Nutrition complex and vitamins for eye cataracts

Cataracts are one of the most common eye diseases: the lens becomes cloudy and a problem gradually develops with the visibility of objects, even at a very close distance. Unfortunately, this disease is dangerous; if you do not take preventive measures in time and do not fight the problem, you can go blind forever. There are different ways to maintain vision, one of them is proper nutrition and taking vitamins.

Vitamins for vision

To get rid of cataracts forever, surgery is necessary, but this is a last resort. To begin with, you can try to monitor your diet. Nutrition for cataracts does not require extra costs and effort. Scientists have recently proven that those people who constantly eat meat products are more likely to develop cataracts than those who are used to eating natural fruits, herbs and vegetables rich in vitamins every day.

Important! You should regularly eat plant foods; fresh vegetables are rich in minerals, vitamins and microelements, which are beneficial for the whole body and are the main nutrition for the eyes.

Vitamins for eyes for cataracts in tablets

Vitamins are one of the methods for preventing and treating early cataracts. These products can be registered as dietary supplements (dietary supplements) or medications; they are produced, most often in the form of tablets or pills, but syrups and other forms (pastes, solutions) can be found.

According to statistics, cataracts affect every fifth person on the planet over 55 years of age. With age, if preventive measures are not taken, the likelihood of developing cataracts increases rapidly. However, proper nutrition can reduce this risk by almost 100%.

Cataract is an age-related disease, and this fact is generally accepted; it is caused by exposure to free radicals, which can be reduced by additional intake of vitamins E and C, beta-carotene, as well as elements such as chromium and selenium.

It has long been noted that people suffering from cataracts have low levels of vitamin C. At the same time, they have a lack of zinc, copper, manganese and glutathione, which is normally produced by the body itself, provided there is sufficient selenium. Occasionally, in addition, a lack of vitamin B3 and riboflavin is noted.

The presence of mercury and other toxins in the body plays an important role in the development of the disease. Laboratory studies of the blood of patients with cataracts revealed that zinc deficiency is experienced by 60% of patients, copper deficiency by 15%, manganese deficiency by 90%, and almost all patients experience an acute lack of selenium. Moreover, the deficiency of these elements significantly reduces the effect of vitamins C, E, as well as beta-carotene in the body.

According to recent research conducted by Johns Hopkins University, people with high levels of vitamin E in their blood are half as likely to develop this disease. Research published in the Archives of Ophthalmology in 1988 clearly states that taking 200 IU (international units) of vitamin E daily reduces the incidence of cataracts by 56%. And in cases where another 250 mg of vitamin C is added to this amount of vitamin E, this risk can be reduced by 86%.

If vitamin prophylaxis is started early enough, while visual acuity is at a good level, one can expect almost 100% success of the therapy.

Ophthalmologist about vitamin preparations for cataracts

American scientists have been conducting serious research on cataracts for quite a long time, the results of which are encouraging: 43% of those constantly taking vitamins began to see much better, and 57% had their condition stabilized, without further relapses. In all cases of taking vitamins, surgery was avoided. A special biological supplement was even created containing a whole complex of vitamins and minerals intended for the prevention of cataracts.

To reduce the risk of developing cataracts, along with the above-mentioned microelements, experts recommend consuming blueberries, which are known for their properties to improve vision. According to some studies, blueberries have a much more powerful effect on vision, even more powerful than antioxidants. Blueberries are successfully used in patients with cataracts and glaucoma, and in reducing visual acuity in patients with diabetes. It prevents free radical damage to the retina of the eye and promotes the rapid restoration of collagen structures.

Additionally

If you want to use all the possibilities of modern medicine to help your eyes, use hardware vision treatment, which can be used either independently or in combination with vitamins or eye drops.

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Below we provide a list of trade names of vitamin products in alphabetical order, sold in pharmacies. If you are interested in vitamin drops for eyes, you can view the catalog HERE.

