Natural Dry Eye Treatment by Dr. Michael Lange Optometrist and Certified Nutrition Specialist

Natural dry eye treatment may be the best treatment for dry eyes.

        by Michael Lange OD, CNS

Dr. Michael Lange in front of The Lange Eye Institute in The Villages Florida, home of the dry eye!

Dr. Michael Lange in front of The Lange Eye Institute in The Villages Florida, home of the dry eye!

What is the best treatment for dry eyes?  This is a question that  optometrists and ophthalmologists have been trying to figure out for years.  A lot of money and research is used in developing a dry eye treatment that works. Everyone is looking for that magic potion  or miracle dry eye treatment. Patients with dry eyes will try anything to get relief of their symptoms. Currently the traditional approach to dry eye treatment is to use artificial tears, oral and topical antibiotics, topical steroids and punctal plugs.  Some newer  dry eye treatments are  Meibomian gland probing,  IPL ( intense pulse light therapy), and Lipiflow. These newer treatments for dry eye  are all aimed at unplugging the Meibomian glands to allow a healthier flow of the crucial outer lipid layer of the tear film.  These treatments are not covered by insurances and are relatively expensive and not permanent.

Sometimes the simplest and most natural approach is the best.  I have been seeing dry eye patients in an extremely busy dry eye practice since 1992.  I have been able to determine what works and what doesn’t work.  I have taken all of my years of experience  in clinical dry eye treatment and nutrition and formed a  natural dry eye treatment plan that works quite well .  I have patients that travel 1000s of miles to come to The Lange Eye Institute in the Villages Florida to learn  about natural eye care .  We take a wellness approach to our patients at Lange Eye Care and help the patient to become pro active in their future health through dietary changes and lifestyle modifications. We use this wellness approach to complement our traditional medical and surgical care of our patients.   Many patients come to  Lange Eye Care for a second opinion because the traditional dry eye treatment was not working and they are seeking out a different approach.   We have been able to help many patients that traditional dry eye treatments have failed through a more natural approach.

Wild Alaskan Salmon and plenty of vegetables ia a Paleo diet for dry eyes.

Wild Alaskan Salmon and plenty of vegetables ia a Paleo diet for dry eyes.

Patients respond favorably  to a natural dry eye treatment approach.  First and foremost most patients will need a diet overhaul.  The typical American with dry eye is consuming a pro inflammatory  diet that is very high in omega 6 fatty acids.  These patients will respond well by simply changing their diet to an anti inflammatory diet .  I recommend a combination of the gluten-free,  Paleo and mediterranean diets.  Eating more fruits, vegetables, lean proteins, nuts and seeds and staying away from processed foods  is the idea behind these diets.  Simply by adjusting their diet  many patients will report less dry eye symptoms and  feel better and look better.  Most patients with dry eyes are also dehydrated. They are not drinking enough good quality water and drinking too much coffee, sodas and alcohol.  When we  bump up their water consumption to half their body weight in ounces of good quality water and add a few glasses of coconut water many of the signs of dehydration will start to improve including dry eye symptoms.  A  small amount of coffee may actually be good for dry eyes. Some recent  studies prove that small amounts of caffeine may stimulate the tear glands. I do still recommend one to two cups of coffee a day.  I also recommend consuming green tea, white tea, almond milk and coconut milk throughout the day. When consuming large amounts of water  drink only spring water or filtered well water. Stay away from reverse osmosis and distilled water due to the acid ph and the lack of minerals.  Try to drink spring water out of a glass  bottle however if you can’t  find it in glass it is ok in plastic as long as it is kept at room temperature.

coconut water for dry eyes

coconut water for dry eyes

Smoking lowers serum antioxidant levels in the blood and increases the risk of all eye problems including dry eyes. Smoking cessation is tops on the list to help improve dry eyes.   Patients that are overweight are also more likely to have dry eyes ,cataracts, glaucoma and macular degeneration. Weight loss is also a step in the right direction of helping to eliminate the dry eye suffering many patients are plagued with. 

Dry eye vitamins are becoming very popular and there are a variety of dry eye vitamins that can be purchased over the counter at the local drug store.  People must be very careful when purchasing their vitamins  from the local drug store.  Many of the supplements and eye vitamins sold at the local drug store are filled with synthetic nutrients, dyes and trans  fats.  These supplements in my opinion may sometimes cause more harm than good.  I got tired of  questioning the quality of the supplements that my patients were getting from the local stores so started Fortifeye Vitamins in 2005.  Fortifeye Vitamins is involved in research and developement of science based supplements to help the eyes and total body.

