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Still Using Baby Shampoo for Dry Eyes?

  • Last updated November 8, 2022

8 min read

Danielle Stoken
Written byDanielle Stoken
Jovi Boparai, MD
Reviewed by Jovi Boparai, MD
Danielle Stoken
Danielle StokenEye Health & Wellness ContributorPittsburgh, PA

Bio

I was so excited when I learned about CorneaCare and am honored to share content, tips and stories about dry eye! I am a certified Health Coach through the Institute for Integrative nutrition so the intersection of nutrition/lifestyle and dry eye disease is one that I am particularly passionate about. Since recently becoming a mom, I care even more about my eye care and self-care and am learning so much through CorneaCare's educational resources.

Get to know me a little better!

Hobby: baking sourdough bread
Food: pasta
Superhero: my dad
Guilty pleasure: cold brew coffee (really, any coffee)
Secret power: serious facial recognition/recollection

Training:

Undergraduate: Carnegie Mellon University
Nutrition training: Institute for Integrative Nutrition

Jovi Boparai, MD
Jovi Boparai, MDCo-founder & CEO of CorneaCarePhiladelphia, PA

Bio

Dry eye disease is tough! I get it. I have struggled with dry eyes for several years from contact lens use, and from spending countless hours looking at computer screens. In college, my dry eyes got so bad that I couldn’t wear contact lenses, because of a constant “foreign body sensation” when I had them in. I had to stop reading every 30 minutes because my eyes would start to burn and my vision would get blurry. I tried a plethora of treatments and nothing seemed to work. Dry eye disease was not only impacting my eyes, but also my emotional wellbeing. It was preventing me from enjoying life, and getting in the way of my professional training. I felt overwhelmed, frustrated and hopeless.

It was only when I realized that my dry eyes were linked to my lifestyle, environment and overall health did things start to make sense. I noticed that on days when I spent less time on the computer, my eyes felt better. My symptoms would flare when it was windy, or when there was low humidity. I knew that if I wanted to get ahead of my dry eyes, I needed to not only treat my eyes, but to also address my lifestyle. I started a consistent regimen of artificial tears and eyelid hygiene. I switched from monthly contact lenses to daily contact lenses. I started taking scheduled breaks from looking at a computer. I ate a healthier diet focused on anti-inflammatory/antioxidants foods, and I bought a humidifier for my room. In the beginning doing all this seemed impossible, but over time it became part of my usual routine. Not only did my eyes feel better, but I was overall healthier and happier! Turns out what is good for my eyes, was also good for my mind and body. I carried this lesson with me as I started my career to become an ophthalmologist and ophthalmic surgeon.

Because of my personal journey and professional training, I believe dry eye treatment starts by listening to and empowering the patient. I listen for the struggles and cue in on their strengths, while picking up on their lifestyle. Only then do we together start building a treatment plan that incorporates good eye hygiene with small, but impactful lifestyle changes. Our sight is our most important sense, and it is intimately linked to our very being. I want dry eye patients to not only get their dry eyes under control, but to also enjoy good mental and physical health, and live a fulfilling life. What is good for the eyes should also strengthen the mind and fortify the body!

Get to know me a little better!

Hobby: vintage watches
Food: peanut butter
Superhero: Superman
Guilty pleasure: desserts
Secret power: has never had a headache

Training:

Undergraduate: University of Pittsburgh Honors College
Medical school: Weill Cornell Medicine
Ophthalmology residency: Wills Eye Hospital.

Still using baby shampoo for dry eyes?

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Table of Contents

Key Points

  • Dry eye disease is a chronic condition that affects 30 million Americans.
  • While some dry eye patients use baby shampoo for dry eyes, there are more effective ways to combat symptoms of dry eye disease. 
  • Practicing eyelid hygiene and using artificial tears are safer and more effective ways to treat dry eyes. 
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Keywords

Baby shampoo, blepharitis, dry eye disease, eyelid hygiene, meibomian gland dysfunction

Taking the First Step

The cost of taking care of your dry eyes can really add up. While it may be tempting to use cheaper alternatives for treatment options like baby shampoo for dry eyes, you may not experience the same relief as you would with products made specifically for the eyes and eyelids. 

