I am doing a lot of research on specific Red Light devices offered online or for at home use. Please let me know if you have found a device that doctors may have sold or recommended so I can investigate those products. To learn more about red light therapy and its benefits for the eye - check out this video: th-cam.com/video/jnbGuZIPljs/w-d-xo.html
Hello Dr. Allen, I have a Rouge Nano a handheld unit which has 3 settings: 660 nm, 850nm, and a mix of both. I have been using it for 2 weeks mostly for scars from a recent surgery. I have been following your channel because I have dry eyes, and my Parkinson's father has pretty bad dry eyes. I am hoping to try the eye treatment on myself first and then hopefully help my Dad's dry eyes. I am in the US and purchased from the Canadian company directly. Shipping was prompt, product feels solid and well made. They post lab reports for the testing of their large body panels on the website, so I felt more secure ordering from them. If I knew which light setting, duration and distance was relatively safe to the eyes I would try it on myself. The Rouge Nano was something I could afford (it also has free shipping), so I could see more people might benefit from a small unit like this one. Eagerly awaiting your next update on this topic! Thank you so much for your channel and all of the work you do behind the scenes to make it happen!
I have been looking into Omnilux and also one sold by Dr. Anil Rajani …… I have thought about these two, but have been reluctant to purchase yet because I was worried about the effects on my eyes. I am so glad that you’re doing this from an eye doctors perspective. Because for me, I don’t want to do anything to my skin/face that could be damaging to my eyes.
I appreciate that you're willing to keep up with new research and technologies. I've found that many doctors in all fields get stuck in their ways and poo poo new treatments. They don't even look into it.
You are so welcome! As someone who fights dry eye myself, I am always curious and interested in the new treatments that are in development. Lots more on dry eye coming too!
Thank you for this information. I do have a MitoPro 1500 red light body panel. 660nm (Red) and 830nm / 850nm (Near Infrared). It is from Mito red light therapy based out of Phoenix. I have not used it consistently, however I do use the goggles they provided. I stand about 3-6" away. I asked my Drs. about it, they saw no problem with me using it. Looking forward to what you discover in your research.
Ditto. I have owned 3 Mito Red Pros (two panels and a table top, which my mother stole for her back pain). They are well built and seem to be a very reputable company for consumer level products, and a decent price point.
@@selahr. I own the Mito Red Mobile Panel and find it to be very high quality. My retina specialist said he is encouraged by the research on the benefits to the eye. He stressed being careful to keep my small panel it at least 12 inches away and use no longer than 10 minutes a day.
Thanks for the great video! At 46, I've seen amazing results with an affordable red light therapy panel from Future Form Official for my dry eyes. The therapy has significantly improved my eye comfort, and the results are fantastic. Red light therapy is scientifically backed, so it's worth trying. Thanks again!
Summary of this video: We should all have access to a doctor like you in our area! Sadly where I live, Milan, I have had extremely neglected care for my dry eyes (in private care, probably even worse in public). Having had this problem since I was a teenager and knowing I´m not the only one (my son is the same), it really annoys me to be told it´s age related (being over 40), use some eye drops and that´s it. Since there´s inflammation I´ve been prescribed local corticosteroids to take for short, recurrent, periods of time. That helps a lot, but worries me for longterm problems. Recently I was in a fantastic eye clinic in Delhi, India, by chance because I had a very bad eye infection, and got prescribed a medication for dry eyes that I´d never heard of before, Restatis, and it seems interesting. I´ve not searched through your content yet to see if you have talked about this type of medication, I´d love to hear your opinion. As for red light, not having any doctor who offers it, I use my own skincare device very cautiously, short time (max 1 minute before moving it to another area) and with eyes closed.
hey thanks so much for sharing that. I know that eye and specialty care varies throughout the world and I am always interested in knowing how doctors practice in different countries. Restasis has been around for a long time, pretty much the first dry eye medication we ever got. There are some new versions of the active ingredient (cyclosporine), such as Cequa and Vevye. Here is a video I did a few years ago comparing Restasis vs Xiidra (which is another dry eye medicated eye drop). th-cam.com/video/TzaOD4EoKes/w-d-xo.htmlsi=d9cB6mgseWxOE54d Otherwise I will be hoping to have a video breaking down the science of the red light in terms of the fluence/energy dosing and highlight some of the products on the market soon.
@@DoctorEyeHealth Restasis is all I've used for the past year. Now, when I apply them, my eyes, especially tear ducts burn badly, & itch for about 30 minutes.
Steroid drops will sure as hell give you cataracts. That's what my former eye doctor did to me and he never told me that I had cataract. I thought the blurry vision was because of the dryness. During the COVID lockdowns, he closed his practice and I got another eye doctor, who told me that the cataract is pretty obvious.
The good thing about the situtation is that a spectrometer can tell you which wavelenghts a device emits. It should be easy to test devices and share the outcomes with dry eye patients !
Save you watching this video. Get as much sunlight as possible, it's the best light and the only one you need. If your region lacks sunlight, get a 15$ Phillips 250W incandescent near infrared light bulb and shine it for maximum 10 min at a time ~3 times a day at minimum 30cm distance
Sure thing! I have been meeting with some companies to better understand how they design and make their red light devices. I hope to have another video soon.
great info thank you so much, now if I could only find a provider that will use this🙂 Maybe we need a data base. I wish it also took care of my floaters, wouldn't that be great! Love your informative videos and thanks PS keep up posted on the devices you try out, especially that mitro that has an attractive price point
Yes. I have been using it once a week in the morning. It has a 3 minute timer and uses 670nm. I seem to be getting improvement with my dry eye as well as subtle improvements with vision.
I have a red light mask for the face to reduce wrinkles but only used it a few times as I was afraid it could damage my eyes. It does have built in kind of sun glasses and eyes remain closed. I have the stage before macula degeneration which has been stable for 4 years so I don't want any harm.....any advice?
If you have a red light face mask and it has warnings about exposure into the eye - then I think people should follow the instructions on the device. there are some products that might not be emitting the correct dosage of light. Right now, the best studies on using red light for macular degeneration use three wavelengths of light, 590, 660 and 850. And it alternates between them, with the 590 and 850 treatment with low power with the eyes open and then switches to the 660 at a higher power but with the eyelids closed., I hope to go into the details a bit more in my next video on red light.
