What is Hypochlorous Acid?

What is Hypochlorous Acid? 0

What is hypochlorous acid?

Hypochlorous acid is a bactericidal component of the immune system. This means that when your immune system comes across pathogens it actually releases hypochlorous acid to help kill the bacteria.

Results from lab studies have showed that a stabilized hypochlorous acid is very fast-acting broad-spectrum against microorganisms found in the external ocular flora, which is just your skin on your eyelid surface and this includes MRSA, or methyl methicillin-resistant staphylococcus aureus.

Plus it has the ability to disrupt biofilm. Biofilm harbors bacteria and it's a collection of microorganisms in a film. 

Hypochlorous acid has been shown to not be toxic to human tissues and it's non-irritating.

It's part of our immune system and it helps break down bacteria.

One Love,

Dr. Jenna Zigler and Dr. Travis Zigler


Free Heyedrate Lid and Lash Cleanser


Does BlephEx Help With the Treatment of MGD and Dry Eye?

Does BlephEx Help With the Treatment of MGD and Dry Eye? 0


Meibomian Gland Dysfunction, also known as MGD or Posterior Blepharitis, is where the meibomian glands in your eyelids are not working like they should.  The meibum (oil) that these glands produce is used to moisturize and lubricate the eye.  So without meibum your eyes will feel dry, irritated, gritty, and dry eye syndrome will develop.  Dry eye is just a manifestation in a continuum of diseases starting with inflammation in the body, and with the eyelids, blepharitis and meibomian gland dysfunction.  

There are many ways to treat meibomian gland dysfunction naturally and at home, which I discuss in great detail in another article [Click Here to Read]. 

In today's article I will be discussing an in-office procedure called BlephEx, which is used to clean the eyelids.    

The Researchers

In a recent study, James Rynerson, MD, and Henry Perry, MD proposed that dry eye and blepharitis are the same disease process.  Dr. Rynerson states "We get biofilms, they lead to inflammation, and then the inflammation affects the different structures in the lid."   This, they proposed, is what leads to dry eye, decreased contact lens wear time, and decrease tear breakup time (TBUT).  

Increasing Contact Lens Wear Time 

Patients believe that as they age, they have to discontinue contact lenses due to irritation and dryness that occurs.  Practitioners over and over again will switch solutions and switch contact lens brands to try and keep these patients in contact lenses. 

Dr. Rynerson reveals that these practitioners should be focusing on cleansing the eyelid margins and getting rid of the biofilm formation.  Once biofilm is removed, the source of inflammation goes away, and an immediate relief can be felt from the patients.  

In their practice they use BlephEx, which is a hand--held instrument with a spinning sponge soaked in cleaning solution that removes biofilm from the patient's lid margins and reduces inflammation.  

"Once you remove the biofilm, the source of inflammation goes away, and patients begin to feel so much better immediately," Rynerson said.  

TBUT (Tear Breakup Time)

Tear breakup time is when a practitioner looks at the tears to assess the quality.  When a patient blinks, the tears should hold steady for at least ten seconds.  With a less than ten second TBUT, treatment with eyelid cleansing should be initiated.  

Studies with BlephEx showed a 60% increase in TBUT.   An increase in TBUT reveals an increase in meibomian gland function.  This study evaluated 20 patients at initial examination and at four weeks post BlephEx treatment.   Another study showed a 66% increase in TBUT and evaluated 90 patients. 

My opinion on this study and the data

These results are great, and I have used BlephEx first hand in my practice with the success stated in the articles. 

My recommendation for treatment and the use of BlephEx is to find a doctor in your area and have BlephEx done every four-to-six months depending on your severity of dry eyes, blepharitis, and/or meibomian gland dysfunction. 

In between visits, using other natural therapies as a compliment to BlephEx will promote even better results. I recommend the following: 

1. Begin with a warm compress

2. Safely express the meibomian glands

3. Clean your eyelids twice per day with a hypochlorous acid based solution

 4. Eat healthy omega-6 and omega-3 fatty acids


Have you had BlephEx for your MGD or dry eyes?  

Let me know your successes or failures in the comments below.

One Love,

Dr. Travis Zigler, Eye Love

Dr. Travis Zigler

SeeEO of Eye Love


Do you have dry eyes or meibomian gland dysfunction?

Click here to get our free dry eye eBook and daily checklist that we give our patients.

What Is The Best Way To Clean Eyelids?

What Is The Best Way To Clean Eyelids? 2

Eyelid Hygiene

What is the best non-irritating eyelid cleanser for blepharitis and dry eye?

