Product Tips

Product Tips

The Most Neglected Topic in Today’s Dry Eye Conversation

The Most Neglected Topic in Today’s Dry Eye Conversation: Nighttime Dry Eye

Most people don’t think about their eye health when they think about sleep. Probably because for most of us it’s the only time of the day that we don’t use our eyes. But, for a surprising number of adults, nighttime might be the time of day that their eyes need the most help.

At Eye Eco we are plugged in to the dry eye conversation. One thing that we don’t think gets near enough attention is Nighttime Dry Eye.

What Causes Nighttime Dry Eye?

There are several causes of nighttime dry eye including Nocturnal Lagophthalmos, Compromised Lid Seal, Sleep Apnea, Floppy Eye and Aqueous Deficient Dry Eye.

Nocturnal Lagophthalmos occurs when the eyelid does not close all the way during sleep. It’s easy to see how slightly open eyes can lead to dry eye just because of evaporation. But, impartial lid closure can also prevent natural tears from spreading properly. Diagnosis of this condition is important since Lagophthalmos patients are also more likely to experience recurrent corneal erosions.

Compromised Lid Seal was first reported in 2015, and in a recent study was found to affect 79% of all dry eye patients. Compromised Lid Seal occurs when the upper and lower lids do not create a perfect seal. Perhaps the lower lid is a bit thicker that the upper lid and so sticks out farther, similar to an underbite.

Sleep Apnea is a condition in which breathing stops and starts throughout sleep. It can lead to nighttime dry eye in a couple different ways. First, sleep apnea leads to a lack of oxygenation of the optic nerve head during sleep. Second, a common treatment for sleep apnea is the use of a CPAP (continuous positive airway pressure) mask that covers the nose and mouth. The mask is very effective for treating sleep apnea, but often does not create a perfect seal. If the air leaks are near the eyes, then dry eye is a likely result.

Floppy Eye Syndrome is more rare than the other causes we mentioned. It occurs when there is extensive lid laxity. For some, the eyelids can “flip over” during sleep from rubbing against the pillow. It can lead to tear film abnormality and dry eyes.

Aqueous Deficient Dry Eye was long thought to be the leading cause of dry eye, and although that has been debunked – Meibomian Gland Dysfunction is now considered the leading cause of dry eye – there are still millions of people affected. Aqueous deficient dry eye is caused by decreased tear production.

How many people experience nighttime dry eye?

Let’s take a look at the numbers:

  • Lagophthalmos can be found in anywhere from 4% all the way up to 20% of the population1
  • Compromised Lid Seal is found in 79% of all dry eye patients2(14% of people are dry eye patients3)
  • Research suggests that sleep apnea affects 22 million adults in the United States4
  • Aqueous Deficient Dry Eye occurs in Sjögren’s Patients of which there are over 4 million in the United States5


At least 27 million adults in the United States have a cause that can lead to nighttime dry eye. (Learn how we got this number.)

At most 118+ million adults in the United States have a cause that can lead to nighttime dry eye. (Learn how we got this number.)

Since these conditions can overlap the answer to how many people have nighttime dry eye is likely somewhere between those two numbers. Which means that for a surprising number of adults, nighttime is probably the time of day that their eyes need the most help.

Helping Nighttime Dry Eye Patients

If your patients experience Nighttime Dry Eye there is an easy fix. Eye Eco offers a range of nighttime masks that protect eyes from the environment, or air leaks from a CPAP mask, and hold in moisture to promote better sleep and eye health.

Learn More about Eyeseals™


Stay tuned! Next week we will be sharing a pro tip: One Amazingly Simple Way To Diagnose Microlagophthalmos.


1. Tsai SH, Yeh SI, Chen LJ, et al. Noctural Lagophthalmos. Int J Gerontol. 2009 Jun;3(2):89-95.

2. Donald R Korb, Caroline A Blackie, Amy C. Nau; Prevalence of Compromised Lid Seal in Symptomatic Refractory Dry Eye Patients and Asymptomatic Patients. Invest. Ophthalmol. Vis. Sci. 2017;58(8):2696.

3. G. Foulks, M. Lemp, J. Jester, J. Sutphin, J. Murube, and G. Novack, “Report of the international dry eye workshop,” Ocul. Surf. 5, 65–203 (2007).

4. Sleep apnea. American Sleep Apnea Association website. Accessed September 19, 2018.

5. Sjögren’s Fact Sheet. Sjögren’s Syndrome Foundation. Accessed September 19, 2018

Feel Dry Eye Relief & Save Money – Sale Ends July 31st!

July is Dry Eye Awareness Month and we’ve been spreading awareness in two ways. First, we shared stories from real people who have been on a dry eye journey to find relief. Second, we celebrated Dry Eye Awareness by having a sale!

Last Chance: 15% Off – Plus Free Shipping!