@@DoctorEyeHealth Will be interested to hear how many minutes, and how often, the treatment protocols are for AMD. I have read a number of the studies, but look forward to your updated information! You have a great channel with excellent information, and you're a natural teacher.
Thanks for asking! No, I have not seen anything like that in the research yet. It seems to be incredibly safe. However, the risks or concerns right now are more on the amount of energy/power delivered to the retina in the back of the eye. Too much could cause tissue damage because the retina is so thin, sensitive/fragile.
If we assume frequency range is correct (660nm-850nm) and If irradiance is quite low like 30mW/cm used for not very long (< 10 minutes) the only risk would be that it is not working and/or has positive side effects (improving something else). The real care about specific devices is needed if higher power is used. Obviously not homegenous illumination is always a risk but with a bit of common sense it can be easilly avoided.
@@beezybe7166 the root cause of dry eye from TED is different, it’s mostly due to exposure. The red light therapy could help with symptoms but again would not be treating the root cause
While most of the research points toward use for evaporative dry eye, there is at least one publication I have read specifically on use for Sjogrens and because several publications show improvement in tear production, I think it could be a helpful option for people with Sjogren's.
Thank you for delving into this topic. I have been on the fence about purchasing a red light device for dry eye for over a year. It is overwhelming to sort through this alone. Some devices are very expensive and others are relatively cheap for same specs. Just want to make a safe purchase. The science justifies the purchase of a red light device. Just concerned about safety. Is NIR or red light more important or both needed?
They both work for different reasons and it seems the best results come from the treatments being done simultaneously. However, it again has to do with power density, the treatment time and distance from the device. I also feel they have not completely mastered or figured out optimal treatment protocols yet. It’s still very new research. From what I have read, I think the red light does a lot of the heavy lifting.
@@DoctorEyeHealth Thank you for this information! I have a Lux Collection dpl IIa - LED Light - any recommendations on far these types of home devices be from the face/eyes for the safest and best results for the eyes?
I sit on my balcony and let the morning sun shine on my face with closed eyes, and that gives me all the near infrared exposure to benefit my eyes for free! Ten wonderful relaxing minutes is all we need, it’s heavenly! ☺️
@@lsmith992 Yes I sometimes do this around 4pm or so, but the good news is that we can still get infrared through the clouds and it also penetrates our clothing. There’s some fairly technical videos on the Medcram TH-cam channel mainly for professionals but if you’re used to medical terminology and explanations you understand most of it, and they explain that simply being outdoors exposes us to the infrared spectrum. I like the feeling of sunlight in winter especially - it’s winter right now in Australia 😉
@@mdu77 True, but we do need UV for vitamin D. Ever since the messaging about dangers of UV we have gone to the extreme of blocking it with sunscreen and avoiding the sun altogether which has resulted in vitamin deficiencies in higher than 95% (can’t remember the exact percentage) of us being deficient in this vitamin and no matter how much money we spend on supplementation the quality is never as good as natural sun light. Rather we should avoid the hours between 10 am and 2 or 3pm which is when to apply sunscreen and hats and more clothing in summer. We need vitamin D desperately for cancer prevention ironically, but not enough people know about it. The messaging mostly just says vitamin D is for calcium absorption. So bottom line is we should avoid sunburn, not the sun!
I have not read any studies on red light with Uveitis specifically but I wouldn’t do them at the same time, I would have the uveitis get under control first.
Great information! Question - is it safe to wear contacts swimming in the lake , rivers and in showers ? Recently heard of someone who got an infection from showering with her contacts in .
Great question! Technically, contact lenses are not recommended to be worn while swimming, showering or getting water in the eye in any way. Micro organisms can get under the lenses and cause horrible infection. I know this can be a challenge for some people due to medical reasons but it is best practice to switch out of contacts lenses and wear glasses for that reason ( or prescription swim goggles). Or consider refractive surgery.
Thanks as always. I'm curious about the effectiveness of the Omega-3 in EvoTears eye drops. Does the Omega-3 in these drops offer any real benefit for overall Omega-3 absorption, or is it primarily included as a marketing claim to address and sell better dry eye symptoms? - thanks!
I underwent the Lipiflow procedure last year. It really didn't help that much. Not covered by insurance. It did succeed however, in emptying my wallet of $800. Never again.
I listened to all his videos this week. I have Celluma red light panel. So I stopped in summer. But my eyes were dripping. N I’m on dry eye drop. So I used it again. Last night. N I just closed my eye instead of using the black goggles. Today eyes are perfect. I’ll do it again. I have macular degeneration too I see dr Oct 30. I want to see if it helps at all I’m excited
Hey thank you for watching and for leaving this comment. Some eye doctors I know actually do recommend Celluma for at home use, at least for eyelid health. Macular degeneration and other conditions are a different topic but I hope to have a video going deeper on red light specifics and products soon. Wishing you the best. Cheers
@DoctorEyeHealth Could you shed a light on what is considered safe light intensity upper bound for the retina (for safety sake), and what are the clinically relevant 'fluencies' these trials go for? Thanks in advance!
I am nowhere near a clinic so can only go to my ophthalmologist about every 6 months. I’ve had dry eye since having laser surgery 10 years ago and have punctual plugs. Would any of these at home devices be appropriate or helpful for me?
I think someone could ask if they are a candidate. But there could be scenarios where the doctor may not see a true advantage in it or perhaps a contraindication. Right now, being that it is a newer technology in the eye care space I think finding a clinic that offers it will be the biggest challenge.
U don't give us a protocol. So what should I do? I'll buy a red light panel and then what? Thabk you for the info but plz give us something concrete to work with
He said he's going to check out some products and do a follow up video. GIve him a chance! These things take time, especially as LLLT is a newer technology, compared to say IPL.
I understand that the at-home devices may be ineffective, but could they be harmful? I have one of those red light masks. My husband bought it for me. Even though it has holes cut out for the eyes, It still seems very bright to me, even with my eyes closed. After I use it, everything looks blue for a couple minutes. Do you think this could be harming my eyes in any way?
I am just now getting into this. I have always had perfect vision and haven’t seen an eye doctor in 10 years. But due to type 2 diabetes (I am assuming) my eyes have gotten really dry progressively over the last 4 years. I am currently looking for an eye doctor. It’s gotten to the point where it’s almost constant issues. I’m curious if you have any videos directed towards diabetics and dry eye care and treatment suggestions. What you wouldn’t recommend or extra care you would recommend. I just received a heated massage mask and am now trying it for the first time today.
