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Eccentric Fixation

John Murphy has been an editor for Review of Optometry for a dozen years. He covers business, clinical, pharmaceutical and news topics.

Mar 12

Written by: John Murphy
3/12/2010 10:45 AM 

The Bible says that Jesus healed a blind man by taking a little dirt and spit, making mud, and applying it to the blind man’s eyes. It literally worked wonders. The man, once blind, could now see, and he ran around telling everyone he’d been cured.

Compared to some of the homemade cures that patients put in their eyes, spit and dirt seem practically harmless. Then again, these patients ain’t Jesus. (Then again, who is?) Some of these patients are, let’s face it, as dumb as dirt. Have you ever had such a patient? (Keep reading: You could win fabulous prizes! No, really, you could.)

Here are a few homemade cures and folk remedies for the eyes. Any of these sound familiar?

Breast milk. Optometrist Brian Chou was treating a keratoconus patient for red eyes and irritation. Turns out, the man, who was from India, had problems with his GP lenses as well as adenoviral conjunctivitis. When the patient came in for follow-up, he explained that in addition to his prescribed treatment, he also put some of his wife’s breast milk in his eyes. Did it help? “Hard to know if it did anything for better or for worse since he was using corticosteroids at the time,” Dr. Chou says.

This patient isn’t the only one saying, “thanks for the mammaries.” Oddly enough, there could be some truth to breast milk as an eye remedy. It’s no secret that breast milk provides babies with protection against infection, and many cultures—those in India and Jamaica, in particular—seem to think this immuno-protective effect applies to topical administration as well.

To test this belief, one study in New Delhi, India, asked new mothers in one wing of a hospital to put a drop of colostrum (the protein-rich breast milk produced right after birth) in their babies’ eyes three times a day. For comparison, mothers in another wing were asked not to apply anything to their babies’ eyes. After three days, the babies who received colostrum had much less conjunctivitis and “sticky eyes.” Only three out of 51 babies (6%) in this group developed an infection, compared with 26 out of 72 (35%) in the control group. At least one other study has found that colostrum has a protective effect against Chlamydia trachomatis, a common cause of neonatal conjunctivitis.

Honey. Honey is good in tea and also in . . . eyes? Yup, the busy clinical investigators at the International Bee Research Association (this is for real) have been buzzing that honey is better for dry eyes than artificial tears. Honey has long been regarded as a traditional remedy for corneal problems, including corneal burns and ulcers. So, I asked our co-chief clinical editor Christine Sindt, O.D., about using honey on the eye. “Do you know how much bacteria is in honey?” she screamed, which isn’t easy to do in an e-mail. “For goodness sake, you can’t feed it to babies for fear it will kill them!”

Hot tea. My colleague here Izabella Alpert, editor of Review of Cornea & Contact Lenses, grew up in Moldova, which she claims was one of the former Soviet Republics, located adjacent to Romania. (I’ve never heard of this country. Maybe Izabella made it up.) When Izabella had “pink eye” as a child, her mother would wipe her eyes with cotton balls soaked in strong, piping hot, black tea.

Then again, Izabella’s mother is also a proponent of another Eastern European or Russian (you pick) folk remedy: animal fat. Specifically, bear fat. Or badger fat. Or some even advocate (gasp!) dog fat. Have a cold? Eat a couple tablespoons, or just rub it on your chest (you pick). Somehow, this is actually sold in Russian pharmacies here in the United States. For real. Matter of fact, I have a bottle of badger fat sitting right here on my desk (thanks to Izabella), awaiting my next head cold or chest ailment.

This is why all children in Eastern Europe attend school every day—they’re afraid to stay home. “Aww, not feeling well, poor child? Let me just smear a handful of cold badger fat on you, and—here—eat a mouthful while you’re at it. Then let me just put some scalding black tea on those yucky eyes . . .” No thanks. School is better. They only humiliate and degrade you there.

Urine. Optometrist Al Kabat was in his fourth year at Pennsylvania College of Optometry when a patient came in to the Eye Institute. The patient explained that he’d been treating his hordeolum with “a poultice made from the first morning’s urine.” Was it the patient’s own urine, at least? Dr. Kabat can’t remember. “Once I heard the word urine, I pretty much checked out mentally. All I can recall saying was ‘Oooookaaaaay...’”

