • Are above the age of 50
  • Have allergies
  • Have thyroid dysfunction
  • Are very deficient in Vitamin A
  • Have an autoimmune disorder, such as lupus or rheumatoid arthritis
  • Spend several hours per day in front of a digital screen
  • Smoke
  • Live in a place with poor air quality, such as large cities

4. Can DES Go Away On Its Own?

It really depends. If your dry eyes are caused by an external irritant or allergen, your symptoms will likely improve once the irritant is removed. Some people may only experience symptoms of dry eye syndrome in a dry climate, during allergy season, or after prolonged screen use (when people blink their eyes much less frequently), for example.

5. Is DES Permanent?

Although there are ways to manage and treat DES, it is considered a chronic condition. In many cases, symptoms may reappear if treatment stops. In other cases of DES, symptoms can be temporary, depending on the cause.

6. Is DES Harmful to Eye Health?

It can be. Severe dry eye syndrome can lead to corneal ulcers and scarring. In very rare cases, dry eye syndrome may produce partial blindness if left untreated.

7. How is DES treated?

There are several safe and effective treatments for dry eye syndrome. Treatment options will vary from patient to patient, depending on what’s causing your DES. Your optometrist will select the treatment that targets the underlying cause of your condition.

You may be prescribed medicated eye drops, lubricating eye drops, omega-3 supplements or in-office treatments to clean and/or improve the functioning of the glands in your eyelids. Speak with your optometrist about which treatment option is most suitable for you.

If you or a loved one is living with symptoms of dry eye syndrome, we can help. Cornea and Contact Institute of Minnesota provides the latest, most effective treatments for dry eye syndrome for long-lasting relief.

To schedule your dry eye consultation, call Cornea and Contact Institute of Minnesota in Edina today!

Cornea and Contact Institute of Minnesota serves patients from Edina, Maple Grove, Wayzata, Excelsior and surrounding communities.

Frequently Asked Questions with Dr. Zachary Holland

Q: What are some lifestyle choices that can help ease symptoms of dry eye syndrome?

  • A: Some patients find that staying hydrated and eating more omega-3 rich foods help with DES. You may also benefit from wearing sunglasses when outdoors and using a humidifier when indoors to replenish the moisture in the air.

Q: Should I use over-the-counter eye drops for my dry eyes?

  • A: There are so many eye drops at the pharmacy, so it can be hard to choose the right product for your eyes. If your eyes are feeling dry, head over to your local optometrist before resorting to an over-the-counter option.

Request A Dry Eye Appointment
Think You Have Dry Eye? Call 952-300-2151

What Causes Bulging Eyes?

What Causes Bulging Eyes 640×350When you look at a pair of healthy eyes, you shouldn’t be able to see the whites of the eye above or below the iris. If some white is always visible between the iris and eyelid, the eyes are considered to be protruding out of their normal position.

The medical term for this condition is exophthalmos, or proptosis, and is thought to affect about 1 in 4,000 individuals worldwide.

Bulging eyes aren’t a standalone condition, but rather a symptom of another health problem. Several medical conditions can cause one’s eye or eyes to bulge, and the treatment plan depends on the underlying condition.

It’s important to note that a sudden bulging of one eye is considered a medical emergency and requires immediate attention.

Common Causes of Bulging Eyes

The most common cause of exophthalmos is thyroid disorders, especially Grave’s disease (hyperthyroidism). Thyroid eye disease is a condition that causes the muscles, eyelids and tear glands to swell, resulting in a bulging appearance.

Symptoms of thyroid eye disease can include:

  • Painful eyes
  • Dry eyes
  • Irritated eyes
  • Sensitivity to light
  • Watery eyes
  • Blurred or double vision
  • Difficulty with eye movements
  • Pressure around or behind the eyes

Thyroid-related exophthalmos usually takes up to several months or years to manifest.

Other reasons for bulging eyes include:

  • Hypothyroidism
  • Neuroblastoma
  • Hemangioma
  • Bleeding behind the eyeball due to injury
  • Infection of the eye’s tissues
  • Lymphoma
  • Leukemia
  • Connective tissue disease
  • [Tumors]

What Should You Do If You Notice Your Eyes Protruding?

Sudden bulging should be addressed by a medical professional without delay.

Otherwise, schedule an appointment with your physician as well as your optometrist. Be prepared to answer questions about your symptoms, general health and family history to receive an accurate assessment and diagnosis.

How We Can Help

Left untreated, exophthalmos can lead to corneal dryness, inflammation of the eye tissue and dry eye syndrome. The eyes may not be able to close completely during a blink, making them prone to insufficient lubrication and hydration.

