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

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Liu R, Rong B, Tu P, et al. Analysis of cytokine levels in tears and clinical correlations after intense pulsed light treating meibomian gland dysfunction. Am J Ophthalmol. 2017;183:81–90. Bäumler W, Vural E, Landthaler M, Muzzi F, Shafirstein G. The effects of intense pulsed light (IPL) on blood vessels investigated by mathematical modeling. Lasers Surg Med. 2007;39(2):132–9. Despa F, Orgill DP, Neuwalder J, Lee RC. The relative thermal stability of tissue macromolecules and cellular structure in burn injury. Burns. 2005;31(5):568–77. Pult H, Riede-Pult BH, Purslow C. A comparison of an eyelid-warming device to traditional compress therapy. Optom Vis Sci. 2012;89(7):1035–41.

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]. STEP 2: Shake the Blepha EyeBag® to evenly spread the linseeds inside the mask and to help the heat to spread. VTP increased the temperature of the inner surface of the eyelid to the 40°C therapeutic threshold for melting of obstructive meibum Eyelid warming therapy associated with eyelid massage has been suggested to induce corneal deformation due to increases in corneal temperature, and with concurrent massaging, possible ectasia. 24 Only one case of corneal deformation following such treatment has been reported, but the duration of treatment in this case was far longer (15 min twice a day for 7 weeks) than that prescribed herein. Transient visual degradation without changes in corneal topography has been observed after warm compresses (45°C) were applied every 2 min for 30 min without massage, 25 but again the duration of treatment and peak temperature was sustained for longer than the present study and the treatment method is not typically advised to MGD patients. Therefore, it appears that corneal deformation and/or visual changes, may only occur following unusually long and intense treatment application durations and long-term therapy associated with eyelid rubbing. In both dry eye and blepharitis, the glands that secrete oily moisture to the surface of the eyes are clogged and inflamed. This is known as meibomian gland dysfunction, or MGD.Yurttaser Ocak S, Karakus S, Ocak OB, et al. Intense pulse light therapy treatment for refractory dry eye disease due to meibomian gland dysfunction. Int Ophthalmol. 2020;8:1–7.

The bundle method, although the most labour‐intensive, was the most effective at increasing eyelid temperature above the therapeutic level IPL plus MGX improved ocular symptoms (SPEED score), TBUT, and meibum secretion relative to baseline; changes in MGYLS and TBUT were greater in the study eyes than in the control eyes, but changes in SPEED and corneal staining scores were similar If you have a plate warming setting on your oven, use that. If not, set your oven to the lowest temperature which should be 50 to 60 degrees C. The Blepha EyeBag is a silk and suedex device which can be re-heated up to 200 times in a microwave. Simply heat for 30 or 40 seconds on full power and the Blepha EyeBag will stay warm for up to 10 minutes.

Geerling G, Tauber J, Baudouin C, et al. The international workshop on meibomian gland dysfunction: report of the subcommittee on management and treatment of meibomian gland dysfunction. Investig Opthalmol Vis Sci. 2011;52(4):2050. Regarding the efficacy, some studies assessed IPL treatment alone. Jiang et al. [ 73] (III) observed an improvement in symptoms, BUT, conjunctival injection, and MG score from baseline to day 45. However, no differences were found between days 75 and 45, suggesting that two sessions were enough to reduce the signs and symptoms of MGD. Vigo et al. [ 74] (III) also performed follow-up visits on day 1, 15, and 45. They found an improvement in NIBUT, LLT, and osmolarity and suggested that patients with lower BUT responded better to the treatment. Finally, Yurtasser et al. [ 75] (III) found an improvement in symptoms and NIBUT at 1 month and an improvement in symptoms, NIBUT, MG dropout, and corneal staining in the mild and moderate MG atrophy groups, lasting up to 12 months. No improvement was observed in patients with severe MG atrophy. However, another study (II) compared IPL with eyelid hygiene and found that although both groups improved in symptoms, BUT, and MG score; the IPL group also improved in conjunctival staining [ 76]. eyes of 22 MGD patients in each of three groups treated with a hot towel, EyeGiene, or Blephasteam twice daily (67.0±21.7, 57.7±22.7, and 69.7±22.6years, respectively) Finis D, König C, Hayajneh J, Borrelli M, Schrader S, Geerling G. Six-month effects of a thermodynamic treatment for MGD and implications of meibomian gland atrophy. Cornea. 2014;33(12):1265–70. Zhao Y, Xie J, Li J, et al. Evaluation of monocular treatment for meibomian gland dysfunction with an automated thermodynamic system in elderly chinese patients: a contralateral eye study. J Ophthalmol. 2016;27:1–8.