The Dry Eye Zone

Did you know?


TFOS DEWS II (5).png

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.