2 ms·

Instead of putting and accumulating PFAS in your body, just get punctal cauterization. No drops will be needed thereafter.

cyberax 11mo ago
I have punctal plugs. They helped quite a bit, but for most people with dry eyes it's the lack of the lipid layer that is causing problems. Not the lack of water.
- OutOfHere 11mo ago
  Punctual plugs are not as great as cauterization for multiple reasons. Firstly, plugs keep dropping off and getting lost over time. Secondly, they probably won't seal the gap fully. The lipid emission will heal partially if one supplements vitamin A (10k IU) softgel, omega-3 triglyceride ester, taurine, and at least 4K IU of vitamin D3. It will heal enough to work. The D3 in this dose is for freezing autoimmune degeneration. I have severe dry eye and I never need any drops except if I am wearing contact lenses.
  - cyberax 11mo ago
    Before committing to plugs, I tried temporary plugs made of (essentially) collagen. They completely seal the tear ducts, and they were just as effective as my current plugs. And my plugs have been in place for 10 years so far. > The lipid emission will heal partially if one supplements vitamin A (10k IU) softgel, omega-3 triglyceride ester, taurine, and at least 4K IU of vitamin D3. It will heal enough to work. Omega-3 acids help a tiny bit, and I'm getting D3 and A from multivitamins. And I'm doing all other recommended stuff: eyelid washing, compresses, IPL, etc. Over the years, I tried discontinuing all of that a few times, and my symptoms worsened as a result. But not by much. PFHO is the most effective "artificial tears" type product. Nothing comes close to it.
    - OutOfHere 11mo ago
      > PFHO Here we go again with the PFAS. It is the stuff to prefer the least, not the most. > I'm getting D3 and A from multivitamins That fails completely because they almost always don't have softgel oil-dissolve forms or the right dose at all. They're generally very far from it. It is exactly what leads to the autoimmune issue of dry eyes in the first place.
      - cyberax 11mo ago
        Yeah, yeah. Sure. > That fails completely because they almost always don't have softgel oil-dissolve forms or the right dose at all I tried tons of forms. My current ones are gel-filled capsules. Rather large ones, at that. Sorry, but there's a huge amount of scholarly literature on this question. I've read tons of it over the years, and there is NO magical supplement that does anything but mildly improve the situation.
        OutOfHere 11mo ago
        Forms alone won't accomplish anything if the dose isn't correct. With regard to vitamin A, some people confuse it with beta carotene, with the latter not working so well for this effect. Vitamin A even has evidence backing it as per PMC6462169. It does take a few weeks to begin to work. Even mild improvements stack up. It may not eliminate the need for an additional intervention, but it can mean the difference between whether the additional intervention will work or fail.
        cyberax 11mo ago
        Again, I read that and tried various forms. Yes, they do help a bit. No, they don't help a lot. The study you cited find only a weak effect on some endpoints. Same for fish oil and various omega-3 acids. The effects are either weak or in some cases non-existent ( https://www.nejm.org/doi/full/10.1056/NEJMoa1709691 https://www.nejm.org/doi/full/10.1056/NEJMoa1709691 ).
        11mo ago

cyberax 11mo ago

I have punctal plugs. They helped quite a bit, but for most people with dry eyes it's the lack of the lipid layer that is causing problems. Not the lack of water.

OutOfHere 11mo ago
Punctual plugs are not as great as cauterization for multiple reasons. Firstly, plugs keep dropping off and getting lost over time. Secondly, they probably won't seal the gap fully. The lipid emission will heal partially if one supplements vitamin A (10k IU) softgel, omega-3 triglyceride ester, taurine, and at least 4K IU of vitamin D3. It will heal enough to work. The D3 in this dose is for freezing autoimmune degeneration. I have severe dry eye and I never need any drops except if I am wearing contact lenses.
- cyberax 11mo ago
  Before committing to plugs, I tried temporary plugs made of (essentially) collagen. They completely seal the tear ducts, and they were just as effective as my current plugs. And my plugs have been in place for 10 years so far. > The lipid emission will heal partially if one supplements vitamin A (10k IU) softgel, omega-3 triglyceride ester, taurine, and at least 4K IU of vitamin D3. It will heal enough to work. Omega-3 acids help a tiny bit, and I'm getting D3 and A from multivitamins. And I'm doing all other recommended stuff: eyelid washing, compresses, IPL, etc. Over the years, I tried discontinuing all of that a few times, and my symptoms worsened as a result. But not by much. PFHO is the most effective "artificial tears" type product. Nothing comes close to it.
  - OutOfHere 11mo ago
    > PFHO Here we go again with the PFAS. It is the stuff to prefer the least, not the most. > I'm getting D3 and A from multivitamins That fails completely because they almost always don't have softgel oil-dissolve forms or the right dose at all. They're generally very far from it. It is exactly what leads to the autoimmune issue of dry eyes in the first place.
    - cyberax 11mo ago
      Yeah, yeah. Sure. > That fails completely because they almost always don't have softgel oil-dissolve forms or the right dose at all I tried tons of forms. My current ones are gel-filled capsules. Rather large ones, at that. Sorry, but there's a huge amount of scholarly literature on this question. I've read tons of it over the years, and there is NO magical supplement that does anything but mildly improve the situation.
      - OutOfHere 11mo ago
        Forms alone won't accomplish anything if the dose isn't correct. With regard to vitamin A, some people confuse it with beta carotene, with the latter not working so well for this effect. Vitamin A even has evidence backing it as per PMC6462169. It does take a few weeks to begin to work. Even mild improvements stack up. It may not eliminate the need for an additional intervention, but it can mean the difference between whether the additional intervention will work or fail.
        cyberax 11mo ago
        Again, I read that and tried various forms. Yes, they do help a bit. No, they don't help a lot. The study you cited find only a weak effect on some endpoints. Same for fish oil and various omega-3 acids. The effects are either weak or in some cases non-existent ( https://www.nejm.org/doi/full/10.1056/NEJMoa1709691 https://www.nejm.org/doi/full/10.1056/NEJMoa1709691 ).
        11mo ago