Urine has been a common folk cure for millennia. Ancient Egyptians and Aztecs rubbed urine on their skin to treat cuts and burns. The ancient Spaniards may have used urine to whiten their teeth. These days, many people worldwide subscribe to the practice of urine therapy, which includes drinking your own urine for medicinal purposes. Not surprisingly, there’s very little credible medical evidence that drinking urine provides any health benefits.

Urine does contain some helpful substances, though, including urea, uric acid, cytokines, hormones and urokinase. Urea, for instance, is a main ingredient in many skin lotions. And, there’s a common belief that urine is (almost paradoxically) an antiseptic. (Remember that episode of Survivor when the dude asked a girl to pee on his wounded hand?) The reality is that urine is in fact sterile—but only inside the body. As it exits the body, urine can pick up microorganisms from the urethra and genitalia. So, putting peepee in your peepers is—pardon my French—a piss-poor idea (especially if you have a urinary tract infection or a sexually transmitted disease). D’oh!

THE CONTEST

Do you have such a story? Write it as a comment below and you could win fabulous prizes (no, really)—free registration to Review’s New Technology and Treatment meeting (Oct. 1 to Oct. 3 in sunny La Jolla, Calif.) AND ALSO a bottle of genuine Russian badger fat! (Yes, really.) The winner of the craziest home remedy will be picked by an august panel of judges (including myself and The Lady Who Waters The Plants Here In The Office).

The rules:

• No foolin’, now—the winner will eventually have to provide us with some kind of documentation about the patient and the home remedy.

• We’re looking only for things that patients intentionally put in their eyes as a remedy. (Stuff that accidentally went into the eyes is a whole other topic.)

• Deadline is May 1.

That’s it. Enter early and often. You can almost smell the badger fat!

Copyright ©2010 John Murphy

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12 comment(s) so far...

Re: Here’s Mud in Your Eye

Yikes! This gives new meaning to "chew the fat".

By Justin on   3/18/2010 10:09 AM

Re: Here’s Mud in Your Eye

I don't have any documentation to back this one up but anyway...when I was a fourth year student I remember a male patient about 75 years old with c/c of itching around his eyes. He said that the only thing that was helping was when he put PREPARATION H on it. Hmmm....makes sense I guess, but who would think of that in the first place? I'll never forget that one.

By Dr. Jerry D. Neel on   3/26/2010 7:05 AM

Re: Here’s Mud in Your Eye

Another one that I have no documentation to back up but...I had a young patient, probably early twenties that came in with a red eye. He said he was using some drops his "friend" gave him but it doesn't seem to be working. I asked if he had the drops that he was using and he had the bottle in his pocket. He was using Optifree Daily Cleaner! Some "friend"! I asked him if it hurt when he put the drops in and he said, "yea it hurts really bad" but he continued to use it. WOW

By Dr. Jerry D. Neel on   3/26/2010 7:06 AM

Re: Here’s Mud in Your Eye

While an intern at ICO in the 1970s, an elderly gentleman patient was complimented on his healthy eyes. He credited his morning eyewash of fresh urine.

By Gene Prudhon on   4/15/2010 9:48 AM

Re: Here’s Mud in Your Eye

I've had more than one older welder tell me about their treatment for welders flash burn of the eye: applying a cut potato to their cornea.I've never tried this myself, but maybe it helps with the corneal edema.

By Nina Cox, OD on   4/15/2010 1:16 PM

Re: Here’s Spit in Your Eye

Ok, this one is really hard to believe but I'll tell the story anyways. I grew up in Russia and had a lot of styes around age 12: just one after another! And a popular russian remedy for styes (external hordeolums) was spit - that's right. Somebody was supposed to spit in the eye that has a stye. I don't remember if my mom actually did this to me but I know that it was common practice. Of course, no documentation for that and my Russian-speaking patients have not admitted to keeping that practice in United States (thank god!)

However the hot tea bag remedy is still very popular and people ask me about it all the time when they get an eye infection. I don't really try to talk them out of it but instead explain that for a stye you should use a warm wet compress which could be in the form of hot tea bag, warm wet wash cloth or anything close to that. I do not recommend tea bags for anything other than styes!!

By Yana Repkin on   4/16/2010 7:36 AM

Re: Here’s Mud in Your Eye

I had a young Southeast Asian patient whose father or grandfather would blow smoke in his eyes to treat conjunctivitis. I cannot verify that it worked any better than conventional treatment and cannot remember the name of the patient.

