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now if you're having dry eyes stinging
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scratchiness sensitivity to
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light difficulty focusing when you look
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at something you see it then it starts
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to fade out and get blurry again you
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start blinking and it starts to become
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clearer again that all has to do with
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dry eye now I want to really educate you
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about dry eye I believe I'm going to be
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able to help many why because you're
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looking at someone right now who's been
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suffering with this for quite some time
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in the past I've done my homework and
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when you have dry eye you're having
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inadequate tier production poor tier
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quality prolonged screen time on your
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computer environmental factors such as
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aging as well as certain medications
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that might be causing it and the first
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thing I'm going to tell you is to follow
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the 2020 rule that means every 20
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minutes when you're looking at your
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screen or your smartphone you want to
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look 20 ft away at an object for 20
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seconds and when we're on our smartphone
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or our computer we don't blink enough
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and a number one reason why we get dry
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eyes while we're working on our
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smartphone or our computer is that we're
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not blinking blinking takes the gland
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that secretes the fluid in the upper
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outside of each eye the lacrimal duct
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and it kind of pushes the fluid across
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the eye along with two other things
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which I'll cover in a minute and it
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drains in the inside of our eye so when
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we blink we're taking that fluid and
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we're moving it around along with two
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other important elements there is a tear
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film structure on our outer eyes and
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it's composed of three main layers each
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with distinct functions the outer layer
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is a lipid layer that comes from the
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mobian glands which are sebaceous glands
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located in our eyelids and these glands
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secrete a lipid substance that secretes
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across our te ter film and the middle
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layer is called the aquous layer this is
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the bulk of our
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teril this is produced by our lacrimal
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glands located in the upper outer part
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of each eye orbit and the third layer is
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the inner layer called the mucin layer
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and this ensures that the tear film
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adheres to the ocular Surface by
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spreading the aquous layer evenly over
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the cornea and conjunctiva and here's
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the big problem the lipid layer which is
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the oils as well as the aquous portion
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coming from a lacrimal gland up in here
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and the mucin layer all have to work
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together and if they're imbalance that
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will lead to your dry eye and the first
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thing you'll probably hear is get on
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those natural lubricating drops
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preferably preservative free that's most
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important and your doctor May say well
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you need to try these different drops
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and again they're all little bit
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different in certain drops they seem to
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work better than others you'll have to
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go through that experimentation
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but all in all you might be using these
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drops way too often it doesn't mean
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there's any harm but that may not be
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your solution there's a couple of tips I
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can give you right off the bat applying
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warmth to our eyes like a moist heating
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pad they have these little type of
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electric things you can buy that go over
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the
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eyes using hot water that seems to be a
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big helper for me hot water beating on
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top of my forehead dripping over the
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eyes and one of the most important
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things we can do is use a real
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non-abrasive one that doesn't have lots
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of chemicals type of shampoo we say baby
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shampoo I think that's the best take a
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little bit in your finger after you heat
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up your eyes when you're in the shower
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and you're going to just lightly rub
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back and forth over your eyelids not
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pushing on the eyes at all what that's
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going to do is help clean the eyelids
