{"id":1496,"date":"2025-04-22T02:45:00","date_gmt":"2025-04-22T02:45:00","guid":{"rendered":"https:\/\/enfoca.com.mx\/?p=1496"},"modified":"2025-06-11T23:05:29","modified_gmt":"2025-06-11T23:05:29","slug":"actualidad-superficie-ocular-biofotomodulacion","status":"publish","type":"post","link":"https:\/\/enfoca.com.mx\/eng\/actualidad-superficie-ocular-biofotomodulacion\/","title":{"rendered":"SamurEye #8 Dr Juan Carlos Serna"},"content":{"rendered":"<h2 class=\"wp-block-heading\">Current developments in ocular surface and the power of biophotomodulation<\/h2>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Samureye #8: Actualidad en Superficie Ocular y el Poder de la Biofotomodulaci\u00f3n\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/EXRaOL4r1QI?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Main Themes and Key Findings:<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">Dry Eye: The Revolution in IPL Treatment, Lifestyle, and Technology<\/h1>\n\n\n\n<p>The <strong>dry eye<\/strong> is no longer an unsolvable mystery. In the last decade, understanding and <strong>ocular surface treatment<\/strong> have evolved drastically. Dr. Serna reveals how the <strong>intense pulsed light (IPL) therapy<\/strong>, the <strong>photobiomodulation<\/strong> and a comprehensive approach in the <strong>lifestyle<\/strong> are transforming the management of this complex condition. Discover the future for your eyes!<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Dry Eye: From the Unknown to Robust Science<\/h2>\n\n\n\n<p>Just 10 years ago, the <strong>dry eye<\/strong> It was a field limited to rheumatic conditions such as Sj\u00f6gren's Syndrome, leaving many patients without a clear diagnosis. Today, thanks to a <strong>more robust definition<\/strong> and a deep understanding of the <strong>vicious circles of disease<\/strong>, we can offer more precise and effective solutions.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Pillars of Modern Dry Eye Treatment<\/h2>\n\n\n\n<p>According to Dr. Serna, the current approach to dry eye is based on two fundamental pillars:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Lifestyle:<\/strong> We recognize the crucial impact of factors such as diet, exercise, use of electronic devices, and cosmetics on ocular surface health.<\/li>\n\n\n\n<li><strong>Advanced Technology:<\/strong> The <strong>intense pulsed light (IPL) therapy<\/strong> and the <strong>photobiomodulation (LED red light therapy)<\/strong> are key tools to address the root cause of problems.<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">The Power of Lifestyle on Eye Health<\/h2>\n\n\n\n<p>In the last five years, the <strong>lifestyle<\/strong> has gained unprecedented importance in the treatment of dry eye, supported by growing scientific evidence. There is a direct connection between lifestyle and <strong>metabolic\/oxidative stress<\/strong> at the cellular and mitochondrial level.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nutrition:<\/strong> A <strong>pro-inflammatory diet<\/strong> Rich in ultra-processed foods affects the intestinal microbiota, nutrient absorption and lipid metabolism (essential for <strong>Meibomian glands<\/strong>), contributing to a significant inflammatory component in dry eye.<\/li>\n\n\n\n<li><strong>Digital Screens:<\/strong> Prolonged use of electronic devices alters the blinking pattern, exacerbating symptoms.<\/li>\n\n\n\n<li><strong>Cosmetics:<\/strong> The cosmetic industry, although popular, can negatively impact the ocular surface.<\/li>\n<\/ul>\n\n\n\n<p>Dr. Serna integrates lifestyle into initial consultations, focusing on the <strong>digital impact<\/strong>, he <strong>metabolic control<\/strong> and one <strong>anti-inflammatory diet<\/strong>. It also highlights the importance of the <strong>probiotics<\/strong> and the need for a diet rich in <strong>omega-3<\/strong> (cold water fish), suggesting supplementation in patients with symptoms. A <strong>multidisciplinary approach<\/strong> with nutritionists and rheumatologists is crucial.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">IPL and Photobiomodulation: Cutting-Edge Technology for Your Eyes<\/h2>\n\n\n\n<p>The <strong>Intense Pulsed Light Therapy (IPL)<\/strong> and the <strong>Biophotomodulation (LED red light therapy)<\/strong> are positioned in the <strong>Stage two of dry eye treatment<\/strong> According to the DEWS (Compendium of Scientific Evidence on Dry Eye) report, this is after using drops, lifestyle modifications, and supplementation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Mechanisms of Action of IPL:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Photobiomodulation:<\/strong> It stimulates cellular (mitochondrial) metabolism in the Meibomian glands and skin, improving their function.<\/li>\n\n\n\n<li><strong>Therapeutic Heat:<\/strong> Light generates heat that liquefies the meibum (fat of the glands) and improves glandular metabolism.<\/li>\n\n\n\n<li><strong>Nerve Stimulation:<\/strong> Activates the nerve endings of the meibomian and tear glands.<\/li>\n\n\n\n<li><strong>Acci\u00f3n Antimicrobiana:<\/strong> Attacks parasites such as <strong>Demodex<\/strong> and bacteria that cause <strong>blepharitis<\/strong>, since they are sensitive to pulsed light.