Dry Eye Vitamins

to all those that suffer from dry eyes


Nutrition for Dry Eye

Nutrition for Dry Eyes by Michael Lange OD, CNS

Nutrition for dry eye is a subject I discuss with my patients on a daily basis.  I have a very large dry eye patient population and have learned what works and what does not work over the last 25 years.  I have used the traditional approach using a combination of heating and massaging the lid margins to open the meibomian glands, using a good artificial tear with hyaluronic acid like oasis tears plus or blink preservative free and  cleaning the lids with a good lid hygiene foam like ocusoft or cliradex.  So for dry eye 3 things are still crucial:  cleaning, heating and lubricating.  I have also used all the prescription medications available for dry eye over the past 25 years.  Since I have become more in tune with the natural approach to dry eyes I find I prescribe medication very rarely now.


My nutritional protocol consists of 3 nutritional items I add to my patients. These nutrients not only help decrease dry eye symptoms and improve ocular surface disease but is very good for the entire body.

I always recommend two triglyceride form omega 3 fish oils like Fortifeye Super Omega. We have done omega index blood testing with Fortifeye Super Omega proving that two per day dosing in 100% of patients studied under 240 lbs would bring their omega index between 9.2-11%.  The goal is to get over 8% to be in the heart healthy zone with omega 3.  Studies I have conducted prove that about 1600 mg of triglyceride form omega 3 fish oil is all you need for this.  The key is for the fish oil to be in the triglyceride form and not the more common unstable ethyl ester form. The triglyceride form of Omega 3 fish oil is 3 times more bio-available than the ethyl ester form.  Omega 3 fish oil is great at helping to quell the inflammation in the eye lid margins and reduce signs and symptoms of meibomian gland dysfunction.    I have been very impressed with the additional dry eye benefits we get when we have added 1 Fortifeye Focus pill to the 2 Super Omega.   Fortifeye Focus is a combination of  3 carotenoids lutein, zeaxanthin and astaxanthin.  This combination is not only great for the retina but has proven to lower inflammatory markers in the body.  I have seen arrachidonic acid, c-reactive protein and cortisol levels  come down in patients taking just 1 Fortifeye Focus daily. One of the root causes of dry eye is inflammation!  The 6 mg of astaxanthin in Fortifeye Focus has also been proven to improve amplitude of accomadation in patients  and reduce eye strain and fatigue.  Most people with dry eye also exhibit tired fatigued eyes as well. The combination of a Fortifeye Super Omega (2 per day) along with Fortifeye Focus (1 per day)  or the equivalent nutrients in another brand work synergistically together at decreasing dry eye symptoms and improving ocular surface disease  clinical presentations.

Over the last 15 years I have been involved in nutritional research for macular degeneration and I have found one of the biggest deficiencies in our patients with ARMD is glutathione.  Glutathione is the master antioxidant in our body and is responsible for protection of our entire body against free radical damage and inflammation.   The best way to stimulate glutathione is with the consumption of a non denatured whey protein concentrate.  I have found that once many of my ARMD patients  glutathione deficiencies went away their dry eye symptoms often times improved.   I started using non denatured whey protein concentrates and isolates from grass fed new Zealand cows and have been amazed at the positive response from  my patients.  Many of my patients with dry eye symptoms have improved  with the addition of  the grass fed whey protein.  New science has proven that patients with certain types of dry eye syndrome have deficient levels of lactoferrin in their tears. One of the best ways to stimulate and increase lactoferrin levels in the body is by consuming  a grass fed whey protein concentrate. So is it the lactoferrin in the whey protein that has helped these patients?  I think it may be a combination of many of the anti aging attributes a good non denatured grass fed whey protein concentrate have that has been beneficial.  The key here is to make sure your protein is a non denatured grass fed whey protein concentrate!  This type of protein has the correct ratio of omega 3 to omega 6 and will help reduce inflammation in the body versus a grain fed cows milk used for whey protein.  Grass fed whey concentrate  is high in CLA a good fat, glutathione precursor cysteine, Leucine the most important amino acid for building muscle, lactoferrin and many other immune boosting nutrients.  here is a link discussing the science behind grass fed whey protein  https://grassfedwheyproteinconcentrate.wordpress.com/


I have been so impressed with the ocular health and overall health benefits of Whey protein that I decided to develop what I think is the most advanced protein supplement available.  It is called Fortifeye Super Protein and is a non denatured whey protein concentrate form grass fed pasture raised New Zealand A2 cows.  you can order at https://www.fortifeye.com/products/fortifeye-super-protein-chocolate-available-end-of-november-2015-we-are-taking-pre-orders/

So in summary , proper nutrition for dry eye really works well!  I recommend  a combination of Tg form omega 3 fish oil,  lutein, zeaxantin , astaxanthin and a good non denatured whey protein concentrate from grass fed cows.  The three I use daily in clinical practice are Fortifeye Super Omega, Fortifeye Focus and Fortifeye Super Protein.