Right now all items on our website are 15% off. Plus, any order over $40 qualifies for free shipping. Use the promotional code ‘July18’.

At Eye Eco we believe in customer service and great products. Our products are thoughtfully developed, scientifically tested and proven to work. We are confident that we have something to help with your dry eyes.

The goggles and eye shields are are proudly made in Southern California.

All products come with a guarantee. And, if you’re not sure which product is the best option to help you experience dry eye relief, our fantastic customer service team can help guide your decision.

Don’t wait! Tuesday (July 31st) is the last day of the sale.

Make sure you use the promotional code ‘JULY18’.

Visit WWW.EYEECO.COM or call us toll free at 1.888.730.7999

Shop Now!

Read These Dry Eye Stories

Darlene Schneck’s left eye negatively affected her life for over 5 years and she remembers thinking that it would never get better. Now, she says her eyes feel great.
Read Darlene’s Story
Sarah Davis had found a good management system for her dry eye problem only to have her dry eyes come back with a vengeance. It took some persistence, but she was able to find relief and get back to work.
Read Sarah’s Story
Since July 23rd is World Sjogren’s Day, we shared some stories that we have come across on the internet about the dry eye experiences of a couple people with Sjogren’s Syndrome.
Read the dry eye stories

Share Your Story

July is Dry Eye Awareness Month! Tell us your experience with dry eyes!

Did your doctor help you find a good solution or did you seek one out on your own? What treatments did you try that failed? What treatments helped you find relief?

We want to share these stories because we want people to know that dry eyes don’t have to be a part of their life. There are treatments out there and with a good dry eye doctor and some perseverance many people are able to find relief.

Please email us your story! Send emails to CUSTOMERSERVICE1@EYEECO.COM.

Share Your Story

Eye Eco Holiday Gift Guide

Eye Health Holiday Gift GuideCross some people off of your holiday list. Eye Eco is dedicated to natural treatments that keep eyes healthy and feeling great. When it comes to holiday shopping we have you covered because almost certainly everyone on your gift list has eyes.

Even though eyes are so amazing their care often goes neglected. Make it easy for those in your life to take care of their precious eyes. Help them see relief.

Here is our holiday gift guide. We have a number of products, but which one is right for your gift? Click on the statements that match below to find the perfect gift.

We hope our guide has helped you pick the perfect gift! We have dedicated our business to eye health and eye comfort, we’re confident that we have a great gift for anyone.

If the above options aren’t quite right for the person you are shopping for get in touch with us, send us a message on Facebook and we will gladly assist you in finding the perfect gift!



Eyes and Sleep Apnea

Those with sleep apnea are more likely to have eye problems.

Sleep apnea is a sleep disorder experienced by millions of Americans – 18 million – many of whom have not yet been diagnosed. Breathing is interrupted in these patients while sleeping, which prevents the brain from getting enough oxygen.

Sleep apnea patients are more likely to have ocular irritation, abnormal tear break-up time and an increased upper and lower lid laxity, in addition to being at higher risk of developing glaucoma.

Treatment for sleep apnea often requires lifestyle changes and use of a CPAP (Continuous Positive Airway Pressure) machine during sleep hours. This treatment is considered very effective in reducing the risk of health problems such as high blood pressure and heart failure, but use of the device can cause significant eye related issues.

Sleep apnea management requires the user to wear a mask connected to a machine that supplies constant and steady air pressure. According to a study published in Nature, 21% of CPAP users experience occasional mask edge air leaks, causing a constant air flow over the eyes that results in eye irritation, occasional swelling and dryness.

Moisture in the eyes is incredibly important. Eyelids have the thinnest skin on the body and many people do not always sleep with their eyelids fully closed (a condition named lagophthalmos).

screen-shot-2016-10-19-at-2-25-40-pmUse of a CPAP machine is often a recipe for dry eyes. Dry eyes can cause discomfort, affect productivity, and over time can cause serious eye problems. If not attended to, this side effect of CPAP machines can become chronic. Even worse, patients may stop using the mask all together.

User compliance is crucial in the treatment of sleep apnea. Eyes are one of the most important parts of our bodies, but with everything else they are often overlooked. It is so important to take care of them.

We have dedicated our business to developing natural, scientifically proven products and therapies that improve eye health.

Our hydrating nighttime shelter, eyeseals™ 4.0, can relieve multiple dry eye related conditions and were designed with CPAP users in mind. The eyeseals™ 4.0 create a seal around the eyes, keeping moisture in and preventing any CPAP air leaks to irritate and dry your eyes.

The eyeseals™ 4.0 promote healthy eyes and improve CPAP compliance, resulting in better night rest. They are made from FDA approved medical grade thermal plastic, latex free and manufactured in Temecula, California. Soft and flexible, our eyeseals™ 4.0 come in many colors to suit everyone’s taste; for CPAP users we recommend the clear eyeseals™ 4.0.