Using baby shampoo as part of an eyelid hygiene routine to treat dry eye disease may not be the best solution. Instead, it’s best to understand what’s causing your dry eyes in the first place, and learn ways that you can make lifestyle modifications and practice safe, daily eyelid hygiene that works to relieve symptoms. While dry eye disease is a chronic condition, it is treatable with consistency and patience. CorneaCare is here to help you on your treatment journey! 

What Causes Dry Eye Disease?

Dry eye disease (DED), also known as dry eye syndrome; keratoconjunctivitis sicca; and ocular surface disease; is a chronic condition caused by unstable tears and inflammation. DED leads to symptoms such as watery eyes, burning, redness, irritation, gritty sensation and blurry vision. 

Key Symptoms of dry eye disease

In addition to the physical symptoms, DED affects your emotional, social and mental health. 30 million Americans suffer from DED, so you or someone close to you is likely experiencing symptoms. 

Two Types of DED

DED has two main types: decreased production of tears (aqueous deficient) and rapid evaporation of tears (evaporative).¹ Most DED patients have a combination of the two types.

Causes of dry eye disease

Let’s cover aqueous deficient dry eye first. The lacrimal gland naturally produces tears. The lacrimal gland can malfunction due to infection, illness or inflammation, leading to decreased production of tears. Another reason tear production may decrease is due to a disruption in the link between the cornea and lacrimal gland. When the cornea is dry, it signals the lacrimal gland to produce more tears. If this communication loop is disrupted, tear production may decrease.²

In addition to decreased tear production, you could have increased tear evaporation, leading to DED symptoms. Your tear film is made up of three unique layers: the mucin layer, the aqueous layer and the lipid layer. The mucin layer is made up of molecules that allow it to bind to the cornea’s surface. The aqueous layer then sits on top of the mucin layer, and the lipid layer sits on top of the aqueous layer.² 

Tear film: cornea, tear film layers, mucin layer, aqueous layer, lipid layer

All three layers work in harmony to stabilize the tear film, and prevent tear evaporation. It makes sense that if the surface of the cornea is damaged, it may not bind to the mucin layer. Or, if there is a decrease in oil production for the lipid layer, your tear film may not be stable.² 

Eye Conditions Like Blepharitis and Meibomian Gland Dysfunction (MGD) Can Cause DED

Blepharitis is a painful eye condition that causes inflammation of the eyelids. Symptoms of blepharitis include red and itchy eyelids crusted with tiny dandruff-like scales.³ Blepharitis can be located on the interior of the eyelid (posterior blepharitis) or exterior (anterior blepharitis). Anterior blepharitis is caused by bacteria, dandruff on the scalp or eyebrows, or mites (called Demodex), while posterior blepharitis is caused by meibomian gland dysfunction, which can also lead to bacteria proliferation.³

Key exam findings for dry eye disease

Meibomian gland dysfunction (MGD) is another eye disorder caused by a disruption in the meibomian glands located in the eyelid. Meibomian glands produce meibum, a mixture of lipids (oils) and some proteins, which make up your lipid layer in the tear-film Meibum is delivered to the eyelid margin and then spread across the ocular surface when you blink. The lipids in the meibum help slow down the evaporation of tears, which keeps your eyes moist. Signs of MGD are similar to typical DED symptoms like burning, itching, grittiness, and foreign body sensation. n eye doctor (ophthalmologist or optometrist) can use specialized equipment to closely inspect the meibomian glands and identify atrophy.⁴ If left untreated, MGD can lead to DED and blepharitis.

Medical Conditions and Medications Associated with DED

Were you aware that health conditions can cause dry eyes? Rosacea, dermatitis, cancer, diabetes, high blood pressure, pregnancy and menopause are just a few of the many medical conditions that lead to dry eye symptoms. Autoimmune conditions, such as Sjögren’s syndrome and rheumatoid arthritis are associated with DED. Thyroid problems leading to thyroid eye disease can cause dry eyes. 

