midry eye products
Optive Fusion Lubricant Eye Drops
Optive Fusion combines hyaluronic acid (HA) and carmellose sodium (CMC) with osmoprotectants to deliver fast relief for dry eyes.1,2
The clinically-tested ingredients in Optive Fusion coat the ocular surface with a hydrating and lubricating protective layer. HA is naturally found in the eye and acts as an ocular lubricant.3 CMC is a mucoadhesive agent, which lubricates and protects the eye surface, while osmoprotectants, including glycerin, help restore osmotic balance, and hydrate the cells on the eye surface.2
Optive Fusion is compatible with contact lenses. A preservative-free formulation is available in addition to the multidose bottle.4
Contact: AbbVie (AUS) 02 9035 8600
Always follow the directions for use.
References
1. Australia Medicine Handbook (online), Dry eye. 2022. Available at amh.net.au.
2. Simmons PA, Liu H, Carlisle-Wilcox C, Vehige JG. doi: 10.2147/OPTH.S78184.
3. Goa KL, Benfield P, Hyaluronic acid. doi: 10.2165/00003495-199447030-00009.
4. Optive Fusion product information. 5. Optive Fusion PF product information.
Albalon and Albalon A
Albalon and Albalon A Allergy eye drops are for the relief of eye redness.1,2 They contain naphazoline hydrochloride, a decongestant that constricts the conjunctival blood vessels helping relieve eye redness, and polyvinyl alcohol to help relieve ocular irritation and eye redness.1,2
Albalon A Allergy also contains antazoline phosphate, which provides synergistic antihistamine action.2 The triple action formula starts to work from 15 minutes to provide relief from symptoms of allergic conjunctivitis.3
Albalon eye drops are indicated for use as a topical ocular vasoconstrictor. Albalon A Allergy eye drops are indicated for use in adults for relief of ocular irritation and/or congestion, and for the treatment of allergic, inflammatory ocular conditions. Not for use in children under 12 years of age.
Contact: AbbVie (AUS) 02 9035 8600
Please review full product information before prescribing.
References
1. Albalon eye drops Australian product information. 2. Albalon A eye drops Australian product information. 3. Miller J, Wolf EH. PMID: 1096685.
Systane Hydration Multi-Dose PF
New Systane Hydration multi-dose preservative free lubricant eye drops
provide long-lasting dry eye relief1-3 in a multi-dose preservative free bottle.
Systane Hydration combines the intelligent delivery system of HP-Guar and borate with hyaluronic acid (HA).* It has been shown to provide two times greater moisture retention compared to HA alone in a laboratory study.1 The combination of HA and HP-Guar/borate results in greater and faster wound healing (measured in re-epithelialisation) than HA alone.1
Systane Hydration multi-dose preservative-free lubricant eye drops can be used for
dry eye patients before and after ocular surgery and for soft contact lens wearers.
Contact: Alcon (AUS) 1800 224 153 or (NZ) 0800 101 106
* Systane Hydration contains sodium hyaluronate, the salt form of hyaluronic acid. ANZ-SYY-2300008
References
1. Rangarajan R, et al., doi: 10.1089/jop.2014.0164. 2. Davitt WF, et al.,
doi: 10.1089/jop.2010.0025. 3. Rolando M, et al., doi: 10.1089/jop.2008.0026.
New S.B.M. Activa
S.B.M. is a global leader for dry eye diagnostic technology and the manufacturer of a range of products including Activa, an innovative non-invasive eye mask that provides a complete heating and automatic squeezing technology in a single device. Activa can be effective on meibomian gland dysfunction associated with tear film evaporation.
Activa relieves evaporative dry eye symptoms by melting the meibum and unclogging glands to restore natural meibum flow and increase meibomian gland functionality. It mechanically warms and massages the lids, is fast and painless, requires no consumables, and can be easily sanitised after each use.
Contact: BOC Instruments (AUS) 1800 804 331
Oculocin Propo
Oculocin Propo is a preservative-free eye drop solution designed to soothe and refresh dry, irritated eyes. It is made using a blend of natural ingredients:
• Propolis, a beehive resin with potential anti-bacterial and anti-fungal properties,
• Aloe vera, which is known for its moisturising and soothing effects, and
• Chamomile, to provide calming and anti-inflammatory benefits.
This natural formula helps lubricate the eyes, protect the ocular surface, and bring relief and recovery. Oculocin Propo is suitable for contact lens wearers and those experiencing dry eye discomfort.
