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Blepha EyeBag® | Warming Eye Mask | Relief of Dry, Tired and Sore Eyes | Microwaveable | Previously the MGDRx® EyeBag

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The intense pulsed light (IPL) devices are high-intensity, non-coherent, and non-laser light sources ranging from 500 to 1200 nm [ 61]. Patients are fitted with safety goggles covering both eyes during the treatment. The skin treatment area requires an ultrasound gel. Light pulses are applied into the cheek skin, near the lower eyelids. However, one study (I) evaluated the technique applying pulses directly into the upper eyelids [ 62]. A higher improvement in MG secretion function was found in the lower eyelids than in the upper eyelids. This was attributed to the smaller tear meniscus present in the upper eyelids, which contains fewer inflammatory proteins. The Blephasteam ® (Théa Laboratories, France) is a goggle system that produces moist warm air and heats the eyelids through the condensation of water vapor. The melted meibum secretion is favoured by the normal blinking of the patients during the treatment. Temperatures recorded in the outer upper eyelids were between 37.4 °C and 40.0 °C at the end of the treatment, while in the lower ones they were between 37.8 °C and 38.4 °C [ 27, 29]. In the edges of the upper and lower eyelids there are small glands, known as the Meibomian glands. These glands secrete an oily substance needed to lubricate and clean the front of the eye and allow the tear film to spread effectively. Greiner JV. A single LipiFlow ® thermal pulsation system treatment improves meibomian gland function and reduces dry eye symptoms for 9 months. Curr Eye Res. 2012;37(4):272–8. Dynamic intraductal probing ameliorated ocular symptoms and was safe for treatment of refractory obstructive MGD

The MGDRx EyeBag ® (The Eyebag Company, Halifax, UK) is a reusable silk and cotton mask that can be heated in a microwave for 40 s. Peak temperatures (37.6 °C) may be reached after 2 min of its application on the external upper eyelids. After 12 min of treatment, temperatures may slightly decrease (36.8 °C) [ 16, 17]. Conjunctival hyperaemia: digital images of the nasal and temporal bulbar conjunctiva were captured and analysed to provide an objective measurement via edge detection and colour extraction. 16 Meibomian gland dysfunction (MGD) is a chronic, diffuse abnormality of the meibomian glands (MG), characterized by terminal duct obstruction and changes in the glandular secretion. This anomaly may result in alterations of the tear film, symptoms of eye irritation, clinical inflammation, and ocular surface disease [ 1]. Its prevalence varies between 3.5% and 19.9% in the Caucasian population, while it reaches > 60% in the Asian population [ 2]. The Blepha EyeBag (Formally MDG Rx Eyebag ®) is a patented, CE marked Class 1 medical device registered with the Medicines and Healthcare products Regulatory Agency (MHRA). Probing improved meibum lipid levels as measured with a meibometer as well as reduced meibum viscosity

Blephaclean Sterile Eyelid Cleansing Wipes - 20 Wipes

Eyelid temperatures, NITBUT, and TFLLT increased significantly from baseline in test eyes immediately after removal of the heated eyebag compared with those in control eyes (maximum temperature change, 2.3 ± 1.2 °C vs. 0.3 ± 0.5 °C, F = 20.533, p < 0.001; NITBUT change, 4.0 ± 2.3 seconds vs. 0.4 ± 1.7 seconds, p < 0.001; TFLLT change, 2.0 ± 0.9 grades vs. 0.1 ± 0.4 grades, Z = -4.035, p < 0.001). After 10 minutes, measurements remained significantly higher than those in controls (maximum temperature change, 1.0 ± 0.7 °C vs. 0.1 ± 0.3 °C, F = 14.247, p < 0.001; NITBUT change, 3.6 ± 2.1 seconds vs. 0.1 ± 1.9 seconds, p < 0.001; TFLLT change, 1.5 ± 0.9 vs. 0.2 ± 0.5 grades, Z = -3.835, p < 0.001). No adverse events occurred during the study. TheBlepha EyeBag (Formally MDG Rx Eyebag ®)is a patented, CE marked Class 1 medical device registered with the Medicines and Healthcare products Regulatory Agency (MHRA). Knop E., Knop N., Millar T., Obata H., Sullivan D.A. The international workshop on meibomian gland dysfunction: report of the subcommittee on anatomy, physiology, and pathophysiology of the meibomian gland. Invest Ophthalmol Vis Sci. 2011;52:1938–1978. Wang MTM, Jaitley Z, Lord SM, Craig JP. Comparison of self-applied heat therapy for meibomian gland dysfunction. Optom Vis Sci. 2015;92(9):321–6.

STEP 2: Shake the Blepha EyeBag® to evenly spread the linseeds inside the mask and to help the heat to spread.

MGDRx EyeBag To Treat Posterior Blepharitis & Dry Eye

The EyeGiene ® Insta-Warmth System™ (Eyedetec Medical, USA) works by placing the Warming Wafers inside the mask, without heating them in the microwave. It produces heat from a chemical reaction in each wafer. Some studies compared this device with the MGDRx EyeBag ®. Wang et al. [ 25] (I) showed that clinical signs improved after the application of both therapies. Both treatments transferred their peak temperatures to the eyelids in 3 min, although they were slightly lower in the EyeGiene ® than in the EyeBag ®. Furthermore, Wang et al. [ 26] (III) found that the warming effect of the EyeBag ® was more prolonged. Therefore, the EyeBag ® would be more effective for severe cases of MGD. Warming and Humidity Devices The EyeBag should only be warmed by a responsible adult. Remove the EyeBag from the box and place it on a clean, microwaveable plate. Do not use the metal griddle supplied with some microwaves as this may burn your EyeBag. The MiBo Thermoflo ® (Mibo Medical Group, USA) consists of a tactile power console and a wired metal eye pad. The eye pad is heated (temperature not reported) and applied on the closed eyelids along with an ultrasound gel. There is only one case report (III) indicating that an increase in the temperature of the inner surface of the eyelids was not found after 12 min of the MiBoFlo eye pad application [ 24]. Therefore, further studies to prove the effectiveness of this device are required.

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