The Dry Eye Zone
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Did you know?

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Did you know? Baby shampoo vs lid wipes...

Did you know…

  1. Lid scrubs work better than baby shampoo.

  2. Baby shampoo can harm even while it helps.

It’s true: According to TFOS DEWS II, baby shampoo can reduce goblet cell density, and according to an even more recent study, it doesn’t work as well as a dedicated eyelid cleanser, and some aspects of dry eye can even get worse as a result!

TFOS DEWS II, Management and Therapy, section 3.1.1:

Appropriate lid hygiene is important in the management of a variety of lid conditions that result in dry eye (particularly blepharitis) and, if used appropriately, can reduce lipid by-products and lipolytic bacteria associated with these conditions [379–385]. Lid scrubs using a mild dilution of baby shampoo applied with a swab or cotton bud have been the most widely accepted therapy [382,386,387]. A recent Level 1 study demonstrated the efficacy of lid scrubs for removal of crusting in anterior blepharitis, with both a commercial lid cleanser and dilute baby shampoo [388]. However, relative to the baby shampoo, the dedicated lid cleanser showed reduced ocular surface MMP-9 levels, improved lipid layer quality and was better tolerated. Baby shampoo was further reported to be associated with a reduction in ocular surface MUC5AC levels, suggesting that baby shampoo may have an adverse effect on goblet cell function [388]. In preference to using baby shampoo, there are now a wide variety of proprietary lid cleansing products available, which utilise a diversity of delivery mechanisms, including scrubs, foams, solutions, and wipes; their individual description is outside the scope of this review.