BlephEx
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BlephEx is a
medical device A medical device is any device intended to be used for medical purposes. Significant potential for hazards are inherent when using a device for medical purposes and thus medical devices must be proved safe and effective with reasonable assura ...
used in the fields of
ophthalmology Ophthalmology (, ) is the branch of medicine that deals with the diagnosis, treatment, and surgery of eye diseases and disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a ...
and optometry to treat
blepharitis Blepharitis, sometimes known as granulated eyelids, is one of the most common ocular conditions characterized by inflammation, scaling, reddening, and crusting of the eyelid. This condition may also cause swelling, burning, itching, or a grainy ...
and
dry eye disease Dry eye syndrome, also known as keratoconjunctivitis sicca, is the condition of having dry eyes. Symptoms include dryness in the eye, irritation, redness, discharge, blurred vision, and easily fatigued eyes. Symptoms range from mild and occas ...
. The handheld device is used by a doctor to exfoliate the
eyelid An eyelid ( ) is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. "Palpebral ...
at the lash line and remove the inflammatory
biofilm A biofilm is a Syntrophy, syntrophic Microbial consortium, community of microorganisms in which cell (biology), cells cell adhesion, stick to each other and often also to a surface. These adherent cells become embedded within a slimy ext ...
that leads to chronic lid disease and discomfort.


History

BlephEx was invented in 2012 by James Rynerson, MD, a board-certified ophthalmologist, as the first patented, in-office procedure that allows eye care professionals to take an active role in removing years of accumulated biofilm, scurf and debris from the eyelids. Since the lid margin is the only place on the body that never gets washed, the bacterial biofilm tends to accumulate over the years, getting worse as we age. Contact lens wearers are also prone to developing biofilms of the lid margin at a much earlier age due to the foreign body nature of the contact lens. BlephEx purportedly removes years of accumulated biofilm, eliminating the source of inflammation which leads to healthier, more comfortable eyelids and an increase in natural tear production. Many patients are able to stop using artificial tears altogether. Two independent studies demonstrate a 60%-66% increase in tear break up time, which is an indicator of improved tear function.


Procedure

To administer the device, a physician glides the BlephEx hand piece along the lash line, applying the spinning surgical-grade micro sponge to the lid margin. The sponge is soaked in a lid scrub solution and removes inflammatory scurf, biofilm and bacterial exotoxins (the main causes of inflammatory lid disease), thereby relieving blepharitis symptoms and improving overall eyelid health. The treatment takes 8–10 minutes to perform, is well tolerated and it is reported that many patients experience nearly immediate relief. By repeating the procedure every 4 – 6 months (like a dental cleaning), a patient can keep the lid margins totally clean and inflammation free. This healthy lid environment helps patients make their own tears, avoiding dry eye syndrome.


Cost to patient and society

The costs of dry eye disease are significant, with some patients spending an average of $800 per year on dry products. The total direct and indirect cost to society has been estimated by the NIH at over $55 billion. This procedure has the potential of saving money while at the same time allowing doctors to take better care of their patients.


References

{{reflist Ophthalmic equipment