So do you need eye protection while using red light in your face if you want it to have beneficial effects on the eyes? Eye protection probably will keep the red light completely away from you eye tissue or am I wrong?
I use my red light over my eyes - my sight improved . Wonder if Red Light Therapy with a safe home device would help for someone with a cornea problem...
I have been using red light skincare mask for 2 years, and I was told to use protective goggles to protect sensitive eye tissues. So now the new research is the opposite😮? Maybe I should not wearing goggles today.
I supposedly have a form of lupus and that has affected my facial skin with redness and bumpy skin in the areas that a full beard would grow. This produced some over production of skin cells needing to be exfoliated regularly. I think this therapy could help, what do you think?? I need your help since the dermatologists are stumped even after several topical treatments.
Thank you! Super informative. Unfortunately Kaiser is not very progressive about new therapies. Although I've had great care in general from them. Im always telling my opthamologist what you tell us about, and he's never heard of it and looking it up while im telling him about it!
Hi Doctor, is it true that thin corneas show low eye pressure? I have had lasik and my CCT is 492 and 495. How many points do I have to add in IOP to make it correct?
I would consider that this therapy may also work on floaters as dehydration/dry eyes may be one of the biggest factors in this condition, could you explain if this might be correct?
On a related note, I have been thinking about buying a red life device for skin but some of the dermatologist on TH-cam mentioned closing your eyes to be on the safe side. Any thoughts about the safety of the masks like the Omnilux being a concern for eyes?
Hey. Do you think the at-home NIRA Precision skincare laser could be damaging to the meibomian glands? I have evaporative dry eye and didn’t notice a difference in my years of use. MitoRed and Hooga Health red light panels.
I’ve been using the Nira for months every day. It’s helped the look around my eyes, but not my dry eyes at all. I have a Hooga light, I haven’t really tried it for my dry eyes though. The Nira isn’t red light therapy though, it’s a fractional laser.
Thank you for your video about red light therapy. I read a study of Glen Jeffery about LLLT for eye health. So I bought a bulb of red light 670nm. I am thinking maybe it could help for my DGM. In my routine I use it twice a week a few minutes at 67cm : 8mw/cm². I am satisfied. I tried a profesional device in my doctor. I can compare. it was most powerfull and bright. If you test and find a device for treating DGM at home, please do a video. (Sorry for my english and the mistakes) 🙂
Hey thanks for sharing! I have found a few devices around that wavelength. Knowing the power density and treatment distance is importance so I appreciate you including that, do you know the name of the bulb?
I know several doctors who are obsessed with it. I personally have not had access to it so I have not researched it to completion but from a few studies it does seem like a promising treatment.
@@DoctorEyeHealth thanks for the quick reply and good response. I think I’m not going to get it because I worry about the heat making my rosacea worse on my cheeks
Is this good for Sjogren Syndrome? My son has Sjogren and has been afflicted with it for years. He has inflamed eyes several times a year that take a week to go away as long as they apply a contact over the affected area till the affected area heals
I would love to have a red light Large Panel as there are so many great benefits from using them. But just not in my budget 😢. I have had chronic DE since my cataract surgeries. I’ve been Rx’d Alrex, Restasis and eye gtts for DE. They got better ( staying off of my phone), all of a sudden they are worse again. Would be great if they made eye goggles that are RLT for Tx of dry eyes. Thank you
Do warm compresses HAVE to be “moist heat” in order to work? Like a Bruders eye mask! Or can you use an electric eye mask, such as HoMedics, and get the same results?
3 to 6 inches away from your face.If you're treating the eyes is pretty standard.The farther away you move from the machine the less you get the benefit of the power of the machine so you lose intensity as you move away farther from it
Have you done any videos on dry eye s/p blepharoplasty or have you treated anyone for the same? I would like to know if you recommend LLLT or IPL? My concern with IPL is that you must protect yourself from the sun for weeks afterwards which is difficult for those of us who like to bike and paddleboard. Thanks! J.
Hey doc, can I request you make a video on Punctate inner choroidopathy? It's a condition I have and it's hard to find good information on it, even my ophthalmologist can't tell me a whole about it, I've been getting injections in my eyes buy my vision is still getting worse, is there any other treatment for this other than just injections? Thanks
I had twice had improvement from IPL (4 treatments) over the past 12 or so years. This winter I had another round and the 4th treatment the Dr bumped up the heat. Not only did I have several days of swelling around my eyes but also in my face. My eyes went from a little scratchy to increased burning and itchy. I've since had a reaction possibly to six weeks a trial of Miebo and six weeks of Xdemvy. I'm choosing to not have an IPL six month maintenance treatment at this time. Have there been cases where IPL with too much heat harmed eyes?
I use eye power from uk , 670 nm - 3 min every other day for my cone dystrophy - 6/9 vision with both eyes , feels like helping with my contrast but wanna try long term , learn from ur video on amd - working to find reasonable device on micro-current.
Hi doctor I am looking forward to improve my visual acuity can you suggest me if I can improve my VA or not please cause I am trying really hard to meet some requirements I have keratctnous and naystgumus with -10 and -11 myopia and I am being able to see 20/40 and 20/60 post op with hard sclar lenses so is it possible for me improve my visual acuity to maximum 20/30 in both eyes after post op of cxl+icl or any other surgery would help I am open for suggestions doctor I am not aming for 20/20 cause most of the doctor would say I will see what I am seeing with glasses which is 20/80 even after surgery Care to help please doctor thankyou
Hey 👋 appreciate you asking and sharing some of your situation. I wish there was something I could do to truly help or answer your question. Sadly, without a thorough in person evaluation I would not be able to fully answer. Too many variables. Nystagmus is a tough one, so you know why you have nystagmus or what type it is?
@@DoctorEyeHealthyep it is congenital nystagmus and a vertical nystagmus and also I do have extropia but I can control it i guess and a doctor told me I can get t-prk surgery is that okay and also floaters too
To bad the cost is so extravagant when treating dry eye syndrome. Over the counter drops are reasonable; but when any devices are required, the cost is excessive for most people. Guess only the rich can get proper dry eye treatment. Is this the fault of the manufacturer, middle person, and local eye specialist or just one of the groups addressed? Of course insurance would never think of addressing the cost. I have paid excessive costs for Restasis for years. Now that the patent has run out and we are no longer being robbed by the manufacturer, the cost is more affordable. Thank you your efforts to inform your subscribers.
