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Best Dry Eye Drops – Top 5 Over The Counter Eye Drops for Dry Eyes Recommended by Eye Surgeon - YouTube
Channel: Eye Channel by Eye Surgeon Dr Audrey Tai
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hello everyone this is dr audrey thai
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i'm a board-certified and
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fellowship-trained lasik and cataract
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surgeon
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ophthalmologist and cornea specialist
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welcome back to my channel
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i channel by eye surgeon in today's
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video
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i would like to talk to you about my top
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five choices of the over-the-counter
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dry eye drops these are the artificial
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tiers to treat dry eye disease
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this is not a sponsored video the
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products i recommend in this video
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are based on my own clinical experience
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treating dry eye disease patients
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in my practice and the in-depth research
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i did
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about the science behind the ingredients
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for different artificial tears
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as well as my personal experience using
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those eye drops
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to learn more about my practice you can
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follow me on facebook and linkedin
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at dr audrey thai and if you have
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learned anything new from this video
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don't forget to like and share this
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video and subscribe to my channel
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so you won't miss any new videos i make
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about eye health and eye surgery
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as a lasik surgeon and cornea specialist
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i often get patients with varying
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severity of dry eye disease
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referred to me from other eye doctors
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for each of my patients with dry eye
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disease i give them
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a written customized treatment plan
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all of the treatment plans include one
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or more over-the-counter artificial
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tiers
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and i specify which type of artificial
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tears that i recommend
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however if you are going to a pharmacy
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to choose artificial tears on your own
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the choices may be overwhelming there
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are typically more than 20 to 30
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different types of artificial tears
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available over the counter how do you
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know which one is the right one for you
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in this video i will go over with you
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about the science behind my top five
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picks of artificial tears
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for treating dry eye disease and to help
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you understand
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the differences between them and choose
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the artificial tears
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that works the best for you i have
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listed
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the links to my top five artificial
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tiers in the description down below
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if you would like to learn more about
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the science behind the ingredients of
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different artificial tears and why i
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would recommend
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certain artificial tears over other ones
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you can check out my video about the
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science behind
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artificial tears ingredients
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without further ado let's talk about
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artificial tears
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artificial tears are intended to
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supplement the natural tears that are
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made by the tear glands in our eyes
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the natural tears lubricate the surface
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of our eyes by forming a tear film
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the tear film has three layers the
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outermost layer
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is called the lipid layer this layer
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functions as a protective barrier to
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prevent tears from drying out too fast
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the middle layer is called the aqueous
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layer this watery layer contains the
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moisture we need
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to keep the surface of our eye
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lubricated
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the innermost layer of our tear film is
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called the mucin layer
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the museum layer functions as a bridge
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to keep the tear film
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attached to the surface of our eye it is
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called the cornea
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and it is the clear windshield of our
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eye
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an ideal artificial tear should be able
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to supplement
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all three layers of our tear film i will
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also be posting a more in-depth video
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about the mechanisms of dry eye disease
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and different types of dry eyes
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so make sure you subscribe to my channel
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so you won't miss any of my new videos
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i have divided my top five favorite
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artificial tears in two groups
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based on the severity of the dry eye
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disease
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mild to moderate and moderate to severe
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and i will list the top three artificial
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tiers that i recommend for mild to
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moderate dry disease
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as well as my top two picks to treat
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moderate to severe dry eye disease
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number three sustain complete made by
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ourcom
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it comes in a 10 ml bottle and uses
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polyquad
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as its preservative the reason i like it
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is because it uses nano droplet
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technology
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which is a type of nano emulsion drug
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delivery system
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using negatively charged submicron size
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carrier particles to provide greater
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surface area
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to improve the stability and absorption
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of the drop
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also sustain complete addresses all
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three layers of artificial tears and it
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contains
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polyethylene glycol as its active
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ingredient to form a protective layer
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over the mucous membrane on the surface
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of the eye
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to provide hydration as well as reducing
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inflammation
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in addition to that it contains
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hydroxypropagor
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aka hbigor it is a ph dependent molecule
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that can form a crosslinked network
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which merges with the natural tear film
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to form a protective layer to cover the
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damaged epithelial cells on the surface
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of the cornea
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this allows damaged epithelial cells to
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be able to repair themselves
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in a protective space in addition to
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that
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sustained complete contains mineral oil
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which targets the lipid layer of the
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tear film
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to prolong the effectiveness of the eye
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drop by reducing evaporation of the eye
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drop
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and the aqueous layer of the tear film
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this helps to retain moisture on the
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surface of the eye longer
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my number two pick for mild to moderate
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dry disease
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is refresh reliever made by allergan
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it contains active ingredients of
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carboxymethylcellulose
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sodium or cmc as well as glycerin
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both of the ingredients are
