Caring for dry eye disease and disorders of the lids and lashes has gone beyond recommending artificial tears and lid scrubs with baby shampoo. Some of the best products aren’t readily available in local pharmacies, however. Nearly three-quarters of doctors surveyed said they display lid hygiene products in their offices. See below for other ways doctors view specialty lid hygiene products in their practices.

How the variety of over-the-counter (OTC) lid/lash products has impacted practice growth in the last three years:

“Very helpful. Lid cloths and baby shampoo are worthless and lead to undertreatment.”

“More options and more discussion for the patient. When they fail with one product, they have other options, which is nice.”

“Since certain products are not readily available, I have added them to the products I sell. I will get the initial sell, but it is rare when patients return for product. Thus, in my case, not a huge money maker.”

“Much better options than in the past.”

“I do not believe it has impacted growth as of yet, but I do believe it will.  Lid disease is chronic, and these products treat the actual problem, not just the symptoms.  Lid disease and dry eye are preventable in the majority of patients we see in our primary care offices.”


What ODs would like to see improved with this category of OTC products:

“Addition to Medicaid formulary so all patients can have access to this product.”

“I think what is available is fine.”

“Manufacturer-sponsored public education (social media, TV ads).”
“Less detergent-based cleansers that strip the natural oil reserves, better ingredients promoting overall ocular health (i.e., no alcohols).”

“The product I order doesn’t have a way to order directly online from the company. The orders have to be called in. Also, there is no patient portal so that they can order themselves online.”

“Better patient education nationally on the importance of good lid hygiene. It should be as important as oral hygiene.”


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