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and where the eyelids are the upper and
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lower eyelids that's where the my bobian
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glands secrete that oil and that oil
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that lipid layer is the most important
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thing because when we have fluid that
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comes from our laeral glands that meets
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with that oil the fluid doesn't dissolve
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or disintegrate as fast because the oil
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keeps that lubrication there and every
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time that we blink that's why it's
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important that when you're on your
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smartphone or your computer blink often
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what that does it helps the laeral gland
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secrete more fluid as well as the mobian
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gland secrete more of that lipid layer
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so they can work together so what it
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does it allows the secretion of that oil
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and fluid as well as allowing it to pass
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underneath the eye over the eyeball
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underneath the lid that is and it drains
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on the inside where our nasal ear is on
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both sides so blinking blinking blinking
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that if I ask you right now close your
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eyes and just hold them together
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you could open it up and you can blink
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again there are exercises that when you
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have dry eye just start closing your
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eyes firmly open up close your eyes
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firmly open up you may want to do that
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30 seconds 60 seconds intermittently
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throughout the day that seems to be be a
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great helper for me and I know it will
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help you tremendously and there's no
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doubt that the most important thing you
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can do for dry eyes is make sure you're
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not dehydrated you need to drink water
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because that hydration of that water
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makes its way through your system to
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help your tear production for overall
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health of your eyes and if you live in
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cold climates that could be a problem
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having a humidifier in your room will
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definitely be helpful that humidifier
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will keep that moisture cold wind if
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you're sitting in front of the air
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conditioner if it's at home if it's at
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work or even in your car that air
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blowing on your face is going to dry out
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your eyes stay away from that air
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conditioner that's a big big no no and
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from a nutritional point of view
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definitely healthy fats olive oils
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Omega-3s any of the omegas but getting
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that healthy fat helps those mobian
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glands because that's the oils we need
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to keep the fluid from drying out so
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after we heat up our eyes if it's a
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heating pad one of the little heating uh
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types of things you element you can buy
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a little type of thing that fits over
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your eyes or even after taking the
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shower there's a little exercise you can
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do you don't have to do it if you use
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heat because to me that's why I love uh
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using a little bit of baby shampoo and
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just kind of rubbing it back and forth
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just for like 10 seconds then washing it
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off again after they heat but if you put
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heat on it there's something else you
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might want to try if nothing else have
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worked for you is just what you're going
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to do is you're going to make sure your
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fingers are clean and after you heat it
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up everything's warmed up by just
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starting from the inside of our eye as
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we close our eyes and we just go over
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the eyelid the upper eyelid just the
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upper eyelid don't push over your eye
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really really lightly starting from the
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inside working your way out it's hard
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with your fingers okay you'll do it on
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both sides then you want to come up
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underneath the lower eyelid from the
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inside of the nasal area and go up real
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real gently do not push over the eye
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just try to focus on the eye lashes
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where they are on your upper and lower
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you you may not have a lot of eyelashes
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like myself but you do or don't that's
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where the mobian glands are because by
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doing this and warming it up helps
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release that congested area maybe
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something has hardened up in there maybe
