Dry Eye Treatment Plans Name* First Last Email* doctor* Artificial Tearsinstructions for use Gently Instill 1 - 2 drops per affected eye(s) as prescribed. Systane Hydration Plus PF instructions for use Gently Instill 1 - 2 drops per affected eye(s) as prescribed.instructions for use Gently instill 1 - 2 drops in the eye at least twice per day Retaine instructions for use Gently instill 1 - 2 drops in the eye at least twice per dayinstructions for use 1. Before use please ensure the tamper evidence seal is intact. 2. Wash hands well before use. 3. Take off the protection cap. 4. Tilt your head backwards and put one or two drops directly into the lower conjunctival sac (the space between the eye and eyelid) while gently pulling the lower lid downwards and looking up. 5. Ensure you do not touch the eye or eyelids with the tip of the bottle. 6. Put the protection cap back on the nozzle head. Optase Dry Eye Drops instructions for use 1. Before use please ensure the tamper evidence seal is intact. 2. Wash hands well before use. 3. Take off the protection cap. 4. Tilt your head backwards and put one or two drops directly into the lower conjunctival sac (the space between the eye and eyelid) while gently pulling the lower lid downwards and looking up. 5. Ensure you do not touch the eye or eyelids with the tip of the bottle. 6. Put the protection cap back on the nozzle head.instructions for use Gently instill 1-2 drops in the eye as needed Refresh Mega-3 PF instructions for use Gently instill 1-2 drops in the eye as neededAllergiesinstructions for use Adults and children 2 years of age and older: Put 1 drop in the affected eye(s) daily). Do not use more than one drop in each eye per day. Pataday Extra Strength instructions for use Adults and children 2 years of age and older: Put 1 drop in the affected eye(s) daily). Do not use more than one drop in each eye per day.instructions for use Gently instill 1 drop in the affected eye(s) in the morning. Repeat in the evening. Bepreve instructions for use Gently instill 1 drop in the affected eye(s) in the morning. Repeat in the evening.Steroid Dropsinstructions for use Use only as prescribed. Lotemax SM instructions for use Use only as prescribed.instructions for use Use only as prescribed. Eyesuvis instructions for use Use only as prescribed.Moist Heat Therapyinstructions for use "1. Prior to opening the warming unit pouch, adjust the strap so eye mask fits snugly and comfortably against your eyelids. 2. Take the two warming units out of the sealed foil package and insert one into the right side of the eye mask and the other one into the left side of the eye mask. 3. Find a comfortable position and relax. Place the eye mask over both eyes with eyelids gently closed. For maximum effectiveness, we suggest that you wear the eye mask for at least 8-10 minutes. 4. When finished, discard the warming units. The eye mask can be used multiple times and is hand washable. NOTE: Warming units will reach full temperature in 3 to 5 minutes once placed in the mask. " EyeGiene InstaWarmth System (mask and disposable heat packs) instructions for use "1. Prior to opening the warming unit pouch, adjust the strap so eye mask fits snugly and comfortably against your eyelids. 2. Take the two warming units out of the sealed foil package and insert one into the right side of the eye mask and the other one into the left side of the eye mask. 3. Find a comfortable position and relax. Place the eye mask over both eyes with eyelids gently closed. For maximum effectiveness, we suggest that you wear the eye mask for at least 8-10 minutes. 4. When finished, discard the warming units. The eye mask can be used multiple times and is hand washable. NOTE: Warming units will reach full temperature in 3 to 5 minutes once placed in the mask. "instructions for use Use as prescribed. Ziena Moisture Chamber Glasses instructions for use Use as prescribed.instructions for use Gently clean face and eyelids to remove all dirt and make-up prior to using Onyix. Your mask is designed to keep moisture in and drafts out. The fit should be comfortable. Similar to finding your perfect shoe size. Not too tight and not too loose. To avoid tearing the mask, adjust the strap while mask is off the face. Once you find the perfect fit, the wrap is designed to stay put. For increased moisture during wear, add a few drops of water inside of eyecups prior to wearing, or moisten the