Cost of things in the eyecare world are a bit bonkers. Healthcare in general. I have learned a lot more about the inside cost of things over the years. In the dry eye space, medications are fully run by the Pharma companies and their relationship to insurance companies. As far as devices go, a lot of the medical instruments cost hundreds of thousands of dollars to purchase. What makes it worse, is that a lot of these companies are creating devices with a built in click fee, meaning they purposefully design their device with programmed parts to shut down and not work once they have been used once. So a clinic will have to pay for a machine but they still have to pay 200 bucks to use every time they turn it on. That is why treatments like Lipiflow often cost so much, because it will cost the clinic a few hundred dollars to even turn it on. Plus, clinics have to pay for maintenance plans to keep the devices working when they break down or have a system update. One of the reasons I like IPL and red light treatments even more so, is because they is no “click fee” and as technology price drops, doctors can hopefully offer the treatments at a lower price. The other challenge is the fact insurance companies are paying doctors less and less for services, so much so that some companies have not increased reimbursement since the 1980s…so doctor offices need to find way to make more income. There is a lot more to it all, obviously. In a positive light, there is a new dry eye treatment that is coming soon, not a medication, that should be a whole lot cheaper than what’s on the market currently and appears to show a lot of promise. Hopefully something I can cover soon
I know cataracts can be caused by uv rays and they still don't have a cure and scientists don't know all of the causes I know plenty of people that don't do any of the risk factors this red light therapy sounds like something that would increase the chances of cataracts?
There is also a risk of cataracts with infrared light, but it all has to do with the power density and time of exposure. I hope to dig into that in the next video. But there is also research into infrared light from the sun causing more cataracts and there are even new glasses lenses that block not only Uv but IR. Kinda interesting
I use the Nuface device. Even though I don’t get it near my eyes, everything appears somewhat yellow afterward for about 10 minutes. Any ideas as to why?
Thankyou so much for ( an earlier Video) when talking about MIGRAINE & sunglasses ! I would like to know if aside from Polerized lenses if with Glss lenses if you can have things like Anti-Glare , tints & Flash coating without a plastic type lenses ? A knowledgeable But arrogant British TH-cam man ,repeatedly refuses to address this topic. Any Options who knows please leave a comment?
Hey thanks so much for asking!!! Yes, glass lenses can be made with anti-glare and flags coatings. Have you ever tried FL-41 lenses for migraines? Or the Avulux lenses?
That's a great video thank you, if you would like to contact me about our new red light glasses (developed by world-leading scientists in ophthalmology in London and built by a leading lighting company in the UK) please do , all the best
💥EYE GOGGLES OR NOT!!💥 If goggles……does that BLOCK EYE TREATMENT BENEFITS?? And/or around eye wrinkles blocked by goggles!! Can you treat EYES CLOSED AND use R/NIR PANELS? ❤️🌟❤️🌟❤️🌟❤️🌟❤️🌟
I am doing a lot of research on specific Red Light devices offered online or for at home use. Please let me know if you have found a device that doctors may have sold or recommended so I can investigate those products. To learn more about red light therapy and its benefits for the eye - check out this video: th-cam.com/video/jnbGuZIPljs/w-d-xo.html
Anything for blurry eyes...?
Hello Dr. Allen, I have a Rouge Nano a handheld unit which has 3 settings: 660 nm, 850nm, and a mix of both. I have been using it for 2 weeks mostly for scars from a recent surgery. I have been following your channel because I have dry eyes, and my Parkinson's father has pretty bad dry eyes. I am hoping to try the eye treatment on myself first and then hopefully help my Dad's dry eyes. I am in the US and purchased from the Canadian company directly. Shipping was prompt, product feels solid and well made. They post lab reports for the testing of their large body panels on the website, so I felt more secure ordering from them. If I knew which light setting, duration and distance was relatively safe to the eyes I would try it on myself. The Rouge Nano was something I could afford (it also has free shipping), so I could see more people might benefit from a small unit like this one. Eagerly awaiting your next update on this topic! Thank you so much for your channel and all of the work you do behind the scenes to make it happen!
So interesting, is it the same Red Light for dry macular degeneration ? Technology is amazing. I feel hopeful.
Hi! I purchased the Lumebox 2.0 designed by a medical doctor..Dr Vivian Chen. Please let me know your thoughts!!!
I have been looking into Omnilux and also one sold by Dr. Anil Rajani …… I have thought about these two, but have been reluctant to purchase yet because I was worried about the effects on my eyes. I am so glad that you’re doing this from an eye doctors perspective. Because for me, I don’t want to do anything to my skin/face that could be damaging to my eyes.
I appreciate that you're willing to keep up with new research and technologies. I've found that many doctors in all fields get stuck in their ways and poo poo new treatments. They don't even look into it.
Thank you for another informative video. And thank you for constantly supporting us dry eye sufferers.
You are so welcome! As someone who fights dry eye myself, I am always curious and interested in the new treatments that are in development. Lots more on dry eye coming too!
I hope this treatment evolves into something really great for people who suffer with dry eye 🎉
Helped me I’m
On drops too
We will wait for your home devices recommendation. Thank you!
Your research is always our gain...Thank you...!
So nice of you! Thank you!
Thank you for this information. I do have a MitoPro 1500 red light body panel. 660nm (Red) and 830nm / 850nm (Near Infrared). It is from Mito red light therapy based out of Phoenix. I have not used it consistently, however I do use the goggles they provided. I stand about 3-6" away.
I asked my Drs. about it, they saw no problem with me using it.
Looking forward to what you discover in your research.
Thank you for sharing that! There are so many products! Gotta look this one up. Thanks
Ditto. I have owned 3 Mito Red Pros (two panels and a table top, which my mother stole for her back pain). They are well built and seem to be a very reputable company for consumer level products, and a decent price point.
@@selahr. I own the Mito Red Mobile Panel and find it to be very high quality. My retina specialist said he is encouraged by the research on the benefits to the eye. He stressed being careful to keep my small panel it at least 12 inches away and use no longer than 10 minutes a day.
Omega 3 increase for 3 months before thinking about this or alongside it.
Red light won't fix a bad diet.
True, red light will not fix a bad diet.
Thanks for the great video! At 46, I've seen amazing results with an affordable red light therapy panel from Future Form Official for my dry eyes. The therapy has significantly improved my eye comfort, and the results are fantastic. Red light therapy is scientifically backed, so it's worth trying. Thanks again!
