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This article was originally published in a sponsored newsletter. In a 2016 article, Dr. Whitney Hauser wrote, “More than 20 years ago, personal computers ran Windows 95, everyone was doing the Macarena, and optometrists were recommending baby shampoo for blepharitis. Lid hygiene has come a long way in two decades-but have all practitioners bought in, or do some still cling to the good ol’ days?”1 I remember reading this opening statement and it made me stop and think. |
| Why Should We Leave Baby Shampoo to Babies? |
| While it’s advertised as “no tears,” that doesn’t mean baby shampoo is ideal for creating “more tears” or “healthy tears.” Proper ocular hygiene is important because it helps promote healthy glands, lipids and tears. Baby shampoo, or any product not formulated and tested specifically for the eyes, often contains ingredients that can throw off the natural pH of the eyelids in some patients, especially when used frequently. Baby shampoo also requires mixing/diluting so there is poor compliance. These products can also dry and irritate the skin and even create an allergic response. |
| What Should We Prescribe Instead? |
| Previously, I have described the benefits of pre-moistened lid wipes and sprays— including hypochlorous acid sprays—as well as foam cleansers, all specifically formulated and tested for the eye area. I often prescribe all of the above options for patients depending on their symptoms, signs, ease of use and patient preference. The most important thing is to be specific with the prescription and, if possible, carry the products in your practice so patients can leave with them the same day. By doing so, we can provide convenience and encourage improved outcomes. |
| What About Price? |
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On average, you can buy a 30-day supply of product specifically formulated for the eye and eye area for $15 a month. While a small bottle of baby shampoo is cheaper at an average of $10 a month, I haven’t had a patient who, after my simple explanation of the importance of using proper products, has said “No, I think I will take my chances and save the $5 a month.” Patients expect me to provide them a professional solution that is convenient and improves their likelihood of compliance, not a home remedy to treat this all-too-common condition. Reference(s):
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Article
Time to rethink baby shampoo for ocular hygiene
It’s Time to Give Up “No Tears” for “More Tears” and “Healthy Tears”
Optometric Management
February 1, 2024
