Avenova contains Neutrox, pure 0.01% hypochlorous acid (HOCl) in saline.

Avenova provides long-term comfort for patients with chronic conditions such as MGD, blepharitis, dry eye and more.

Avenova from NovaBay Pharmaceuticals is the only lid and lash hygiene product that contains Neutrox, pure 0.01% hypochlorous acid (HOCl) in saline, that can be used for daily lid and lash hygiene. HOCl is a naturally occurring chemical generated by neutrophils inside our bodies and is part of our natural defense mechanism. Neutrox is non-toxic to our tissues. In solution, laboratory testing demonstrates that it is effective against a broad range of organisms, including all common skin bacteria, yeast and fungi.

Many ocular complications, including ocular rosacea, meibomian gland dysfunction (MGD) and contact lens-related keratitis, are attributed to over growth of organisms on the lid margins. Indeed, one recent study found a five times greater risk for corneal infiltrative events in contact lens wearers when there was a significant bioburden on the lids. Increased lid bioburden can lead to an unstable tear film, which can induce symptoms of dry eye and poor or fluctuating vision. It can also cause damage of the lids and cornea resulting in inflammation-induced telangiectasia, lid notching, misdirected lashes, scarring of the cornea, corneal irregularity, and in rare cases, corneal perforation.

In patients with these conditions, lid hygiene should be taught as a continual process of self-care similar to brushing one’s teeth. It is much easier to prevent bioburden-related inflammation than to treat the symptoms. Treatment options for inflammation predominantly include the use of steroids, which have known side effects including an increase in intraocular pressure, cataract formation and thinning of the dermal tissue.

Avenova is fast, easy to use and does not have the drying effects of other lid hygiene products, such as the surfactant cleaners in lid scrub products or baby shampoo. There is no burning or stinging associated with product use, and therefore compliance remains high. Available through a prescription, it should be wiped on the lid margins one to two times a day and should be used before inserting and after removing contact lenses. For makeup wearers, it is applied after makeup is removed. In cases where there is significant lid debris or collarettes, a polar oil, such as coconut oil, can be used to soften and remove matter prior to application.

Comments From the Docs:
“We have been using Avenova with our blepharitis patients for quite some time, and it has become my go-to therapy for this condition. It is gentle enough on the lids but strong enough to eradicate the problem and keep it under control.”
““John L. Schachet, OD, Englewood, CO

“Avenova has quickly become a foundational treatment for the majority of my patients with ocular surface disease. I find it most useful in patients with seborrheic and demodex blepharitis. The feedback I receive regarding comfort parallels the clinical picture within the first few weeks of daily use.”
““Ahmad M. Fahmy, OD, FAAO, Dipl. ABO, Minneapolis, MN

Patients at risk for developing blepharitis, contact lens wearers, those with dry eye symptoms, rosacea, meibomian gland dysfunction and pre/peri-operative patients are all great candidates for Avenova. As part of a lid hygiene regimen, Avenova may help outcomes for comfort and vision.

Christine W. Sindt, OD, FAAO, is clinical associate professor of ophthalmology and visual sciences at University of Iowa Carver College of Medicine, Iowa City, IA.


NovaBay Pharmaceuticals, Inc.
800-890-0329 | |


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