Ageless Eyes: The Dry Eye Solution Workbook

THE DRY EYE SOLUTION WORKBOOK

RANI BANIK, M.D.

THE DRY EYE SOLUTION

Inthisworksheet,youwilllearnhowtomanageyourdryeyes-getrid ofdiscomfort,scratchiness,redness,andblurryvision-usinga combinationofDr.Rani’straditionalandintegrative“AgelessEyes” solutions.

Dr.Ranihassuccessfullyusedthiscombinationofstrategiesto manageherpatientswithmild,moderate,andevenseveredryeye.

Theseapproachesdon’tjustputaband-aidondryeye-theyaddress thetruerootcauseoftheproblem,soyounolongerhavetosufferfrom thesymptomsofdryeye.

NOTES

THE DRY EYE SOLUTION

DRY EYES

DryEyeSyndrome(aka"DES")isacommonconditionthatcanaffect peopleatanyage-youngandold-buttendstoincreasewithage.

Womenarealso3xmorelikelythanmentosufferfromdryeye.

DryEyesymptomscanvaryfrompersontoperson,andmayinclude: redness,irritation,scratchiness,graininess,tearing,intermittentblurry vision,troublefocusing,andeyelidswelling.

Pleasecheckoffwhichdryeyesymptomsyouhaveexperienced.

SYMPTOMS OF DRY EYE

scratchiness

grittiness

redness

irritation

burning

tearing other pain

blurred vision trouble focusing

eyelid redness

light sensitivity

THE DRY EYE SOLUTION

ROOT CAUSES OF DRY EYE

Dryeyecanhavemanyrootcauses, thoughinmostcases,themostcommon featureisthattearsevaporatetooquickly.

Tearsmayevaporatetooquicklybecause ofissueswiththetinyglandsintheeyelid called"meibomianglands."

Theseglandsproducetheoilsinyourtearfilm.Whentheglandsdon't producehealthyoils,yourtearswillevaporatequickly,anddryeyecan result.

NOTES

THE DRY EYE SOLUTION

ROOT CAUSES OF DRY EYE

Herearesomeothercontributingfactorsandpossiblerootcausesof dryeye.Youcancheckofftheonesyouthinkmayapplytoyou.

Thenexttimeyouseeyoureyedoctor,youmaywanttodiscussthese possiblerootcausestofindoutwhichissuesmayneedtobe addressed.

anterior blepharitis and/or Demodex mites

posterior blepharitis (aka meibomian gland dysfunction or MGD)

contact lens wear

hormonal issues (menopause/perimenopause/low testosterone)

rosacea medications screentime

environmental exposures

autoimmune disease

chemical toxicity

personal products/ makeup

inflammatory disease

Parkinson's disease

other

THE DRY EYE SOLUTION

MANAGEMENT OF DRY EYE

Themanagementofdryeyeshouldbedirectedatitsrootcause,also consideringitsseverity-whetherit'smild,moderate,orsevere.

Todetermineyourlevelofdryeye,pleasecompletetheDryEye Questionnaireonpage8.Answerthequestions,thencalculateyour scorefollowingthedirectionsbelow:

1.

AddsubtotalsA,B,andCtoobtainD.

2.

TotalnumberofquestionsansweredisE.

3. (Dx100)/(Ex4)

Usethefollowingequationtocalculateyourfinalscore:

Example:D=48;E=12 (48x100)/(12x4)

4800/48=100

DryEyeScore=100.

THE DRY EYE SOLUTION

INTERPRETING YOUR DRY EYE SCORE

Yourdryeyescorehelpsdetermineyourlevelofdryeyeseveritynormal,mild,moderate,orsevere.

Yourscorewillfallbetween0to100,withhighernumbersindicating moreseveredryeyedisease.Usethefollowingscoringguide:

normal(<12)

mild(13-22)

moderate(23-32)

severe(33-100)

Fornormalormilddryeye,itisbesttousetheTier1strategieslistedon page9.

Formoderatedryeye,itisbesttousetheTier2strategieslistedon page10.

Forseveredryeye,itisbesttousetheTier3strategieslistedonpage11.