Summary of this video: We should all have access to a doctor like you in our area! Sadly where I live, Milan, I have had extremely neglected care for my dry eyes (in private care, probably even worse in public). Having had this problem since I was a teenager and knowing I´m not the only one (my son is the same), it really annoys me to be told it´s age related (being over 40), use some eye drops and that´s it. Since there´s inflammation I´ve been prescribed local corticosteroids to take for short, recurrent, periods of time. That helps a lot, but worries me for longterm problems. Recently I was in a fantastic eye clinic in Delhi, India, by chance because I had a very bad eye infection, and got prescribed a medication for dry eyes that I´d never heard of before, Restatis, and it seems interesting. I´ve not searched through your content yet to see if you have talked about this type of medication, I´d love to hear your opinion. As for red light, not having any doctor who offers it, I use my own skincare device very cautiously, short time (max 1 minute before moving it to another area) and with eyes closed.
Couldn't agree more, doctors here dont care about reading about new stuff and stay with knowledge teached decadesnago
hey thanks so much for sharing that. I know that eye and specialty care varies throughout the world and I am always interested in knowing how doctors practice in different countries. Restasis has been around for a long time, pretty much the first dry eye medication we ever got. There are some new versions of the active ingredient (cyclosporine), such as Cequa and Vevye. Here is a video I did a few years ago comparing Restasis vs Xiidra (which is another dry eye medicated eye drop). th-cam.com/video/TzaOD4EoKes/w-d-xo.htmlsi=d9cB6mgseWxOE54d
Otherwise I will be hoping to have a video breaking down the science of the red light in terms of the fluence/energy dosing and highlight some of the products on the market soon.
@@DoctorEyeHealth
Restasis is all I've used for the past year.
Now, when I apply them, my eyes, especially tear ducts
burn badly, & itch
for about 30 minutes.
Steroid drops will sure as hell give you cataracts. That's what my former eye doctor did to me and he never told me that I had cataract. I thought the blurry vision was because of the dryness.
During the COVID lockdowns, he closed his practice and I got another eye doctor, who told me that the cataract is pretty obvious.
@@mddell58
Did you tell your doctor ⁉️
My doctor prescribed Xiidra but it had drastic side effects and I went back to Restasis
The good thing about the situtation is that a spectrometer can tell you which wavelenghts a device emits. It should be easy to test devices and share the outcomes with dry eye patients !
Cant wait for your new insights on "sold online red lihht therapy for dry eyes"!
Save you watching this video. Get as much sunlight as possible, it's the best light and the only one you need. If your region lacks sunlight, get a 15$ Phillips 250W incandescent near infrared light bulb and shine it for maximum 10 min at a time ~3 times a day at minimum 30cm distance
How about damage from uva and uvb?
Great information! Love your videos! Can you do more on red light?
Sure thing! I have been meeting with some companies to better understand how they design and make their red light devices. I hope to have another video soon.
Thx for staying on this! 👀 I have a Qure mask recommended by the Doctorlys (dermatologists). I have really dry eyes
I’ve had IPL several times. It worked so well after the first 4-session treatment. Then it never worked again.
Dr, how are you liking the Arunalight after researching more? Love all your videos!! 🙏 Thank you so much!
Thank you. I learned quite a bit from this video.
Glad it was helpful! Thanks
great info thank you so much, now if I could only find a provider that will use this🙂 Maybe we need a data base. I wish it also took care of my floaters, wouldn't that be great! Love your informative videos and thanks
PS keep up posted on the devices you try out, especially that mitro that has an attractive price point
Thank you for all your invaluable information! Have you heard about the device from the UK called Eyepower Red? Specifically for the eyes.
Hey thanks! No i have not heard of that one. I will add it to my list and look it up. Have you used it?
Yes. I have been using it once a week in the morning. It has a 3 minute timer and uses 670nm. I seem to be getting improvement with my dry eye as well as subtle improvements with vision.
Hello,do you must keep your eyes open or closed when you use the device? Thanks@@sandradevries2828
@@DoctorEyeHealth yes these are the ones
@@sandradevries2828 I have been using them for a year and I have improved colour and night vision. They are for people 40 years old and over.
How do I get rid of a blurry sight? I fear the surgery if there is any other option please help,thank u
It really depends on the cause. Some conditions can be corrected more easily than others. Do you know what is causing the blurred vision?
I have a red light mask for the face to reduce wrinkles but only used it a few times as I was afraid it could damage my eyes. It does have built in kind of sun glasses and eyes remain closed.
I have the stage before macula degeneration which has been stable for 4 years so I don't want any harm.....any advice?
If you have a red light face mask and it has warnings about exposure into the eye - then I think people should follow the instructions on the device. there are some products that might not be emitting the correct dosage of light. Right now, the best studies on using red light for macular degeneration use three wavelengths of light, 590, 660 and 850. And it alternates between them, with the 590 and 850 treatment with low power with the eyes open and then switches to the 660 at a higher power but with the eyelids closed., I hope to go into the details a bit more in my next video on red light.
@@DoctorEyeHealth Will be interested to hear how many minutes, and how often, the treatment protocols are for AMD. I have read a number of the studies, but look forward to your updated information! You have a great channel with excellent information, and you're a natural teacher.
Would RLT be effective for eye floaters? And what device and wavelength(s) would be necessary?
Do you know of any contraindicated conditions for this, such as being at risk of acute narrow angle glaucoma? Thanks.
Thanks for asking! No, I have not seen anything like that in the research yet. It seems to be incredibly safe. However, the risks or concerns right now are more on the amount of energy/power delivered to the retina in the back of the eye. Too much could cause tissue damage because the retina is so thin, sensitive/fragile.
If we assume frequency range is correct (660nm-850nm) and If irradiance is quite low like 30mW/cm used for not very long (< 10 minutes) the only risk would be that it is not working and/or has positive side effects (improving something else). The real care about specific devices is needed if higher power is used. Obviously not homegenous illumination is always a risk but with a bit of common sense it can be easilly avoided.
So…if I have glaucoma, I diabetic retinopathy and macula hole…not a great idea?
Looking jacked bro! Keep it up.
Hi, can you do the red eye therapy for dry eyes if you had cataract surgery?