enclosed white sponges in purified water, squeeze out excess and insert into the back of the mask. The combination of moisture, an enclosed space and body heat creates a natural humidifier for the eyes. Onyx Silicone Shields instructions for use Gently clean face and eyelids to remove all dirt and make-up prior to using Onyix. Your mask is designed to keep moisture in and drafts out. The fit should be comfortable. Similar to finding your perfect shoe size. Not too tight and not too loose. To avoid tearing the mask, adjust the strap while mask is off the face. Once you find the perfect fit, the wrap is designed to stay put. For increased moisture during wear, add a few drops of water inside of eyecups prior to wearing, or moisten the enclosed white sponges in purified water, squeeze out excess and insert into the back of the mask. The combination of moisture, an enclosed space and body heat creates a natural humidifier for the eyes.instructions for use Heat in microwave for 25 seconds to give your eyes 10 minutes of the prescribed moist heat therapy. Optase Moist Heat Mask instructions for use Heat in microwave for 25 seconds to give your eyes 10 minutes of the prescribed moist heat therapy.Eyelid Cleanserinstructions for use 1. Apply one pump into moistened palm. 2. Lather and gently wash face and eyelid area. 3. Rinse well with warm water to finish! *In the case of Blepharitis, Demodex, chalazia, or stye, apply cleanser to wet wash cloth, gently rub lids and rinse. EyeEco Tea Tree Oil Cleanser instructions for use 1. Apply one pump into moistened palm. 2. Lather and gently wash face and eyelid area. 3. Rinse well with warm water to finish! *In the case of Blepharitis, Demodex, chalazia, or stye, apply cleanser to wet wash cloth, gently rub lids and rinse. instructions for use 1. Spray solution onto lint-free pad until moistened 2. Close eyes and gently apply to eyelids and eyelashes using side to side motions 3. Use twice daily or as recommended by your doctor OcuSoft Hypochlor instructions for use 1. Spray solution onto lint-free pad until moistened 2. Close eyes and gently apply to eyelids and eyelashes using side to side motions 3. Use twice daily or as recommended by your doctorinstructions for use 1. Apply 1-2 pumps into clean hands. 2. Close eyes and gently massage onto eyelid and under eye area, carefully avoiding eyes. May be used two to three times daily for maximum eye and skin benefit. Cliradex Cleansing Foam instructions for use 1. Apply 1-2 pumps into clean hands. 2. Close eyes and gently massage onto eyelid and under eye area, carefully avoiding eyes. May be used two to three times daily for maximum eye and skin benefit.instructions for use 1. Wash and clean hands 2. Close eye tightly without squinting and gently cleanse the eyelid area with a side-by-side motion. Leave product on lids overnight. Cliradex Wipes instructions for use 1. Wash and clean hands 2. Close eye tightly without squinting and gently cleanse the eyelid area with a side-by-side motion. Leave product on lids overnight.instructions for use Wash your hands then remove the wipe from its sachet and wrap over finger. Close your eye and move the wipe gently across the eyelid and lashes from side to side several times. Optase Tea Tree Oil Lid Wipes instructions for use Wash your hands then remove the wipe from its sachet and wrap over finger. Close your eye and move the wipe gently across the eyelid and lashes from side to side several times.instructions for use Press down the dispenser two thirds of the way. Hold the spray 6-10 inches from the eyes then press down the dispenser all the way. The spray spreads from the surface of the closed eye to the eyelid margins. Blink your eyes and it spreads over the tear film where it strengthens the lipid layer providing extra lubrication. Optase Dry Eye Spray instructions for use Press down the dispenser two thirds of the way. Hold the spray 6-10 inches from the eyes then press down the dispenser all the way. The spray spreads from the surface of the closed eye to the eyelid margins. Blink your eyes and it spreads over the tear film where it strengthens the lipid layer providing extra lubrication.Vitamin Supplementsinstructions for use Take two pills twice a day, with meals. HydroEye Supplement instructions for use Take two pills twice a day, with meals.Specialized treatments Autologous serum drops Amniotic Membrane drops ProKera Amniotic Lens