Contact: Contact Lens Centre Australia (AUS) 1800 125 023
Oculus Keratograph 5M
The Oculus Keratograph 5M is an advanced Placido-based corneal topographer with a built-in real keratometer and a colour camera optimised for external imaging. Complete with the Jenvis Pro dry eye report, this comprehensive dry eye analysis tool supports objective grading for dry eye diagnosis.
The software enables you to find the cause of dry eye in an easy and reliable way with Screening, Comprehensive, DEWS 2, and Follow-up protocols, leading to an optimised workflow that saves time. The software is also fully customisable and the easy-to-understand reports help to communicate the dry eye status to your patients.
The Keratograph 5M excels not only in dry eye diagnostics, but also in the measurement of corneal topography and pupillometry.
Contact: Designs for Vision (AUS) 1800 225 307
C.Diag Diagnostic Platform
C.Diag, a cutting-edge dry eye diagnostic platform with integrated artificial intelligence, is revolutionising dry eye management. Part of the innovative C.Suite, C.Diag provides comprehensive diagnostic capabilities, including transillumination meibography and an autofocus high definition camera, ensuring exceptional image quality and precise, reproducible results.
Powered by algorithms from over a million clinically validated images, C.Diag sets a new standard in automated diagnostics. Complementing C.Diag, C.Stim offers an advanced intense pulsed light treatment option, creating a complete solution for diagnosing, treating, and educating dry eye patients.
Contact: Ellex (AUS) 08 7074 8200
Acuvue Oasys 1-Day
Acuvue Oasys 1-Day has never been beaten in comfort.* This daily contact lens with HydraLuxe technology is designed for sharper, brighter, clearer vision.§1 Made with a ‘tear-like’ material, Acuvue Oasys 1-Day helps the tears wet the lens the way the eyes would.2 It significantly reduces dryness symptoms among contact lens wearers who use digital devices for eight or more hours.#3
Contact: Johnson and Johnson Vision Account Manager
References
Helps protect against transmission of harmful UV radiation to the cornea and into the eye.
* ClinicalTrials.gov is a website maintained by the NIH. The 29 clinical studies evaluated subjective comfort as a primary or secondary endpoint for Acuvue Oasys brand two-week family, Acuvue Oasys 1-Day brand family, and Acuvue Oasys Max 1-Day brand family of contact lenses vs competitors’ products. Review conducted as of 31 October 2023.
§ Improved optical performance and vision compared to Acuvue Oasys Brand contact lenses with Hydraclear Plus technology.
# JJV Data on File 2022. Post-hoc sub-group analysis of subjects responding ‘Yes’ to the question ‘Have you been able to use the study lenses for eight or more hours with digital devices?’ Sub-group n=80 of 92 subjects from the ‘Intent to treat’ population of the dryness/comfort evaluation of Acuvue Oasys 1-Day brand contact lenses vs habitual daily disposable contact lenses in subjects with contact lens dryness symptoms.
1. JJV Data on File 2017. Optical Precision of Acuvue Oasys brand 1-Day contact lenses with HydraLuxe technology.
2. JJV Data on File 2021. HydraLuxe technology definition.
3. JJV Data on File 2022. Evaluation of Acuvue Oasys 1-Day brand contact lenses vs. habitual daily disposable contact lenses in subjects with contact lens dryness symptoms including post hoc sub-group analysis of wearers that used digital devices for eight plus hours.
OptiLight
OptiLight, by Lumenis, is the first and only light-based therapy to be approved by the United States Food and Drug Administration and Therapeutic Goods Administration for management of dry eye disease due to meibomian gland dysfunction (MGD), the leading cause of dry eye disease.
Designed by eye care professionals for eye care professionals, every element has been designed for a precise and comfortable dry eye procedure.
The patented optimal pulse technology (OPT) pen-like handpiece has been designed to get as close to the lid margin as possible and is customised to fit every curve and outline. OptiLight’s embedded settings, which are based on Lumenis’ clinically-validated treatment protocols, ensure safer and more effective patient procedures. The ergonomic intense pulsed light handpiece, with patented SapphireCool technology, is used for larger areas to successfully break dry eye’s vicious cycle of inflammation.