Fortifeye Super Omega is many doctors choice for dry eye.

Fortifeye Super Omega is many doctors choice for dry eye.

The number one supplement or vitamin for dry eye is Omega 3 fish oil.  The typical fish oil that you purchase at the local drug store will not have a high enough concentration of omega 3 to be effective against dry eye.  These typical  store bought omega  fish oils are made of an inferior oil called ethyl ester fish oil.  Ethyl ester fish oil is an inexpensive way to purify and concentrate a fish oil however it makes the molecule very unstable and can therefore go rancid very easily. This is why many people burp up a nasty rotten fish smell.  I recommend going with a triglyceride form omega  fish oil with a minimal concentration of EPA 850-900 and DHA of 550-600 in two gel caps.  Taking these levels of this type of fish oil will move the omega index to a truly healthy level over 9%. The omega index is the ratio of omega 3 to omega 6 in our blood.  New studies suggest an omega index over 8% is the healthy zone.  Fortifeye super omega is the fish oil I recommend since it full fills all of this criteria. Fortifeye Super Omega  has an Epa of  860 and a DHA of 580 in two gel caps. An omega three study proved that two Fortifeye Super omega will bring the omega index on an average over 9.1 % and in many patients as high as 11%.   This fish oil has a very good taste ad will not cause any burp back.  It is in a gel cap that can be swallowed or is also made as a chewable capsule as well.  1000s of doctors and patients are experiencing the dry eye benefits from taking Fortifeye Super Omega.  I recommend  patients that have severely dry eyes or patients that weigh over 240 lbs to take three to four of the Fortifeye Super Omega on a daily basis.

Fortifeye Focus improves dry tired eye symptoms. Works well with Fortifeye Super omega.

Fortifeye Focus improves dry tired eye symptoms. Works well with Fortifeye Super omega.

My second favorite supplement or vitamin for dry eye is a carotenoid called astaxanthin. Astaxanthin is a potent anti oxidant as well as a potent anti inflammatory. Astaxanthin has been shown in multiple studies to reduce eye strain and improve accommodative ability in near point tasks.  Astaxanthin is also used by athletes to improve muscle endurance and muscle recovery. Many patients notice less wrinkles and fine lines in their face after taking astaxanthin for a few months. This potent carotenoid also has some sun blocking  properties ultimately helping to protect the skin and eyes from the damaging suns rays.  Fortifeye Focus is a supplement I developed using 6 mg of astaxanthin, 4 mg of lutein and 200 mcg of zeaxanthin. I have had incredible results with this product and patients with dry eyes. When combined with Fortifeye  Super Omega the dry eye benefits are improved dramatically from either one used alone.  Many of my patients are noticing dramatic improvement in dry eye and tired eye symptoms after taking both Super Omega and Focus for  1-2 months.  Subjective and objective improvements are noted on these patients.  Since many of these patients will fall short of eating the 10-13 servings of organically grown fruits and vegetables , I recommend taking a good multivitamin. I have developed  a multivitamin called Fortifeye Complete One-per-day for this situation. It is important when dealing with dry eye patients to make sure they are not nutritionally deficient. A nutritional deficiency can  be a cause of dry eyes. A  Potassium deficiency can also be a cause of dry eye.  This is another reason I recommend dry eye patients drinking a few glasses of coconut water a day . Coconut water is very high in potassium and is one of the best ways to hydrate .

Fortifeye One Per Day most potent multivitamin in the industry

Fortifeye One Per Day most potent multivitamin in the industry

It is also important to practice good lid hygiene if you are a dry eye sufferer. I recommend  hot compresses with a warm wash cloth for 15 minutes three times a day while massaging the lid margins.  This will help to unclog the Meibomian glands and ultimately improve tear flow to the ocular surface.  I also recommend scrubbing the eye lashes with a good lid scrub foam like occusoft lid scrub foam two times a day. This will get rid of the bacterial flora that builds up on the lids and clogs the Meibomian glands. Lastly it is important to use a good unpreserved artificial tear to help alleviate the dry eye symptoms.  I recommend Oasis Tears Plus and Retaine. Both of these lubricants are preservative free and last longer than the artificial tears you can purchase over the counter.  These lubricating eye drops can be used frequently throughout the day.  All of the supplements, foam cleanser and artificial tears I have discussed can be purchased through many eye care providers or you can purchase online at

Total Dry Eye System

Total Dry Eye System

In summary, Dry eye is a chronic condition that  wont go away over night.   However if the suggestions made in this article are followed then the chances of your dry eye improving are significant.  This article was for educational purposes only and never replaces a comprehensive eye exam from your local optometrist or ophthalmologist.  I hope this has been informative!