Lastly many people  have poor digestion and have compromised health  and dry eyes as a result.  If you have digestive issues, bloating and gas you may benefit form taking digestive enzymes with your meals and a good probiotic first thing in the am and right before bed. Fortifeye Digestive enzymes and Fortifeye Probiotic Bacteria are great with anyone with these digestive issues. I have seen many patients improve dry eye symptoms when their digestion improves. link to article on digestive help http://drmichaellangeoptometrist.me/2014/11/24/dr-michael-lange-discusses-proper-digestion-for-good-ocular-health-and-overall-health/

Use proper nutrition to help improve your dry eyes and you will gain some valuable overall heath benefits as well.  Heres to your health!

Dr Michael Lange



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Dry Eye Treatment and Meibomian Gland Dysfunction a Natural Approach by Michael Lange OD.

Originally posted on Dry Eye Treatment:

Dry Eye Treatment and Meibomian Gland Dysfunction a Natural Approach is a culmination of over 20 years of natural treatments for dry eye developed by Michael Lange OD. Dr. Michael Lange says if these steps are explained in detail to the patient and are followed carefully a vast improvement in dry eye and meibomian gland dysfunction will be a result. Michael Lange OD, CNS is one of a select group of eye care providers that is a certified nutrition specialist as well. Dr. Lange is involved in the research and development of nutritional supplements for eye care and whole body wellness. Dr Michael Lange founded Lange Eye care and Associates 3/15/1993 and has grown to 10 locations in Florida. The Lange Eye institute in the Villages Florida is one of the largest Nutrition oriented eye care centers in the world. The Lange Eye Institute is the home to many nutritional…

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Michael Lange OD discusses Natural Dry Eye Treatment and Meibomian Gland Dysfunction.



Michael Lange OD, CNS discusses  Natural Dry eye treatment and meibomian gland dysfunction.  I have  seen what  the power of proper nutrition , heat with gentle massage, proper lid hygiene and a good lubricating eye drops can do for my dry eye  patients.  In clinical practice for over 20 years I have helped dry eye  patients from all over the world .  The goal is to eliminate the microbial flora that blocks the meibomian glands, cut inflammation in the glands and  unclog the meibomian glands so they secrete a healthy tear film.   If the steps are followed religiously then a very high percent of patients will improve.

1.  lid scrubs with a good lid  foam similar to occusoft foam or cliradex,  If lids are quite inflamed and red and crusty the combination of both work quite well. Scrub lashes first with occusoft then rub the Cliradex onto lashes and lids before bed. This combination will rid the eyes of blepharitis. This gets rid of the microbes like demodex, staph and seboreha  that clog the meibomian glands, An inexpensive option is using baby shampoo to gently scrub the lashes then rinse with warm water.

2.  Take omega 3 fish in the triglyceride form  with a minimum of 1600 mg of combined EPA and DHA. When reading the label make sure it says triglyceride form or TG form, if it doesn’t state this then it is ethyl ester form of omega 3 and contains ethanol.  I recommend staying away from this form of oil due to its unstable molecule and can go rancid quickly plus not as bio available as TG form.   2 Fortifeye Super Omega gives you the ratio or omega 3 necessary to help dry eyes if you weigh less than 240 lbs. If over 240 lbs I recommend taking 3-4 Fortifeye Super Omega.  For really dry eyes I also recommend taking 6 mg of astaxanthin ( fortifeye focus) and  Black Currant Seed oil with 140-160 mg of GLA. GLA for dry eyes in the right combination  to omega 3 fish oil is beneficial. Astaxanthin is a super potent antioxidant and anti inflammatory and is my favorite single nutrient.  If you are not taking  a good multi vitamin that has no beta carotene then I recommend taking Fortifeye Once Daily to ensure there are no nutrition deficiencies aggravating a dry eye condition.

3.  Massaging and heating the  lid margins is crucial to unclog the meibomian glands so the glands can secrete the important  outer lipid layer of tear film.   10-15 minutes 2 times a day.  The use of a warm wash cloth is an inexpensive way to do this but I have found that the Brueder Mask is the best way to continuously treat this condition.  This is a mask that you put in microwave for 20 seconds and then Velcro around your face for 10-15 minutes two times a day. The heat and massage will open up the glands and release the toxins and microbial flora that has been chronically blocking the meibomian glands and causing a dry eye condition. The use of the brueder mask will also minimize circles and bags under the eyes.  This mask can be purchased from www.fortifeye.com

4.  a good unpreserved lubricating eye drop  that has hyluranic acid in it tends to last much longer and be more effective and helping reduce dry eye symptomatology than the typical otc eye drops. . I recommend either Oasis tears plus or Blink. For the extreme dry eyes and meibomian gland dysfunction  I like to use either oasis tears or blinks as well as the addition of a relatively new  unpreserved artificial tear called Retain MGD. This combination helps to replenish all layers of the tear film and reduce dry eye symptoms dramatically.

Following  these four steps will help  improve  your dry eye however it will take up to four months of  faithfully following these directions to get significant improvements in this condition. I have 1000s of patients through out the world that  have been helped with these steps.    I recommend all readers of this blog  see their local optometrist or ophthalmologist if they have any problems with their eyes.  This blog is for educational purposes only.  If you are in the Florida area come by one of the nine Lange Eye Care locations.  www.langeeyecare.com , www.drmichaellange.com

Everything discussed in this article can be purchased at www.fortifeye.com or u can call 866 503 9746

Michael Lange OD, CNS  (Board Certified Optometric Physician and Certified Nutrition Specialist)  9/28/2013


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