Contact: Lumenis (AUS) 1800 586 364
Medmont Meridia Professional
Alongside limbus-to-limbus colour topography, the Medmont Meridia Professional offers advanced dry eye assessment functions that are indispensable for assessing the ocular surface and contact lens fit. These include anterior eye imaging and video (white, infrared, and cobalt light), meibography, fluorescein imaging and video, tear meniscus height and non-invasive tear break-up time tests, grading scales (Efron, BHVI, and Meiboscale), and engaging patient dry eye reports.
Contact: Lumenis (AUS) 1800 586 364Contact: Medmont (AUS) 03 9259 0800
Thermaeye Plus
Thermaeye Plus is a high-quality intense pulsed light (IPL) device designed
and manufactured in Europe to exacting standards. The system delivers targeted fluence (energy) via a 650 nm filter, enabling the operator to treat with greater safety while retaining excellent efficacy.
This compact, portable, easy-to-use device features fractional pulsed technology and a water-cooled optical grade sapphire crystal delivery system, providing epidermal cooling to reduce thermal spread and risk of burning. The device handpiece prevents excessive increases of temperature to the epidermis, further assisting with tolerance and safety.
These features allow the operator to treat all skin types safely and effectively.
Contact: Optimed (AUS) 1300 657 720
Painless Plug
Painless Plug is a one-size-fits-most punctum plug pre-stretched on an inserter. When released from the inserter, the Painless Plug returns to its natural shape, assuring a snug fit and eliminating pop-out. Its soft collarette prevents migration and provides patient comfort.
Painless Plug quickly and effectively relieves discomfort associated with dry eyes and improves patient quality of life.
Contact: Spectrum Surgical (AUS) 03 9562 2472 or (NZ) 09 888 9100
Lacritec
Lacritec, as a systemic approach to dry eye treatment, is ideally placed to augment other dry eye treatments and provide superior outcomes. Lacritec uniquely combines the benefits of concentrated fish oil, borage oil, and the proven and professionally researched flax seed oil.
Lacritec provides an opportunity to build profits, and drive customer volumes and loyalty, by recommending a quality brand that is not sold in pharmacy. It is available in pack sizes of 60 capsules, or more convenient and economical 200 capsules. Recommendation tip for patients: start with three capsules per day for the first six weeks then drop back to the maintenance dose of two capsules per day.
Contact: Stiltec (AUS) 1800 622 883
TearsAgain and EyeRevive
TearsAgain dry eye relief spray and the EyeRevive soothing mask provide comprehensive eye relief. TearsAgain revolutionises dry eye care with its spray-on application. Sprayed onto closed eyelids, the mist mimics the eyes’ natural moisture barrier: there’s no mess, no fuss, and it’s perfect for those who dislike traditional eye drops.
For an extra boost of soothing comfort, EyeRevive in a convenient, single-use packet, delivers warm, moist heat to rejuvenate tired eyes and enhance the natural tear film. Ideal for on-the-go relief, EyeRevive complements TearsAgain’s protective action.
Contact: SubstanceHQ (AUS) 1300 790 978
Cequa
Cequa (ciclosporin 900 µg/mL) eye drops are a formulation of ciclosporin indicated to increase tear production in patients with moderate-to-severe keratoconjunctivitis sicca (dry eye), where prior use of artificial tears has not been sufficient.1 Cequa is Pharmaceutical Benefits Scheme listed under authority criteria for chronic severe dry eye disease with keratitis.2
Cequa has been engineered using unique nanomicelle technology to deliver ciclosporin where it’s needed most2-5 and has been found to significantly reduce corneal staining at 28 days vs vehicle (p<0.01).2
Patient starter packs of Cequa are available containing 10 ampoules.
Contact: Sun Pharma (AUS) 1800 726 229
Please review product information before prescribing available from ebs.tga.gov.au, from Sun Pharma or on page 83 of this issue of mivision.
References
1. Cequa Approved Product Information.
2. Pharmaceutical Benefits Scheme (pbs.gov.au).
3. Goldberg DF, et al., doi: 10.1016/j.ophtha.2019.03.050.
4. Tauber J et al.
doi: 10.2147/OPTH.S175065.
5. Vaishya R et al. doi: 10.1002/wnan.1272.
6. Weiss SL et al. doi: 10.1089/jop.2018.0106. Date of preparation: July 2024 CEQ2024/07MV.
ZEISS Atlas 500
Ocular surface analysis requires a multi-modal approach. The ZEISS Atlas 500 is a state-of-the-art multi-modality solution for the anterior segment of the eye that offers corneal topography and dry eye assessments.