We can treat your dry eyes and relieve some of the uncomfortable symptoms associated with bulging eyes. Treatment will be tailor-made to meet the needs of your eyes and overall health status.

To schedule a consultation, call Cornea and Contact Institute of Minnesota in Edina today!

Cornea and Contact Institute of Minnesota serves patients from Edina, Maple Grove, Wayzata, and Excelsior, Minnesota and surrounding communities.

 

Frequently Asked Questions with Dr. Zachary Holland

Q: What is dry eye syndrome?

  • A: Dry eye syndrome (DES) is a condition characterized by chronic eye dryness that can be caused by genetic, environmental and other factors. Very often, it is caused by malfunctioning glands that secrete nourishing oils into the tear film. Symptoms of DES can include redness, irritation, watery eyes, blurred vision, light sensitivity, stringy eye mucus and eye pain. In many cases, DES is simple to treat.

Q: Can dry eye syndrome harm eye health?

  • A: Left untreated, dry eye syndrome can cause corneal ulcers, which may lead to permanent vision loss. If your eyes are giving you any trouble, speak to a dry eye optometrist, who can diagnose the problem and help you achieve the relief you seek.

Request A Dry Eye Appointment
Think You Have Dry Eye? Call 952-300-2151

Why Computer Use Can Cause Dry Eye & Eye Strain

Long Term Computer Use 640Nearly 60% of the Western world use some kind of digital device — a phone, computer, tablet, TV — for at least 5 hours a day. All that screen time can result in eye irritation and dryness. In fact, dry eyes and eye strain have become so common that researchers have coined a name for it: computer vision syndrome (CVS).

What is Computer Vision Syndrome?

Computer vision syndrome (CVS) is an eye condition commonly experienced after staring at a computer screen, at arm’s length or closer, for an extended period of time. It is characterized by eye strain and dry eyes.

Because more people work and study at home as a consequence of the COVID-19 pandemic, eye doctors are reporting a significant rise in the number of adults and children exhibiting these symptoms.

The symptoms of CVS include:

  • Red, watery eyes
  • Burning or stinging eyes
  • Sensitivity to light
  • Blurred vision
  • The feeling of having something in your eyes

Computer vision syndrome symptoms are similar to those found among dry eye syndrome sufferers, a condition that also tends to develop as a result of extended computer use when blinking is reduced. Blinking is critical for good eye health as it rejuvenates the tear film on your eyes, ensuring constant hydration and protecting them from damage.

5 Tips to Prevent CVS

Luckily, computer vision syndrome can be effectively managed with a few simple adjustments to your screen time.

  1. Take regular breaks. Follow the 20-20-20 rule to prevent staring at your screen for too long. Take a break from your computer or device for 20 seconds, every 20 minutes, and look at something at least 20 feet away.
  2. Adjust your angle. Make sure your screen is 20-28 inches from your eyes and that the center of the screen is 4-5 inches lower than eye level.
  3. Use a cool-air humidifier. A humidifier adds moisture to the air and prevents your eyes from drying out.
  4. Reduce glare. Your eyes work harder to read when there is glare reflecting off your screen. Make sure your screen is positioned in a way that prevents glare from windows and lighting. You can also add a glare filter for eye comfort.
  5. Get computer glasses. Computer glasses allow your eyes to focus on a computer screen with less effort and the blue-light filter may also reduce exposure to potentially harmful blue light emitted by digital devices.

By taking regular breaks from your screen, you give your eyes and body a much-needed rest. To learn more about computer vision syndrome and to receive treatment to alleviate dry eye symptoms and eye strain, contact Cornea and Contact Institute of Minnesota.

 

Frequently Asked Questions with our optometrists

 

Q: What’s the link between staring at a computer screen and dry eye?

  • A: Staring at a computer screen can reduce the number of times a person blinks by 30%. That’s problematic because blinking is essential for lubricating the eyes and keeping the protective tear film that covers the eye intact. If you find your eyes becoming irritated or uncomfortable at work, try to blink more, especially while using the computer and reading.

Q: Can blue light glasses help avoid computer vision syndrome and dry eye?

  • A: Spending long periods of time on a computer or device can negatively affect your eyes, potentially leading to computer vision syndrome and dry eye. Symptoms include blurred or double vision, headaches, eye strain, eye fatigue, sleep disruptions, and dry eyes. Computer glasses offer blue light protection by reducing the dangerous effects of blue light and the risks of computer vision syndrome.

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Cornea and Contact Institute of Minnesota serves patients from Edina, Maple Grove, Wayzata, and Excelsior, all throughout Minnesota.

Request A Dry Eye Appointment
Think You Have Dry Eye? Call 952-300-2151