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it's gotten crusty in there there's a
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condition called
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blepharitis where the mobian glands
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start to dysfunction because they're
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dried up and they're not working you can
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get a little bacteria in there that can
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cause a lot of dry eyes so that's why I
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think it's a great idea to make sure we
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Focus where the eyelashes are the upper
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and lower by using the heat using the
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baby shampoo a little bit of Light
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massage going upward starting from the
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inside working your way out you can do
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it a few times if that doesn't work you
00:08:12
can take uh maybe something really soft
00:08:15
and use it too as long as it's
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disinfected and clean that can be a big
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help I want you to realize that a lot of
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dry eye can come from these mayian
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glands because when they're not working
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that will not produce the oils that the
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outer part of your eye needs so you
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won't have that problem and it's so
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important that when you have dry eye
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give your eyes a break make sure you're
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getting proper sleep so the cells can
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repair and heal and it's also a good
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idea that they do have gels preservative
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free also that's thicker that you would
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put on at night inside your eye maybe a
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drop or two some gels you can dab in
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there I like the ones you could put
00:08:53
drops on there way don't have to touch
00:08:54
it there's few gels out there make sure
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they're preservative free and this gives
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your your your eyes a chance to
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hydrate uh the problem is is that when
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you put it in your eyes don't expect to
00:09:05
start reading and doing things on your
00:09:07
iPhone or computer because it's going to
00:09:08
get blurry that blurriness is normal but
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that really helps lubricate the eye so
00:09:14
that dryness can start to go away the
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other thing that I've learned is that
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when our eyes get dry and they feel okay
00:09:22
during the day because you've been using
00:09:23
maybe some drops and doing your heat and
00:09:25
doing everything right stay away from
00:09:27
the cold wind and the air condition
00:09:28
blowing in your eyes
00:09:30
it's a wise idea to use the drops even
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when they're not dry okay intermittently
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because you want to sustain it you don't
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want to get to that level to where you
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start regressing so much now you got to
00:09:41
take all this time to get back to where
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what feels good and what's normal again
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so you might want to take that into
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consideration and there's just a few
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more things I want to
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rehash one is nutrition process refin
00:09:54
foods you're eating excessive refined
00:09:57
sugars are not good it's
00:10:00
inflammatory and what the research shows
00:10:02
that a lot of conditions with dry eye
00:10:04
can be stemming from inflammation there
00:10:08
are drugs that your optometrist or
00:10:10
opthalmologists commonly recommend and
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they're drops to reduce inflammation or
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anti-inflammatory drops because we're
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finding that a lot of people with dry
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eye have inflammation but if you eat
00:10:21
healthy your fruits and vegetables your
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legumes your healthy fats like your
00:10:27
salmon your tuna healthy fishes your
00:10:29
Omega-3s your Omega 7s are good are good
00:10:32
for this as well uh your pumpkin seed
00:10:36
oils are good your olive
00:10:38
oils uh any healthy oil not the
00:10:42
vegetable oils but you want to make sure
00:10:44
you're getting those oils that will
00:10:47
really make a big change for you lots of
00:10:49
water along with that even exercise
00:10:51
because we're getting more circulation
00:10:53
more changes in our uh body's chemistry
00:10:58
there's another thing I want to mention
00:11:00
lastly it's massage in the eye when I
00:11:03
say massage in the eye uh there are
00:11:06
techniques that people have done facial
00:11:09
massages I never want you to massage on
00:11:12
the eyes never push on the eyes very
00:11:15
important but when you massage around
00:11:18
the eyes and stimulate around the eyes
00:11:20
and put heat around the eyes if you just
00:11:23
take time to stimulate those eyes around
00:11:26
the eyes in the eye orbits or anywhere
00:11:28
around the facial area you're bringing
00:11:31
more blood supply in there
00:11:33
hyperemia if you just stimulate this and
00:11:36
start tapping around it you'll feel
00:11:38
tingling that's the hyperemia that's the
00:11:40
increased blood supply that brings in uh
00:11:43
nourishment circulation and very very
00:11:46
important in any part of our body we
00:11:49
want to get rid of all that toxins waste
00:11:52
toxins that's where our lymphatic system
00:11:54
uh kicks in where it circulates back to
00:11:56
lymph nose in the outer ear so it drains
00:11:58
down uh up of the clavicular clavicular
00:12:01
area so it can get back into the
00:12:03
circulatory system as we can excrete all
00:12:05
those extra toxins so if I was going to
00:12:09
say one thing to you be careful with
00:12:12
that excessive screen time but all boils
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down the one important thing got to
00:12:16
start blinking more because if you're
00:12:18
not blinking enough and you're you're
00:12:20
straining not only going to strain your
00:12:21
eyes but your eyes are going to dry up
00:12:23
because blinking helps keep that
00:12:25
lubrication and helps keep your eyes
00:12:27
happy so I really hope that this video
00:12:31
serves you well this is from my heart to
00:12:33
you I've been through a lot myself I've
00:12:36
done so much and I know what works and
00:12:39
I'm trying to share it with you so you
00:12:41
can help your family loved ones and
00:12:42
friends because I know this information
00:12:45
is extremely important and please share
00:12:47
it with them leave your comments uh
00:12:49
below because I'd be very happy to hear
00:12:52
that you've done well in the near future
00:12:54
as well uh that's about all I have to
00:12:57
say with you please make it a great day
00:13:00
I'm Dr Alan Mandel