This compact system incorporates all assessment analysis tools into a single workstation with DICOM (digital imaging and communications in medicine) connectivity optimising your clinical workflow. Placido-based measurements provide a variety of corneal topography analysis options, including elevation maps, corneal wavefront analysis, optical quality analysis, contact lens fitting, and keratoconus screening.
The Atlas 500 also provides a comprehensive dry eye report with detailed information on a variety of parameters including meibography, ocular redness, tear meniscus height, tear film break-up time and an onboard Ocular Surface Disease Index (OSDI) questionnaire. The ZEISS Atlas 500 is designed to fit into any clinic
or practice environment with footprint configuration options to suit your needs.
Contact: ZEISS Account Manager
Rexon-Eye QMR
Rexon-Eye is a non-invasive dry eye management device that provides durable treatment for a wide range of dry eye syndromes. It works by applying low-power high-frequency electric fields, capable of stimulating the metabolism and natural regeneration of cells. Rexon-Eye with quantum molecular resonance (QMR) technology treats the cause of the dry eye disease, delivering long-term results.
The instrument is successfully applied and highly appreciated worldwide by ophthalmologists and optometrists who treat dry eye patients at their
practices, dry-eye centres, or hospitals. The treatment addresses a wide range of dry eye syndromes, both evaporative as well as aqueous deficient, as evidenced by published studies in several subjective and objective measurements.1 There are no skin type restrictions, it is a contact-less treatment, and it provides patient with an outstanding experience.
Visit: eyetek.com.au
Reference
1. Studies can be accessed at Resono Ophthalmic, Five steps of QMR regenerative process, available at: resono.it/qmr-technology [accessed July 2024].
DryEye Forte
DryEye Forte is a patented, advanced oral supplement providing systemic dry eye relief and anti-inflammatory support. This comprehensive, evidence-based formula contains therapeutic levels of EPA and DHA from re-esterified pharmaceutical grade fish oil (mercury-tested and sustainably sourced), GLA from plant-based borage oil, anti-inflammatory vitamin D3, and rich vitamin E antioxidants.
DryEye Forte’s proprietary blend of essential fatty acids and antioxidants optimises the production of anti-inflammatory prostaglandins, reduces inflammation, and restores a healthy tear film. Vitamin D deficiency is clinically observed among dry eye sufferers. DryEye Forte is Australian made and owned, and widely recommended by eye care specialists. It is not sold in pharmacies.
Albomed Pe-Ha Guard
Albomed Pe-Ha Guard HPMC 2.0% corneal lubricant is easy to use and highly effective in protecting the corneal epithelium following anaesthesia and during ophthalmic procedures such as cataract surgery, vitreo-retinal surgery, and glaucoma surgery.
Albomed Guard may increase the safety of surgery as it can significantly improve the clarity of the corneas, which helps with optimising the surgical view. Other advantages include greater workflow efficiency as it frees up the scrub nurse from frequently applying a balanced salt solution intraoperatively.
Studies have shown improved patient comfort postoperatively as it significantly reduces dry eye issues/corneal epithelium issues after surgery.1,2 It may also help with ensuring high patient satisfaction and achieving precise outcomes in the early postoperative period – particularly with multifocal intraocular lens patients.
Murine Eye Mist
Dry eyes are a common problem for many individuals. Computer work, ageing, and wearing contact lenses can cause a disruption to the eyes’ natural protective barrier.
Murine eye mist provides easy, instant relief in a blink of an eye. The convenient spray format works on closed eyelids with the gentle, preservative-free formula containing liposomes to refresh and moisturise dry and tired eyes.
Zaditen
Zaditen eye drops provide relief in minutes and last up to 12 hours. Zaditen is for short-term treatment of the symptoms of seasonal allergic conjunctivitis. Its unique three-way action decreases swelling, reduces redness, and relieves itching Available in preservative-free vials, Zaditen eye drops are suitable for adults of all ages and for children from three years of age.
Nutravision
Nutravision is an innovative eye health supplement designed to support and maintain eye health, as well as the nervous system, brain and cardiovascular system. Each capsule contains 10 antioxidants and vitamin nutrients to protect and support eye health. One of these 10 ingredients is bilberry, which relieves visual fatigue, eye strain and dry eye symptoms that can be managed through a daily intake of Nutravision.
Visit: nutravision.com.au
Eye-light
Espansione’s eye-light is an all-in-one powerhouse for ocular surface health. Low-level light therapy uses specific wavelengths of light to promote cellular activity and healing processes within the eye.