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water-soluble polymer that have
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characteristics similar to natural tears
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and therefore they can lubricate the
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surface of the eye with
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minimal disruption of the natural tears
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and glycerin
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can decrease the osmolarity of the tear
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foam on the surface of the eye
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to provide additional lubrication and
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promote
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epithelial cell growth among the
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inactive ingredients
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it contains sodium hyaluronate it helps
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repair corneal epithelial cells
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and the lower the tear film osmolarity
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the preservative used in refresh
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reliever
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is the purity oxidative preservative
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another reason i like refresh reliever
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is that it comes in both
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preservative containing and preservative
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free forms
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one of the unique thing about refresh
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reliever
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is that its preservative free version
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comes in a multi-dose 10
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ml bottle and this packaging wastes a
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lot fewer drops
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and it uses much less plastic packaging
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material comparing to the single-use
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vial packaging
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it saves money and it is convenient
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my favorite over-the-counter dryer drop
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for mild moderate dry disease
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is refreshed digital artificial tears
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made by allergan
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the difference between refresh digital
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versus refresh reliever
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is the added emollient component in
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refreshed digital artificial tiers
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digital artificial tears contain castor
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oil which is a natural ingredient
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derived from castor beans
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and it targets the lipid layer of tear
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film by reducing evaporation of the tear
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film
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and extending the effectiveness of
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artificial tears
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besides cmc and glycerin an additional
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active ingredient
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in refresh digital is polysorbate
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polysorbate can help blind the oil
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component and the water soluble
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component
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of the artificial tears to make the eye
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drop more
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soluble and easily spread across the
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surface of the eye
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the preservative using refresh digital
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is the pure white
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oxidative preservative i do wish the
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refresh digital preservative free
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was also available in the multi-dose
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bottle to reduce waste
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in moderate to severe dry disease people
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often need to use artificial tears very
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frequently throughout the day
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due to the severity of surface dryness
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sometimes as often as every hour to
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every two hours
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it is very important for people with
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moderate to severe dry eye disease
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to use preservative-free artificial
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tears to prevent any toxicity from such
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frequent application of the
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preservatives
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onto the surface of the eye
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one of my two favorite over-the-counter
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eye drops that can be used
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daily is refresh cellovist it is
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preservative free
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and contains the active ingredient of
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one percent cmc
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this is double the concentration of the
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cmc contained in other types of refresh
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eye drops the increased concentration of
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cmc
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will allow artificial tears to stay much
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longer on the surface of the eye
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however because of the higher
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concentration of the cmc
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cellular whisk is a fairly thick eye
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drop and i often remind my patients who
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are using it
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that because the eyedrop is very thick
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you may experience blue revision for a
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couple of minutes
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after putting it in make sure you blink
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a few times
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after putting the eye drop and don't put
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in the drop
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right before driving or operating other
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machinery
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my other favorite dry drop for moderate
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to severe dry disease is genteel eye gel
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made by alcom
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genteel gel is the thickest eye drop
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among my top five favorite artificial
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tiers
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it comes in a gel consistency and
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contains hyper mellow 0.3 percent
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hypermelos is short for hydroxyl propyl
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macrocellulose or hpmc
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it is an active ingredient that increase
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the viscosity of the eyedrop
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to extend the lubricating quality of the
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eye drop
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hpmc can cross-link when contacting the
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surface of the eye
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to slow down tear film evaporation
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genteo gel provides long-lasting
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lubrication to the surface of the eye
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because of its long-lasting lubricating
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quality i typically recommend my
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patients with severe dry
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disease to use genteel gel four times a
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day including at night before going to
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bed
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and also because it's in a gel form it
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causes less blurry vision than most of
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the counter eye ointments
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it is important to remember genteel gel
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can still cause some blur revision
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shortly after putting the eye drop
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so it is important not to put in the
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drop right before driving or operating
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other machinery
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and the preservative using gentile gel
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is sodium perperate
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brand name genocide it is an oxidative
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type of preservative
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i've listed in the description below
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links to my top five artificial tears
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that i mentioned in this video thank you
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for watching
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and i hope you find this video helpful
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in learning more about the science
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behind artificial tears
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and that this video will help you pick
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the artificial tears
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that work best for you please let me
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know which over-the-counter artificial
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tears are your favorite
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in the comments below if you find this
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video helpful
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please don't forget to like and share
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this video and subscribe to my channel
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to help me bring you more videos about
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eye health and eye surgery
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to learn more about my practice you can
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follow me on facebook
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at linkedin at dr audrey thai
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thank you again for watching and i will
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see you in my next video
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