Keep the faith

Dr. Michael Lange Optometrist and Certified Nutrition Specialist

syndicated talk show host of “Ask the Dr.”.

14 responses

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  6. Dr. Lange – thank you, I found your website and will take my Fortifeye packets and drink spring water every day – and find some coconut water.
    Two “editing” observations for your article – in the paragraph between the photo of the two bottles of fish-oil capsules (not the tablet photo) five lines down – it should read “goes rancid very easily” rather than “very easy.” Several paragraphs up, I didn’t note which one, but will look again – you accidentally wrote “do to…” when you meant “due to…”. Forgive me – I’m not critical – you have my utmost respect. I just have an editor’s eye, and thought I’d pass on the observations.
    Donna Davis – Inverness (Hernando office patient)

    1. Donna thanks for the editing advise, i made the changes. Dr. Mike

  7. I think I have dry eyes because my eyes are always irritated red and itchy. I’ll try to follow these diet advise, thanks.

  8. My left eyeball adheres to the eyelid during the night, which creates broken sleep, and this has occurred for 2 years – am sick of it. Had the upper tear duct flushed and ‘probed’, twice, however swelling still evident in this area. ‘Tearing’ in the morning, however eye o.k. during the day. Prescribed all sorts of preservative-added drops/petroleum based oil products, but don’t wish to use – only Celluvisc which doesn’t assist during the night.

    Can anyone suggest a sterile, yet effective method of stopping the eyelid adhering to the eyeball, and not creating redness or irritation, please? Sleep patterns are constantly interrupted and I am exhausted.


    1. It sounds like dry eye. First off turn off the ceiling fan if its on, I would change to either oasis tears plus or blink, these two are preservative free a d have Hyluranic a I’d that allows it to bind longer to your eye and give better relief than What u are using. I would also add three to four times a day retaine drops. This will replenish the outer lipid layer of your tear film that is crucial while u sleep. I would start two Fortifeye super omega ASAP. This will help produce a helps their tear film. Make sure your eye lashes are very clean by scrubbing them with occusoft lid scrub before bed. The combination of all of this should help dramatically. Of course it is a good idea to see your eye doc to make sure this is the cause. Don’t forget to hydrate your body with half your body weight in ounces of good spring water and maybe a couple of glasses of coconut water a day. All of this will help dry eyes. U can get all of this at Keep me posted. Dr Mike

  9. Hi Dr. Mike,

    Thank you for your response. Have only just come upon your reply after posting my query in November! Since then, and not having seen your reply, have been using preservative free Lacri-Lube, which has been of some benefit, re sleeping.

    There is ‘pus’ coming out of the top left tear duct, which is not subsiding, the tear duct is still swollen, and as I cannot use Chlorsig (anti-biotic drops) due to an allergy to the product, don’t know how to – 1) get rid of the swelling and 2) stop the discharge. The eye itself is not sore, red or itchy, however there is a dull ache on occasion around the ‘orbit’ of the eye.

    Seeing an Ophthalmologist early April, ’14, however don’t trust what he may suggest – possibly surgery, to clear the tear duct, and don’t want it ‘flushed’ again, as that is both painful and useless! Requested an ultrasound on the tear duct, through my GP, however for some reason the people to whom I was referred for this test, say this wouldn’t show up anything, so it wasn’t carried out!

    Any other suggestions, to avoid anything invasive, please? (An Optometrist has been gently using pressure with a cotton bud, over the swollen area to express the ‘pus’, every couple of weeks for about 2 months, however within a short period it builds up again and am back to square one!)

    Dee – Australia

  10. Fantastic article on natural treatment for dry eye!! Thank you for all the work you do, I have been following your advice for many many years and have been doing quite well! Dr Michael Lange if I lived in Florida you would certainly be my doctor. If you only knew how much you have helped me with your articles , videos and radio program. Thanks again and God Bless you. Ruth C

  11. Great article , I too have been a big fan of yours Dr Lange ! I follow your u tube videos and watch your talk show on internet . I lost 24 lbs in one month on the Lange diet , Thanks for sharing with us. Marge

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