As a result, inflammation is reduced, meibomian gland function is improved, blood flow is stimulated to the treated area, and the ocular surface is repaired, reducing the damage caused by dry eye.
Visit: ophthalmopro.com.au/products
Topcon Myah
With the Topcon Myah, dry eye diagnostics aren’t limited to dry eye alone. You can also perform noninvasive tear break-up time (NIBUT) assessment, meibography, blink analysis, and fluorometry for dry eye. Additionally, enhance your practice further with Placido topography, contact lens fitting, biometry (axial length) measurement, and growth curves.
Combine all these diagnostic features with its sleek design and Topcon’s typically easy user interface, and you have a great value device for dry eye that will also allow you to venture into myopia management.
Visionix VX650
Visionix VX650 revolutionises ocular assessment by introducing the only solution that allows eye care professionals to deliver a comprehensive eye exam at the push of a button.
It incorporates a 45º fundus camera and all the essential technologies to evaluate both anterior and posterior segments in a single device.
Thanks to the Shack-Hartmann wavefront technology, combined with the topographer Placido rings, and an external colour camera, the VX650 provides tools to diagnose, evaluate, and monitor dry eye disease and other corneal pathologies.
Visionix VX120 plus Dry Eye
With Visionix VX120+ Dry Eye, you can now screen and monitor several eye pathologies, including dry eye disease. It uses three types of measurements:
Non-invasive analysis of the tear film and evaluation of the tear film break-up time, A colour image of the meibomian glands, and • Measurement of the tear meniscus height.
Visionix VX120+ Dry Eye is powered by Shack-Hartmann wavefront technology and combines six machines into one device: a wavefront aberrometer, pachymeter, corneal topographer, autorefractor, keratometer, and non-contact tonometer with an anterior chamber analysis.
Cationorm
Cationorm (cationic nanoemulsion) is a preservative-free, hydrating, and lubricating emulsion eye drop that protects the eye surface, relieving the discomfort and irritation of persistent dry eye caused by prolonged use of contact lenses, or environmental conditions.1 Its triple action repairs the lipid layer to reduce evaporation by lubricating and stabilising the tear film and restores the moisture balance in the muco-aqueous layer of the tear film. It also forms a barrier to lock in moisture, giving dry eyes the time they need to heal.2-5 Administered as one drop, up to four-times daily in the affected eye, Cationorm is suitable for use with contact lenses,6 and gentle enough to use every day.7
Visit: cationorm.com.au
References
1. Therapeutic Goods Administration. Australian Register of Therapeutic Goods - Public Summary Seqirus Pty Ltd - Lubricant, eye. Available from: tga.gov.au/resources/artg/320453 [accessed 2024].
2. Lallemand F, Daull P, doi: 10.1155/2012/604204.
3. Daull, P, Lallemand G, Garrigue JD, doi: 10.1111/jphp.12075.
4. Amrane M, Creuzot-Garcher C, Baudouin C, et al., doi: 10.1016/j.jfo.2014.05.001.
5. Robert PY, Cochener B, Baudouin C, et al., doi: 10.5301/ejo.5000830.
6. Cationorm Product Package.
7. Cationorm: More than relief. Available from: cationorm.com.au [accessed 2024].
Hylo and NovaTears
One in three dry eye patients suffer from a combination of aqueous deficient dry eye and evaporative dry eye.1
Combine Hylo and NovaTears for dual action dry eye release. Hylo-Fresh and Hylo-Forte lubricate the eye while NovaTears hydrates and protects against dry eye.
Vita-Pos
Vita-Pos is a smooth, sterile, preservative-free ointment that keeps dry eyes lubricated during the night. The formula contains retinol palmitate 138 µ/g (equivalent to 250 IU/g vitamin A). For all forms of dry eye and with a use period of six months after first opening.
Envision
Envision is InMode’s non-surgical, non-drug alternative to treat the cause of dry eye.
Envision’s complete suite of technologies delivers bipolar radiofrequency (RF), intense pulsed light, and fractional microneedling RF for highly efficacious eye care procedures
Visit: inmode.com.au
CA-800
The CA-800 from Topcon is designed for dry eye and corneal analysis. Based on corneal Placido topography (infrared), with keratoconus screening, its dry eye features include non-invasive tear break-up time, tear meniscus height, blink analysis, meibography, and fluorescein imaging. Neatly packaged with an onboard computer and viewing software,
it fits well into any practice.
Visit: device.com.au