Yep, should still work for people after cataract surgery
@@DoctorEyeHealth Why not with thyrid eye disease? as you briefly mentioned
@@beezybe7166 the root cause of dry eye from TED is different, it’s mostly due to exposure. The red light therapy could help with symptoms but again would not be treating the root cause
@@DoctorEyeHealth Thank you for your rapid response. Do you mean exposure to sunlight, due to the protrusion? how can one identify the root cause?
Thank you, hopefully this can help with corneal edema & treating/healing cornea surface abnormalities
How about this type of therapy being used in Sjogren’s?
While most of the research points toward use for evaporative dry eye, there is at least one publication I have read specifically on use for Sjogrens and because several publications show improvement in tear production, I think it could be a helpful option for people with Sjogren's.
Thank you for delving into this topic. I have been on the fence about purchasing a red light device for dry eye for over a year. It is overwhelming to sort through this alone. Some devices are very expensive and others are relatively cheap for same specs. Just want to make a safe purchase. The science justifies the purchase of a red light device. Just concerned about safety. Is NIR or red light more important or both needed?
They both work for different reasons and it seems the best results come from the treatments being done simultaneously. However, it again has to do with power density, the treatment time and distance from the device.
I also feel they have not completely mastered or figured out optimal treatment protocols yet. It’s still very new research.
From what I have read, I think the red light does a lot of the heavy lifting.
@@DoctorEyeHealth Thank you for this information! I have a Lux Collection dpl IIa - LED Light - any recommendations on far these types of home devices be from the face/eyes for the safest and best results for the eyes?
I sit on my balcony and let the morning sun shine on my face with closed eyes, and that gives me all the near infrared exposure to benefit my eyes for free! Ten wonderful relaxing minutes is all we need, it’s heavenly! ☺️
I heard its the same later in the day too. Only problem is cloud cover.
@@lsmith992 Yes I sometimes do this around 4pm or so, but the good news is that we can still get infrared through the clouds and it also penetrates our clothing. There’s some fairly technical videos on the Medcram TH-cam channel mainly for professionals but if you’re used to medical terminology and explanations you understand most of it, and they explain that simply being outdoors exposes us to the infrared spectrum. I like the feeling of sunlight in winter especially - it’s winter right now in Australia 😉
Sunlight is UV though
@@mdu77 True, but we do need UV for vitamin D. Ever since the messaging about dangers of UV we have gone to the extreme of blocking it with sunscreen and avoiding the sun altogether which has resulted in vitamin deficiencies in higher than 95% (can’t remember the exact percentage) of us being deficient in this vitamin and no matter how much money we spend on supplementation the quality is never as good as natural sun light. Rather we should avoid the hours between 10 am and 2 or 3pm which is when to apply sunscreen and hats and more clothing in summer. We need vitamin D desperately for cancer prevention ironically, but not enough people know about it. The messaging mostly just says vitamin D is for calcium absorption. So bottom line is we should avoid sunburn, not the sun!
Are either of these therapies safe for Uveitis patients (with rosacea and dry eyes)?
I have not read any studies on red light with Uveitis specifically but I wouldn’t do them at the same time, I would have the uveitis get under control first.
Thanks for your detail input. Do i need to close or open my eyes while using any of the Red light therapy equipment for eye improvement ?
Great information! Question - is it safe to wear contacts swimming in the lake , rivers and in showers ? Recently heard of someone who got an infection from showering with her contacts in .
Great question! Technically, contact lenses are not recommended to be worn while swimming, showering or getting water in the eye in any way. Micro organisms can get under the lenses and cause horrible infection. I know this can be a challenge for some people due to medical reasons but it is best practice to switch out of contacts lenses and wear glasses for that reason ( or prescription swim goggles). Or consider refractive surgery.
Thank you.... very well done! Very helpful too.
Thanks as always. I'm curious about the effectiveness of the Omega-3 in EvoTears eye drops. Does the Omega-3 in these drops offer any real benefit for overall Omega-3 absorption, or is it primarily included as a marketing claim to address and sell better dry eye symptoms? - thanks!
I underwent the Lipiflow procedure last year. It really didn't help that much. Not covered by insurance. It did succeed however, in emptying my wallet of $800. Never again.
I listened to all his videos this week. I have Celluma red light panel. So I stopped in summer. But my eyes were dripping. N I’m on dry eye drop. So I used it again. Last night. N I just closed my eye instead of using the black goggles. Today eyes are perfect. I’ll do it again. I have macular degeneration too I see dr Oct 30. I want to see if it helps at all I’m excited
Hey thank you for watching and for leaving this comment. Some eye doctors I know actually do recommend Celluma for at home use, at least for eyelid health. Macular degeneration and other conditions are a different topic but I hope to have a video going deeper on red light specifics and products soon. Wishing you the best. Cheers
Good video. Is the in-clinic treatment for dry eye using red light therapy covered by Medicare?
I don’t believe so
@DoctorEyeHealth Could you shed a light on what is considered safe light intensity upper bound for the retina (for safety sake), and what are the clinically relevant 'fluencies' these trials go for?
Thanks in advance!
I am nowhere near a clinic so can only go to my ophthalmologist about every 6 months. I’ve had dry eye since having laser surgery 10 years ago and have punctual plugs. Would any of these at home devices be appropriate or helpful for me?
Very interesting.
Is this therapy something one could ask for if I wish to try it, or is it prescribed only by the eye doctors wishes?
I think someone could ask if they are a candidate. But there could be scenarios where the doctor may not see a true advantage in it or perhaps a contraindication. Right now, being that it is a newer technology in the eye care space I think finding a clinic that offers it will be the biggest challenge.
@@DoctorEyeHealth Thank you for this info.
U don't give us a protocol. So what should I do? I'll buy a red light panel and then what? Thabk you for the info but plz give us something concrete to work with
He said he's going to check out some products and do a follow up video. GIve him a chance! These things take time, especially as LLLT is a newer technology, compared to say IPL.
Red light therapy for dark circles/stoner eyes?
Amazing vid. Can you please make a video on the new Acuvue Oasys MAX 1-Day and compare them to the older Acuvue Oasys with Hydraluxe.
Google they provide ,yes or no??
I understand that the at-home devices may be ineffective, but could they be harmful? I have one of those red light masks. My husband bought it for me. Even though it has holes cut out for the eyes, It still seems very bright to me, even with my eyes closed. After I use it, everything looks blue for a couple minutes. Do you think this could be harming my eyes in any way?