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">IPL Protocol and Results:<\/h3>\n\n\n\n<p>A typical IPL treatment consists of 3-4 sessions spaced 15 days apart, extending over a month. Light bursts are applied to the periocular area, followed by a <strong>manual expression of the meibomian glands<\/strong>This combination is more effective, facilitated by the heat of the IPL.<\/p>\n\n\n\n<p>IPL is very safe when applied correctly. Unlike external heat therapies, which are insufficient and only temporarily relieve symptoms, IPL addresses multiple mechanisms of action. Patients notice objective and symptomatic improvement after one to two months, with an increase in tear breakup time and a decrease in telangiectasias.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Who Are Ideal Candidates for IPL?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with <strong>ocular rosacea<\/strong>.<\/li>\n\n\n\n<li>Those with <strong>Meibomian gland dysfunction<\/strong> (DGM), especially with pasty meibum.<\/li>\n\n\n\n<li>People with <strong>recurrent styes or chalazia<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p>IPL can also be used in patients with autoimmune diseases such as Sj\u00f6gren's syndrome, helping to address the evaporative component of dry eye, although expectations should always be managed and systemic treatments continued.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Contraindications for IPL:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Background of <strong>herpetic ocular inflammations<\/strong>.<\/li>\n\n\n\n<li>Very active acute inflammatory processes (e.g. Steven Johnson, Pemphigoid).<\/li>\n\n\n\n<li>Use of <strong>isotretinoin<\/strong>, which increases skin sensitivity.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Beyond the IPL: Future Advances in Dry Eye<\/h2>\n\n\n\n<p>Dr. Serna sees a promising future with new technologies and approaches:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Aesthetic Benefits:<\/strong> An aesthetic improvement of the skin in the periocular area has been observed.<\/li>\n\n\n\n<li><strong>Myopia Control:<\/strong> Interest in red light therapy for the control of myopia in children and adolescents.<\/li>\n\n\n\n<li><strong>Improved Visual Acuity:<\/strong> Although possible due to the improvement of the ocular surface, it is difficult to attribute directly to IPL.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Upcoming Technologies:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nasal spray (Tirbaya):<\/strong> Stimulates natural tear production (available in the US).<\/li>\n\n\n\n<li>New formulation of <strong>cyclosporine<\/strong> cyclosporine<\/li>\n\n\n\n<li>Better technologies for the <strong>Platelet-Rich Plasma (PRP)<\/strong> on the ocular surface.<\/li>\n\n\n\n<li>Research in <strong>3D models<\/strong>, <strong>tear gland transplant<\/strong> and <strong>stem cell injection<\/strong> to stimulate natural tear production.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">The Future: Individualization and Comprehensive Approach<\/h2>\n\n\n\n<p>Influence the <strong>lifestyle<\/strong> of patients is a growing challenge in the modern environment. Therefore, the <strong>individualization of treatment<\/strong>, combining a lifestyle approach with advanced technologies, is key. These technologies not only alleviate symptoms but also address the pathophysiological mechanisms of the disease. Despite limitations such as cost and time, the potential of <strong>IPL<\/strong> and other innovations offer a promising future for patients with <strong>ocular surface diseases<\/strong><\/p>\n\n\n\n<p>Don't miss any new episodes of <strong>SamurEYE Podcast<\/strong>!<\/p>\n\n\n\n<p>If you enjoy our ophthalmology content, we invite you to follow us on our social media to stay up-to-date with the latest news, discussions, and episodes we publish.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Where can you find us?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>YouTube:<\/strong> Subscribe to our channel for full episodes and exclusive content: <a href=\"https:\/\/www.youtube.com\/@SamurEyePodcast\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.youtube.com\/@SamurEyePodcast<\/a><\/li>\n\n\n\n<li><strong>Instagram:<\/strong> Follow us on Instagram for upcoming topics, guests, and highlights: <a href=\"https:\/\/www.instagram.com\/samureyepodcast\/\" target=\"_blank\" rel=\"noreferrer noopener\">@samureyepodcast<\/a><\/li>\n\n\n\n<li><strong>Spotify:<\/strong> Listen to our episodes wherever you go: <a href=\"https:\/\/open.spotify.com\/show\/2zMjQ14w1WdGDxBqrX4vEm?si=UIuMdz2YTueOnRqpiD6X6g\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/open.spotify.com\/show\/2zMjQ14w1WdGDxBqrX4vEm?si=UIuMdz2YTueOnRqpiD6X6g<\/a><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Join our community and let's delve into the fascinating world of ophthalmology together!<\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Actualidad en superficie ocular y el poder de la Biofotomodulaci\u00f3n Temas Principales y Hallazgos Clave: Ojo Seco: La Revoluci\u00f3n del [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1497,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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