Several oral medications have side effects that cause dry eyes by decreasing tear production or causing tear film instability. These medications include antihistamines, beta blockers, antidepressants, birth control pills, isotretinoin (Accutane), diuretics, decongestants, chemotherapy, and hormone replacement therapy.⁵ 

Wearing Contact Lenses and DED 

Contact lens wear is another common cause of DED. It is likely that you or someone you know wears contact lenses because 45 million people in the US use them.¹⁰ Many people do not follow good contact lens hygiene and often sleep or shower in their contacts. Poor contact lens hygiene can lead to DED and other injuries to the cornea. 

How Lifestyle Affects DED

Where and how you live may play a key role in the development of your dry eye symptoms. People living in dry (low humidity) or windy places can develop DED. Very sunny places with high ultraviolet (UV) indexes can worsen dry eye symptoms. Your inside environment also plays a role in DED. Low humidity in the house may destabilize your tear film. Sleeping under an air vent or in front of a fan will cause tears to evaporate too quickly.⁶ 

Environmental conditions that affect dry eye disease

Poor nutritional health from a diet low in essential vitamins, minerals and omega-3 fatty acids can trigger dry eye symptoms, as can not drinking enough water. And, it goes without saying these days, smoking cigarettes or too much exposure to cigarette smoke can cause DED. 

Is Baby Shampoo for Dry Eyes Safe?

You might be thinking, “What could be safer for the eyes than a cleanser used on sensitive baby skin?” Baby shampoo may not be the most effective solution for inflamed eyelids and can cause eye irritation in some individuals. There are a few reasons for this. The first is that baby shampoo is not manufactured to be used on the eyes. While some of it gets into the eyes when bathing a baby (even when we try so hard not to let it!), it still isn’t an eye product. For people experiencing dry eye symptoms, it’s best to have specific products that work in harmony with your eyelid glands to promote healthy tear production. Second, while baby shampoo contains mild detergents, these detergents still contain ingredients like sulfates and synthetic fragrances that can cause dermatitis (inflamed skin leading to redness and itchiness) in some individuals.⁷ As if your DED hasn’t caused enough of those symptoms on its own!

Other Ways to Get Relief from DED

There are safer and more effective alternatives than baby shampoo for dry eye symptoms. Practicing good eyelid hygiene, along with finding an artificial tear that works for you should help relieve your symptoms. 

Eyelid Hygiene

You brush your teeth, moisturize and cleanse your skin and file your nails, but what about your eyes? One of the best ways to care for your dry eyes at home is with an eyelid hygiene routine. Practicing eyelid hygiene as part of your self-care is a great way to relieve dry eye symptoms. 

Common eyelid hygiene practices include eyelid cleansing with eyelid wipes, warm compresses, and cold compresses. These practices are at your disposal anytime during the day, depending on your situation and your unique symptoms. 

Eyelid hygiene routine: warm compress, eyelid wipes, eye mask

Warm Compress

Many DED patients enjoy relaxing at night with a warm compress on their eyelids. Warm compresses improve meibomian gland function and promote oil secretion, which helps to stabilize your tear film and prevent rapid tear evaporation.⁸ You can make a warm compress at home the same way you would a cold compress (but with warm water and a washcloth). For a more convenient option, try CorneaCare’s Rest Self-Heating Warm Compress which doesn’t require water, a washcloth or a microwave.

rest warm compresses

Rest

Warm Compresses

Perfect for eye dryness, fatigue, tearing, and puffiness of the eyelids. Free shipping 📦.

Try today - $30

Cold Compress

Applying a cold compress to your eyelids throughout the day when experiencing DED symptoms is a great way to care for your eyelids and rejuvenate your eyes. A cold compress can be made by wetting a soft cloth with cold water and applying it to your eyelids for 5-10 minutes. Ice cubes or cold packs in skin-safe packaging is another option. For a more convenient option, you can try CorneaCare’s self-cooling Rescue Cold Compress eye mask that doesn’t require water, ice, or a freezer. 

rescue self cooling hydrogel cold compress

Rescue

Cold Compresses

Perfect for sudden flare-ups of eye dryness, pain, burning, and swollen/inflamed eyelids. Free shipping 📦.