No it won’t most of the mask are low in power . I works in face glow and better epidermis layer it won’t create any bad effects
I am just now getting into this. I have always had perfect vision and haven’t seen an eye doctor in 10 years. But due to type 2 diabetes (I am assuming) my eyes have gotten really dry progressively over the last 4 years. I am currently looking for an eye doctor. It’s gotten to the point where it’s almost constant issues. I’m curious if you have any videos directed towards diabetics and dry eye care and treatment suggestions. What you wouldn’t recommend or extra care you would recommend. I just received a heated massage mask and am now trying it for the first time today.
So do you need eye protection while using red light in your face if you want it to have beneficial effects on the eyes?
Eye protection probably will keep the red light completely away from you eye tissue or am I wrong?
I use my red light over my eyes - my sight improved . Wonder if Red Light Therapy with a safe home device would help for someone with a cornea problem...
I have been using red light skincare mask for 2 years, and I was told to use protective goggles to protect sensitive eye tissues. So now the new research is the opposite😮? Maybe I should not wearing goggles today.
I supposedly have a form of lupus and that has affected my facial skin with redness and bumpy skin in the areas that a full beard would grow. This produced some over production of skin cells needing to be exfoliated regularly. I think this therapy could help, what do you think?? I need your help since the dermatologists are stumped even after several topical treatments.
I had cataract surgery an glow Omaha and dry eyes going to two years
Is red light therapy contraindicated for those with glaucoma?
Thank you! Super informative. Unfortunately Kaiser is not very progressive about new therapies. Although I've had great care in general from them. Im always telling my opthamologist what you tell us about, and he's never heard of it and looking it up while im telling him about it!
Hey thanks for sharing!!! Big companies like that are always slower to change, lots of people need to agree on a decision to move forward.
Hi Doctor, is it true that thin corneas show low eye pressure? I have had lasik and my CCT is 492 and 495. How many points do I have to add in IOP to make it correct?
Surely we want to reduce the symptoms of dry eye, not “enhance the symptoms” as you said?
I would consider that this therapy may also work on floaters as dehydration/dry eyes may be one of the biggest factors in this condition, could you explain if this might be correct?
On a related note, I have been thinking about buying a red life device for skin but some of the dermatologist on TH-cam mentioned closing your eyes to be on the safe side. Any thoughts about the safety of the masks like the Omnilux being a concern for eyes?
Can you make a video about eye mucous???
I never talk to my local and even not so local eye health professionals as they dont know half the things you talk about
Hey. Do you think the at-home NIRA Precision skincare laser could be damaging to the meibomian glands?
I have evaporative dry eye and didn’t notice a difference in my years of use. MitoRed and Hooga Health red light panels.
I am not sure. Let me look that up and get back to you
I’ve been using the Nira for months every day. It’s helped the look around my eyes, but not my dry eyes at all. I have a Hooga light, I haven’t really tried it for my dry eyes though. The Nira isn’t red light therapy though, it’s a fractional laser.
@@kathrynwhitlatch9509 you have misunderstood. I’m not using the NIRA for dry eye therapy.
@@beautyandaging Yes, I read it wrong.
Thank you for your video about red light therapy. I read a study of Glen Jeffery about LLLT for eye health. So I bought a bulb of red light 670nm. I am thinking maybe it could help for my DGM. In my routine I use it twice a week a few minutes at 67cm : 8mw/cm². I am satisfied.
I tried a profesional device in my doctor. I can compare. it was most powerfull and bright.
If you test and find a device for treating DGM at home, please do a video. (Sorry for my english and the mistakes) 🙂
Hey thanks for sharing! I have found a few devices around that wavelength. Knowing the power density and treatment distance is importance so I appreciate you including that, do you know the name of the bulb?
@@DoctorEyeHealth red light rising : The Target Light 670nm. It is an UK company. I think they dispatch in USA
So does this mean we should not wear eye protection for it to target eyes??
What are your thoughts on radiofrequency treatment? My doctor wants it for me but I haven’t seen much research
I know several doctors who are obsessed with it. I personally have not had access to it so I have not researched it to completion but from a few studies it does seem like a promising treatment.
@@DoctorEyeHealth thanks for the quick reply and good response. I think I’m not going to get it because I worry about the heat making my rosacea worse on my cheeks
How to improve MUC5AC and goblet cell with Dry eyes , Could you please do this topic . Thank you , it very helpful.
WHAT ABOUT JUST USING A PRISM, AND HOLDING THE RED LIGHT ON AREA BRIEFLY FROM TIME TO TIME? WHAT ARE YOUR THOUGHTS,
Is this good for Sjogren Syndrome? My son has Sjogren and has been afflicted with it for years. He has inflamed eyes several times a year that take a week to go away as long as they apply a contact over the affected area till the affected area heals
I am from Trinidad will the eye Doctor will know about that red light for dry eyes
This NIR reminds me of Bates who used warm hands to heal the eyes
Looks like this therapy is used with the eyes shut?
Oftentimes, but there are some other wavelengths that are used with the eyes open.
Wow, sounds promising ❤
I would love to have a red light Large Panel as there are so many great benefits from using them. But just not in my budget 😢. I have had chronic DE since my cataract surgeries. I’ve been Rx’d Alrex, Restasis and eye gtts for DE. They got better ( staying off of my phone), all of a sudden they are worse again. Would be great if they made eye goggles that are RLT for Tx of dry eyes. Thank you
Would this red light help for CRVO or CRAO?
Do warm compresses HAVE to be “moist heat” in order to work? Like a Bruders eye mask! Or can you use an electric eye mask, such as HoMedics, and get the same results?
Any studies linking Dr Joe's biceps with dry eyes?
😅 if anything, exercising more helps improve dry eye
3 to 6 inches away from your face.If you're treating the eyes is pretty standard.The farther away you move from the machine the less you get the benefit of the power of the machine so you lose intensity as you move away farther from it
Have you done any videos on dry eye s/p blepharoplasty or have you treated anyone for the same? I would like to know if you recommend LLLT or IPL? My concern with IPL is that you must protect yourself from the sun for weeks afterwards which is difficult for those of us who like to bike and paddleboard. Thanks! J.
Sir I have flutters in the eyes. I went to the doctor but there was no solution
I don't know, after the LLT, my symptoms stopped being a discomfort after a sunny day and became a real problem. from 5 to 10
I’ve been using the mitored x panel on 5% power output 1 foot away.