By Cathy Upham, OD on   4/19/2010 12:27 PM

Re: Here’s Mud in Your Eye

People are incredibly eager to try home remedies in lieu of established therapies. (I guess that's why I taught myself to play cards with my feet while drunk.) My favorite came in just in yesterday under the VISION USA program - A family of 7 apprehensive and interesting folks. I performed exams on 2 of them and prescribed glasses. The mother said that she and her husband were professional healers and that the just wanted to know the nature of the eye problems so they would know what type of help to pray for. I explained the eye conditions and suggested they take the glasses we had donated to their children in case the Spirit moved them to put them on.

By RIC MUNZ on   4/27/2010 7:22 AM

Re: Here’s Mud in Your Eye

Last year, we were seeing a pt. for mulitlple recurring styes on both of her eyelids. She also had a history of piggy-back SCLs with GPs for her keratoconus. So, keeping her lenses clean was very important because it may be contributing to her problem. Anyway, we had tried everything from hot compresses with lid scrubs to Azasite, etc....but, according to her, nothing really worked. So, she decided (on her own, she forgot to mention it to me) to use an old Persian custom of putting honey on her eyelids every night before she went to bed. Voila...miraculously, her stye(s) had diminished. When she returned to the office, we advised her that if she was compliant from the beginning, we wouldn't have had to go through weeks of this. She then replied, "Oh, I did everything you said to do, but I found that the honey worked out the best, so I kept doing that instead, and now I'm fine." Well, if that's not, "here's mud in your eye", then I don't know what is!

PS -- I've heard that Badger Fat can be used for treatment of peptic or gastric ulcers. I guess it must coat the ulcer to aid in healing. But here's the real question, can you use it for cooking food? If so, then you've gotta real bargain, an item that you cooked with can used later to treat your upset stomach!

By S. Nanda, OD on   5/3/2010 7:07 AM

Re: Here’s Mud in Your Eye

This is my second submission to the Blog regarding strange things people do to their eyes - both of these patients came in this week.

A 50 year old patient presented with a huge ecchymosis (black eye) with no history of trauma. Her only explanation was that she could have run into something in her sleep. She had no tenderness or history of sleepwalking or spousal abuse or memory of such an event. She stated that her only current medications were Alprazolam, Atenolol, Crestor, and Lisinopril.

Here’s where history counts --- “Do you take any other pills or supplements ?”
The patient reported 13 additional OTC Vitamins and supplements off the top of her head and said she had a list 4 pages long at home.

In just the additional pills she had remembered, we had several multivitamins, Fish Oil, Flax Seed, Aspirin, and Vitamin E in self-prescribed doses --- all of which can be associated with spontaneous bleeding.
When asked why she takes these, she replied “because I like to feel good”.
When asked if she felt good, she said “No, but I don’t trust prescription medicine.”

The patient was told to see her family physician for a physical and jointly revise her daily diet of pills.
---You don’t need Badger Fat to create your own problems by self-prescribing..

By Ric Munz,OD on   5/3/2010 7:08 AM

Re: Here’s Mud in Your Eye

OK. That's it. The contest is over!
And the winner is . . .
Dr. Nina Cox with her description of a potato used for welder's flash. The judges decided that not only was it weird, but it might just work. (If we had a second prize, it would go to Dr. Cathy Upham, who described the practice of blowing smoke into eyes with conjunctivitis. Not only is that weird, but there's just no way that can work. It would only make the eye worse.)
I'm surprised we didn't hear from anyone about using aloe vera juice or lemon juice, both popular pink eye folk remedies. A lot of crazy people apparently also wash their eyes with multipurpose lens solution. Here's a good source for crazy folk remedies for pink eye. (My favorite? Coffee.)
www.susangaer.com/studentprojects/pink.htm

Congratulations to Dr. Cox. (We'll be in touch soon.) And thanks to all the people who read this column and contributed their comments!

By John Murphy on   5/4/2010 9:11 AM

Re: Here’s Mud in Your Eye

The title alone reminded me of the time my wife actually got mud in her eye. That was a camping trip to remember...

Anyway, wow. Those are quite the remedies. It's strange to think they were actually thought to do anything beneficial to health.

By Ryan on   10/6/2010 8:15 AM

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