Get eyeseals 4.0

Using tranquileyes™

How to use:

The original tranquileyes goggle can be used for sleep at night to create darkness while also sheltering the eyes from drafts. In addition, tranquileyes (original and XR), along with thermoeyes gel packs, are recommended by hundreds of doctors for creating effective hot and cold compresses (moist heat therapy and cold therapy) to relieve a number of symptoms associated with chronic eye conditions.

Moist Heat Therapy:

Relieves eye dryness and fatigue caused by many physical, environmental and lifestyle issues. Naturally restores vital moisture by increasing humidity around the eye. This increased humidity prevents the evaporation of natural tears and improves overall eye health by thickening the oily lipid layer of the tear film, which can help restore the eyes’ natural defense against future tear evaporation. The increased humidity also hydrates surrounding eye area to help minimize and smooth wrinkles.

Cold Water Therapy:

Great for reducing puffy eyes caused by allergies, lack of sleep or a good cry; also helps relieve migraine and sinus headaches. The cold water treatment soothes and refreshes eye area by helping to reduce swelling around the eyes. For the cold therapy, simply substitute cold ice water for warm water.

The benefits of tranquileyes™ and thermoeyes are cumulative. The more you use tranquileyes™, the better the results. Tranquileyes™ also enhance existing dry eye treatments such as artificial tears, supplements or ointments.

Using thermoeyes™

There are two versions of thermoeyes™ – an instant, portable version (blue packet) and a microwaveable version called Beads (green). Both can be used for creating Moist Heat and Cold therapies.

The extra heat created by either technology helps open the meibomian glands (little oil glands tucked underneath your eyelashes). When these glands become clogged, the oils are unable to secrete properly. The absence of these oils accelerates the evaporation of your natural tears causing eye dryness, redness and fatigue. The heat loosens the oils, slowing the evaporation of natural tears, improving comfort. The heat is always combined with moisture. The moisture helps to increase the relative humidity around the eyes which further slows evaporation of tears.

The instant version of thermoeyes (blue gel pack) are made with Sodium Acetate (non-toxic, food grade salt water). To use, simply snap the stainless steel disc inside the gel pack, back and forth. This action creates a sound that changes the molecular structure of the sodium acetate from liquid to crystal, which causes heat. This is the highest performance technology on the market. The heat will last approximately 18-20 minutes with the original thermoeyes and up to 30 minutes with the XR version.

They are a little more maintenance than the Beads however worth it if you have the patience. To reuse the blue thermoeyes for heat, they need to be boiled in water for 2-3 minutes. This process reverses the molecular action, melting the crystals to bring them back to a liquid state. Once cooled, simply snap again for heat. The blue instant version can also be used to boost cold therapies by placing them in the freezer or refrigerator.

The microwave version of thermoeyes™ is called Beads. They are made from glycerin which is also non-toxic. The Beads are very easy to use. They come with a fabric pocket. To use, simply place the Bead gel pack into the fabric pocket. For Moist Heat, place the Bead and pocket into water and heat in the microwave. The original Beads will provide heat for approximately 10-12 minutes. The XR version of the Beads will provide approximately 25 minutes of heat. To reuse, simply place back in water and reheat. The Beads are good for approximately 50 uses.

Both sizes are excellent for cold too. Simply moisten the pockets (with Bead inside) and place in the freezer. The Beads will create anywhere from a 20 minute (original) to 45 minute (XR version) of cold therapy.

Handling and Care Instructions


Hand wash moisture pads (grey inserts) and/or thermopads (thin white foam inserts) with mild antibacterial soap and rinse thoroughly with hot water (shower temperature) before or after each use. Wash plastic eye covers and outer foam eye cushion as needed.

After rinsing, gently squeeze excess moisture out of pads and foam. Pat any excess moisture out of eye covers with a towel and hang to dry. All kits except the ‘Mini’ come with a net dry bag that you can use to hang your tranquileyes dry and keep clean.

Replacing Foam and Moisture Pads

Foam eye cushions should be replaced as needed, typically every two months if using daily. To replace, peel the old cushion away from the eyecup, one at a time. Peel liner off replacement foam, align each replacement cushion with the appropriate eyecup and press foam to eyecup. Dispose of all old foam (outer ring and inner moisture pads). Replacement foam may be purchased through our website in the store area, or by calling us, toll-free, at 1-888-730-7999.

Adjusting Your Tranquileyes™

Adjust the comfort wrap using attached sliders to create a comfortable tension between the foam cushions and face. After putting your tranquileyes™ on, gently push the eye covers toward face, rotating each eye cover to create a snug fit around the orbital area. If you find your tranquileyes™ is too tight (larger faces), we suggest using one of our stretchy head wraps. Call us toll free at 1-888-730-7999 for more information.