Try today - $12

Eyelid Wipes

Many eyelid wipes are available on the market intended to cleanse and moisturize the eyelids. CorneaCare’s Rise Eyelid Wipes contain hyaluronic acid and tea tree oil that work together to combat DED, MGD and blepharitis by clearing up debris caused by oil back-up and by alleviating inflammation. Use in the morning or whenever works best as part of your routine. 

Rise eyelid wipes

Rise

Eyelid Wipes

Perfect for eye dryness, itching, burning, and crusting/flaking of eyelashes. Free shipping 📦

Try today - $25

Artificial Tears

Most DED patients find that using over-the-counter or prescription artificial tears consistently helps bring comfort to their dry eyes. Lubricating eye drops, ointments and gels replenish your tear film. Preservative-free artificial tears are better for the ocular surface than those containing preservatives. Unfortunately, there is no “one” best eye drop because everyone experiences DED differently. The best artificial tear is the one you use consistently, as instructed by your eye doctor (optometrist or ophthalmologist). Most eye doctors recommend using artificial tears 4-6 times a day and sticking with the same product for 1-2 months before moving to another.⁹ 

Treatments for dry eye disease

Putting It All Together

Baby shampoo likely won’t effectively alleviate your dry eye symptoms. Because DED has many causes, it’s important to understand what is leading to your dry eye symptoms in the first place. Making small lifestyle modifications can make a significant difference in tackling your DED. Eating a balanced diet, drinking enough water, avoiding cigarette smoke, and humidifying your indoor environment may ease your symptoms. Practicing good eyelid hygiene is an effective way to improve your natural tears and address dry eye symptoms. If you can incorporate these tips into your daily self-care routine, you might just notice that not only do your eyes feel more comfortable, but you feel better overall.

Lifestyle changes: balanced diet, working with the weather, taking regular breaks

What’s Next

To learn more about dry eye disease, sign up for our Dry Eye 101.

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Bibliography

  1. TFOS – Tear Film & Ocular Surface Society, https://www.tfosdewsreport.org/. Accessed 24 March 2022.
  2. Boyd, Kierstan. “What Is Dry Eye? Symptoms, Causes and Treatment.” American Academy of Ophthalmology, https://www.aao.org/eye-health/diseases/what-is-dry-eye#tears. Accessed 24 March 2022.
  3. “Blepharitis | AOA.” American Optometric Association, https://www.aoa.org/healthy-eyes/eye-and-vision-conditions/blepharitis?sso=y. Accessed 24 March 2022.
  4. “The ABCs of MGD | AOA.” American Optometric Association, 4 September 2018, https://www.aoa.org/news/clinical-eye-care/diseases-and-conditions/the-abcs-of-mgd?sso=y. Accessed 24 March 2022.
  5. Seltman, Whitney. “These Medications Can Cause Dry Eyes: Antihistamines and More.” WebMD, 21 June 2021, https://www.webmd.com/eye-health/medication-cause-dry-eye. Accessed 24 March 2022.
  6. Higuera, Valencia, and Justin Laube. “What Is Dry Eye? Symptoms, Causes, Diagnosis, and Treatment.” Everyday Health, https://www.everydayhealth.com/dry-eyes/guide/. Accessed 24 March 2022.
  7. Hauser, Whitney. “5 ways to go beyond baby shampoo for lid hygiene.” Optometry Times, 23 June 2016, https://www.optometrytimes.com/view/5-ways-go-beyond-baby-shampoo-lid-hygiene. Accessed 24 March 2022.
  8. Schubert, Jeffrey R., et al. “Using warm compresses to treat meibomian gland disease.” Optometry Times, 11 August 2015, https://www.optometrytimes.com/view/using-warm-compresses-treat-meibomian-gland-disease. Accessed 25 March 2022.
  9. Cole, Jane. “Artificial Tears: What Matters and Why.” Review of Optometry, 15 November 2020, https://www.reviewofoptometry.com/article/artificial-tears-what-matters-and-why. Accessed 25 March 2022.
  10. “Fast Facts | Contact Lenses.” CDC, https://www.cdc.gov/contactlenses/fast-facts.html. Accessed 25 March 2022.

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