We are biased here, but our Heyedrate Lid and Lash Cleanser and Avenova are the two best. Avenova is not our company, but Heyedrate Lid and Lash Cleanser is. Very similar products.

They both have Hypochlorous acid in them. Ours has electrolyzed water and then table salt in it and it has a two year shelf life. We prescribe it for patients 2x a day, making it very easy to use.

I spray it directly on my eyelids right when I wake up. Then after I’m done washing my face, I spray it on and you just leave it on.

My wife on the other hand, sprays it on a cotton ball or a cotton round and then wipes her eyelids about 5 or 6 times and that replaces her eyelid scrubs. Then she just leaves it on.

Does it hurt to use the eyelid spray more than 2x a day?

No, it does not at all. It is very natural, organic, vegan spray that is good for your skin. You can actually use it for wound care if you get a cut. It’s a good antibacterial and that’s why we use it for lid scrubs and blepharitis.

One Love,

Dr. Travis

Dr. Travis Zigler 

How to Treat Blepharitis and Crusty Eyelids with Innovative Products

How to Treat Blepharitis and Crusty Eyelids with Innovative Products 2

I was told that I can use baby shampoo on my eyelids. Is this correct?

This is something that we tell our patients never to do; it was recommended a lot a couple years ago, but now there are just much better products out there. Baby shampoo has a detergent in it, it’s a soap basically, and so it can actually irritate your eyelids and irritate your eyelashes and your eyes. What we always recommend is a Hypochlorous acid cleanser. Whether it’s ours or the prescription, it doesn’t matter. If you choose the subscription plan on our website, you’ll actually lock in that cost for life. Our spray is only $27 for a 4 months’ supply. Like stated earlier, baby shampoo was the standard in the 90’s and then lid scrubs came out. Now, hypochlorous acid products are taking its place. Most lid scrubs have about 13-20 chemicals in them, but our hypochlorous acid has 3 ingredients: hypochlorous acid, electrolyzed water, and sodium chloride (table salt).

I have crusty eyes in the morning. Can you recommend anything?

This is what we’ve built our entire product line around. First of all, an omega-3 is going to help with the inside glands of the eyelids, and our Heyedrate Tea Tree soap and Heyedrate lid and lash spray are going to help with the outside of your eyelids. The tea tree oil based soap is made of organic coconut oil, organic olive oil, organic green tea, raw shea butter, and tea tree oil. So it’s going to clean up those eyelids. That is what can treat the crustiness. Basically, crustiness is just overgrowth of the bacteria on the eyelids. When that bacteria overgrows it produces waste products which turn into the crustiness that you’re experiencing. When your eyes are closed all night, crustiness just builds up, but throughout the day you’re blinking so it doesn’t have a chance to build up as much. If we control the bacteria with tea tree oil, a natural antibiotic, it will maintain the bacterial load on your eyelids. Our spray is a hypochlorous acid spray which has natural anti-septic properties that your body creates. We went a different route than most commercial brands because we didn’t want a lot of artificial ingredients. Our soap has 5 all natural ingredients and our spray is only 3 ingredients. The hypochlorous acid does give the spray a slight chlorine smell, but it contains no bleach and is very gentle on your eyelids. If you do notice that your eyelids are burning or your eye burns after using our spray, it is because you are quite inflamed. If you put anything on an inflamed area that is cracked and broken, it’s going to burn because it is going to get in there and clean up that area!

Can you explain how to correctly use the Heyedrate Lid and Lash Spray?

We recommend using the spray twice per day, morning and evening. When you get up in the morning, spray it on a cotton ball. Close your eyelids and then rub it into your eyelids and eyelashes. There’s no need to rinse it off, so just let it sit. The spray shouldn’t be irritating unless your eyes are really inflamed, which occurs sometimes. If you want to make things even easier, you can use it a bit differently. Simply wake up in the morning and just spray it directly onto your closed eyelids, rub it in, and let it sit. Do the same thing at night after washing your face. We find that women tend to like the cotton ball/cotton round method because it helps get every single aspect of their makeup off even after they remove their makeup. Men are sometimes lazier, so they like to just spray it right on and leave it on. Do whatever works best for you! Do it after you wash and before you moisturize. If you use any moisturizers, we recommend using something simple with minimal ingredients, like jojoba oil.

Heyedrate eyelid and eyelash spray

Let us know if you have any other blepharitis questions in the comments below!

One Love,

Dr. Travis Zigler, Dr. Jenna Zigler, Eye Love

Drs. Travis and Jenna Zigler

Join Dr. Travis Zigler and Dr. Jenna Zigler LIVE on Facebook every Sunday at 5:00 pm EST in the Dry Eye Syndrome Support Community on Facebook

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