Hey doc, can I request you make a video on Punctate inner choroidopathy? It's a condition I have and it's hard to find good information on it, even my ophthalmologist can't tell me a whole about it, I've been getting injections in my eyes buy my vision is still getting worse, is there any other treatment for this other than just injections? Thanks
I recommend platinum biomax 300 red light therapy machine, which is medical.Grade device for red light therapy
I had twice had improvement from IPL (4 treatments) over the past 12 or so years. This winter I had another round and the 4th treatment the Dr bumped up the heat. Not only did I have several days of swelling around my eyes but also in my face. My eyes went from a little scratchy to increased burning and itchy. I've since had a reaction possibly to six weeks a trial of Miebo and six weeks of Xdemvy. I'm choosing to not have an IPL six month maintenance treatment at this time. Have there been cases where IPL with too much heat harmed eyes?
Lllt is better than ipl
The irony of you having incredible eyes
Im losing my sight due too extreme short sightness im in uk the eye red light u recommended is usa only ?
Red light treatment for eye conditions are available in Europe. However, I am not sure if anyone offers it for short sightedness.
I use eye power from uk , 670 nm - 3 min every other day for my cone dystrophy - 6/9 vision with both eyes , feels like helping with my contrast but wanna try long term , learn from ur video on amd - working to find reasonable device on micro-current.
Hi doctor I am looking forward to improve my visual acuity can you suggest me if I can improve my VA or not please cause I am trying really hard to meet some requirements I have keratctnous and naystgumus with -10 and -11 myopia and I am being able to see 20/40 and 20/60 post op with hard sclar lenses so is it possible for me improve my visual acuity to maximum 20/30 in both eyes after post op of cxl+icl or any other surgery would help
I am open for suggestions doctor I am not aming for 20/20 cause most of the doctor would say I will see what I am seeing with glasses which is 20/80 even after surgery
Care to help please doctor thankyou
Hey 👋 appreciate you asking and sharing some of your situation. I wish there was something I could do to truly help or answer your question. Sadly, without a thorough in person evaluation I would not be able to fully answer. Too many variables.
Nystagmus is a tough one, so you know why you have nystagmus or what type it is?
@@DoctorEyeHealthyep it is congenital nystagmus and a vertical nystagmus and also I do have extropia but I can control it i guess and a doctor told me I can get t-prk surgery is that okay and also floaters too
To bad the cost is so extravagant when treating dry eye syndrome. Over the counter drops are reasonable; but when any devices are required, the cost is excessive for most people. Guess only the rich can get proper dry eye treatment. Is this the fault of the manufacturer, middle person, and local eye specialist or just one of the groups addressed? Of course insurance would never think of addressing the cost. I have paid excessive costs for Restasis for years. Now that the patent has run out and we are no longer being robbed by the manufacturer, the cost is more affordable. Thank you your efforts to inform your subscribers.
Cost of things in the eyecare world are a bit bonkers. Healthcare in general. I have learned a lot more about the inside cost of things over the years. In the dry eye space, medications are fully run by the Pharma companies and their relationship to insurance companies. As far as devices go, a lot of the medical instruments cost hundreds of thousands of dollars to purchase. What makes it worse, is that a lot of these companies are creating devices with a built in click fee, meaning they purposefully design their device with programmed parts to shut down and not work once they have been used once. So a clinic will have to pay for a machine but they still have to pay 200 bucks to use every time they turn it on. That is why treatments like Lipiflow often cost so much, because it will cost the clinic a few hundred dollars to even turn it on. Plus, clinics have to pay for maintenance plans to keep the devices working when they break down or have a system update.
One of the reasons I like IPL and red light treatments even more so, is because they is no “click fee” and as technology price drops, doctors can hopefully offer the treatments at a lower price.
The other challenge is the fact insurance companies are paying doctors less and less for services, so much so that some companies have not increased reimbursement since the 1980s…so doctor offices need to find way to make more income.
There is a lot more to it all, obviously.
In a positive light, there is a new dry eye treatment that is coming soon, not a medication, that should be a whole lot cheaper than what’s on the market currently and appears to show a lot of promise. Hopefully something I can cover soon
Hey docotr allen whats your tbut
What about inflammation of the retina? Photophobia?
Could you please tell me why you have this issue?Did you wear contact lenses in the past?Thanks in advance
I know cataracts can be caused by uv rays and they still don't have a cure and scientists don't know all of the causes I know plenty of people that don't do any of the risk factors this red light therapy sounds like something that would increase the chances of cataracts?
There is also a risk of cataracts with infrared light, but it all has to do with the power density and time of exposure. I hope to dig into that in the next video.
But there is also research into infrared light from the sun causing more cataracts and there are even new glasses lenses that block not only Uv but IR. Kinda interesting
I use the Nuface device. Even though I don’t get it near my eyes, everything appears somewhat yellow afterward for about 10 minutes. Any ideas as to why?
Yes, your rods and cones in your eyes are adjusting, having just been exposed to red colors on the spectrum.
@@C2C. Thank you so much for providing free education! You're very conscientious :)
I m scared to this with ocular rosacea
Doctor Jeffrey's study says 3 minutes of red light 3 times a week for Eyes
What settings?
Thank you for this video. How can IPL have an effect on eye lids, etc., when a person is wearing goggles that cover those areas?
Thankyou so much for ( an earlier Video) when talking about MIGRAINE & sunglasses ! I would like to know if aside from Polerized lenses if with Glss lenses if you can have things like Anti-Glare , tints & Flash coating without a plastic type lenses ? A knowledgeable But arrogant British TH-cam man ,repeatedly refuses to address this topic. Any Options who knows please leave a comment?
I think I made my share of spelling and Grammar mistakes !
Hey thanks so much for asking!!! Yes, glass lenses can be made with anti-glare and flags coatings.
Have you ever tried FL-41 lenses for migraines? Or the Avulux lenses?
Doctor Jeffrey who is conducted the eye related studies.Says you don't need very high power.
Weather red light therapy machiread the study
That's a great video thank you, if you would like to contact me about our new red light glasses (developed by world-leading scientists in ophthalmology in London and built by a leading lighting company in the UK) please do , all the best
Hey thank you! Yes 🙌 will see what we can do.
💥EYE GOGGLES OR NOT!!💥
If goggles……does that BLOCK EYE TREATMENT BENEFITS??
And/or around eye wrinkles blocked by goggles!!
Can you treat EYES CLOSED AND use R/NIR PANELS?
❤️🌟❤️🌟❤️🌟❤️🌟❤️🌟
peer reviewed?