Name Date

Dry Eye Questionnaire

Ocular Surface Disease Index©(OSDI©)

Answer the following 12 questions by circling the number in the box that best represents your answer. Next, add your subtotals together for each section to calculate A, B, and C. Finally, add A, B, and C together to get D and enter in the box at the bottom of the page.

Have you experienced any of the following during the last week?

1.Eyes that are sensitive to light?

2.Eyes that feel gritty?

3 Painful or sore eyes? 4.Blurred

Have problems with your eyes limited you in performing any of the following during the last week?

6 Reading?

7 Driving at night?

8 Working with a computer or bank machine (ATM)?

9.Watching TV?

Have your eyes felt uncomfortable in any of the following situations during the last week?

10.Windy conditions?

11.Places or areas with low humidity (very dry)?

12.Areas that are air conditioned?

Add subtotals A, B, and C to obtain D (D = sum of scores for all questions answered) (D)

Total number of questions answered (do not include questions answered N/A) (E)

5 Poor vision? All of the time Most of the time Half of the time Some of the time None of the time 4 4 4 4 4 3 3 3 3 3 2 2 2 2 2 1 1 1 1 1 0 0 0 0 0 Subtotal score for answers 1 to 5 (A) All of the time Most of the time Half of the time Some of the time None of the time All of the time Most of the time Half of the time Some of the time None of the time 4 4 4 4 3 3 3 3 2 2 2 2 1 1 1 1 0 0 0 0 4 4 4 3 3 3 2 2 2 1 1 1 0 0 0 N/A N/A N/A N/A N/A N/A N/A N/A N/A Subtotal score for answers 6 to 9 (B) Subtotal score for answers 10 to 12 (C)

vision?

THE DRY EYE SOLUTION

TIER 1- MILD DRY EYE

Lubricatewitheyedrops(artificialtears)3-4xday

Forsensitiveeyes,usepreservative-freedrops insingleusevials

Avoiddropswithpolyvinylalcohol(PVA)

Naturalalternatives(homeopathic,castoroilor MSMdrops)

Tapelidsatbedtimeiflidsdon'tclosefully Lubricatingointment(ifsymptomsworseinthe morning)

Moisturegogglesatnightorwhenoutdoors

Blinkingexercises(seehandoutforinstructions)

Avoidvents-heating,airconditioner,car, airplane

D

Y E Y

T H E 3 T I E R S O F T H E

R

E S O L U T I O N

THE DRY EYE SOLUTION

TIER 2- MODERATE DRY EYE

Bruderhotcompresses1-2xdaywithaheated eyemask,hotpotato,oregg

Lidscrubs-babyshampoo,medicatedwipes

Teatreeoilwipes

Avenovahypochlorousacid0.01%sprayor wipes

Humidifier

Nutrition-Omega3s,VitA,zinc,curcumin (turmeric)

NuLidsdevicetoeyelidsfor1minute/day

EyeHealthSupplements-fullspectrum omega("Soothe"),macularcarotenoids,berry extracts("Fortify"),VitD, VitE Avoidpotentiallyirritatingeyemakeup, facialandeyeserums/creams

D

Y E Y E S

T

T H E 3 T I E R S O F T H E

R

O L U

I O N

THE DRY EYE SOLUTION

TIER 3 - SEVERE DRY EYE

ifMGD,considerthermalpulsation(i.e.,LipiFlow)

IntensePulsedLight(IPL)Laser

Treatinflammationorinfection-shortterm steroiddrops,lowdoseantibiotic

Prescriptiondrops(RestasisorXiidra)

Compoundeddrops(Autologousserumtears, NAC,VitA)

Compundedtopicalhormonereplacement (DHEA,testosterone,estrogen,progesterone)

Punctalplugs

Amnioticmembrane Sclerallenses

Tarsorraphy

PrescriptionDrops-CornealNerveGrowth Factor

Y E

T H E 3 T I E R S O F T H E D R

Y E S O L U T I O N

DR. RANI S INSIGHT TIPS FOR DRY EYE

1

LUBRICATE FREQUENTLY

2

ASSESSMENT OF EYELIDS AND GLANDS

3

TREAT ROOT CAUSE

4

NUTRITIONAL SUPPORT & SUPPLEMENTS

5

LIFESTYLE CONSIDERATIONS

"TheDryEyeSolutionBeyondOTCDrops"Exclusive 2HourTrainingVideo

Dr.Rani'sTrustedDryEye ProductGuide

BlinkingExerciseInstructions HowtoVideos

RecipestoSupportDryEye SupplementGuide

DryEyeQuiz

THE DRY EYE SOLUTION

ADDITIONAL RESOURCES

ToaccessthecomprehensiveDryEyeResourceslistedabove,pleaseconsider signingupforthecomprehensiveonlinecourse,"AgelessEyesbyDr.Rani."

Thiscourseishighlyacclaimedandhashelpedthousandsmanagenotonlytheir dryeye,butalsocommonvisionissuesthatcomewithage,suchaseyestrain, lightsensitivity,cataracts,glaucoma,andmaculardegeneration.

ThecoursealsohasaBONUSmoduleonhowtomanagecosmeticissuessuchas darkundereyecircles,eyebags,sags,finelines,andwrinkles.

"AgelessEyesbyDr.Rani"isdesignedtohelpyoucombatvisionissuesandhelp keepyoureyesandvisionAGELESS.Tolearnmoreandregister,clickHEREorvisit:

https://dr-rani-banik-academy.thinkific.com/courses/ageless-eyes

YOUR PROFESSORDR. RANI BANIK

Dr Rani(Rudrani)Banikisaboard-certified ophthalmologist,fellowship-trainedneuro-ophthalmologist, andcertifiedfunctionalmedicinepractitioner.

Dr Banikoffersthebesttraditionalmanagementof ophthalmicdiseasecombinedwithanintegrative approach.Hertreatmentprotocolspromoteeyeandbrain healthbasedonnutrition,botanicals,lifestylemodification, movement,essentialoils,andsupplements

Dr.BanikisthefounderofEnVisionHealth,aprivatepractice inNewYorkCity.Dr.BanikisanAssociateProfessorof OphthalmologyatMountSinai’sIcahnSchoolofMedicine, wheresheisinvolvedinclinicaltrialsresearchandteaching

Shehasauthorednumerousarticlesandhaspresentedat nationalandinternationalmeetings SheisaCastle

ConnollyTopDoctorandNewYorkMagazineBestDoctor

Dr.Banik'smissionistoeducatethepublicandhercolleaguesabouteye-smartnutritionandlifestylechoicesto preventvisionlossandachievebetteroverallhealthandqualityoflife.

Dr Banikisoftenfeaturedasaneyehealthexpertinthemedia;shehasbeeninterviewedbytheNewYorkTimes, GoodMorningAmerica,TODAYShowOnline,CBS,NBC,ABC,andmanyothertelevisionandradioprograms.She hasbeenanexpertguestonover75podcasts.

Dr Banik'sbest-sellingbookonocularnutrition,"BeyondCarrots-BestFoodsforEyeHealthAtoZ,"isavailablenow onAmazoninprintandKindle.Hersecondbook,"BeyondLeafyGreens-7IntegrativeStrategiestoPreventVision LossfromMacularDegeneration,"willbereleasedinearly2024.

BesuretoconnectwithDr BanikonsocialmediaviaherFacebookgroup,EnVisionHealth,oronInstagramat @drranibanikforvaluabletipsonprotectingandpreservingyourvision

LET'S CONNECT

Turn static files into dynamic content formats.

Create a flipbook

Ageless Eyes: The Dry Eye Solution Workbook

Published on Apr 1, 2024

drtalks

The Dry Eye Solution Workbook by Dr. Rani offers those suffering from dry eye practical integrative solutions for improving their symptoms. First, the workbook provides an explanation of dry eye – its symptoms and its root causes. It next includes a dry eye questionnaire, with a scoring rubric to help dry eye sufferers categorize the severity of their symptoms- normal, mild, moderate, or severe. Then, based on the severity of their symptoms, readers will be directed to one of three Tiers of therapy- Tier 1, 2, and 3. Each Tier has multiple options for dry eye management, many of which can be done via self-care. Other more advanced therapies need to be implemented under the care of an ophthalmologist. By using the valuable information found in the Dry Eye Workbook, dry eye sufferers can be empowered to take charge of their eye health and enjoy clearer, more comfortable vision.