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Vitamin complexes that slow down cataracts

  • "Okovit" is a dietary supplement with blueberry extract. Activates metabolism in the eyes, relieves fatigue, slows down the development of cataracts.
  • Riboflavin (tablets, eye drops) - recommended for people whose work involves significant visual stress.
  • Vitrum, Duovit with beta-carotene - for deterioration of visual acuity at dusk.
  • “Blueberry forte”, “Strix forte”, “Lutein complex” - stop the clouding of the lens with concomitant myopia or farsightedness.
  • "Anthocyanin forte" - contains extracts of blueberries and black currants. Indicated for the development of cataracts against the background of diabetes mellitus. The complex contains blueberry anthocyanins, which have a beneficial effect on the lens and retina of the eye.

Each vitamin complex has one or more essential elements. The remaining substances contained in it are secondary and are intended for the general maintenance of the condition of all structures of the eyeball. Their action is preventive.

Catarax: instructions for use

Description

transparent solution of bright red color, does not contain mechanical impurities.

Compound

Active substance:

azapentacene sodium polysulfonate 0.15 mg/ml.

Excipients:

boric acid, sodium tetraborate decahydrate, potassium chloride, thiomersal, methyl parahydroxybenzoate, propyl parahydroxybenzoate, sodium hydroxide 10% solution, purified water.

Pharmacotherapeutic group

Other ophthalmic products.

ATC drug code:

S01XA

The drug Catarax protects the sulfhydryl groups of lens proteins from oxidation, inhibits the formation of quinoid compounds and prevents their damaging effects on lens proteins.

In addition, azapentacene was found to be able to stimulate the action of a proteolytic enzyme present in the anterior chamber fluid of the eye. Therefore, Catarax acts not only as a prophylactic agent for progressive cataracts, but also promotes the resorption of opaque complexes.

Cataract is a disease in which the transparency of the lens of the eye decreases, which leads to a gradual decrease in visual acuity. There are numerous theories explaining the pathogenesis of cataracts, including the “quinoid theory,” according to which the sulfhydryl groups of proteins contained in the lens of the eye are degenerated and oxidized by quinoid compounds formed during the abnormal metabolism of aromatic amino acids such as tryptophan and tyrosine.

Indications for use

Use in persons with impaired liver and kidney function

There is no reliable data on the use of azapentacene in patients with impaired liver and kidney function, so the drug should be prescribed with caution.

Application in geriatric practice

Dose adjustments are not required in elderly patients due to low systemic absorption.

Directions for use and doses

The recommended dose is 2 drops of the drug Catarax, which is instilled into the conjunctival sac of the affected eye(s) 3 to 5 times a day. It is recommended to continue treatment even if rapid clinical improvement occurs.

After instillation of the drug, it is recommended to lightly

cover
your eyelids.
When using several preparations of ophthalmic solutions simultaneously, an interval of 15 minutes must be maintained between instillations.

The drug is intended for long-term therapy. It is not recommended to interrupt treatment even if rapid clinical improvement occurs.

Avoid contact of the bottle dropper with eyelashes, skin areas and other surfaces.

Side effect

Adverse reactions were identified during post-marketing research; the incidence of adverse reactions cannot be estimated from the available data.

Adverse reactions included: blurred vision, eye pain, eye irritation, lacrimation, ocular hyperemia.

This medicine contains thiomersal (a preservative), an organomercury compound that may cause a hypersensitivity reaction. If hypersensitivity reactions occur, use of the drug should be discontinued.

Reports of suspected adverse reactions:

Reporting suspected adverse reactions after drug registration is very important. This allows monitoring of the benefit/risk ratio when using the drug. Health care professionals are asked to report any suspected adverse reactions.

Contraindications

Hypersensitivity to the components of the drug.

Cataracts requiring surgical intervention and other eye diseases that are not a therapeutic indication for the use of Catarax (for example, corneal ulcers).

Overdose

In case of accidental ingestion, no symptoms of overdose have been established. Excess medication can be removed from the eye using warm running water.

Catarax is intended for long-term therapy. It is not recommended to interrupt treatment even if there is rapid improvement.

Patients using contact lenses should use Catarax only with the lenses removed and put them back 15 minutes after instillation of the drug. After each use of the drug, the bottle must be closed. Do not touch the tip of the dropper to your eye.

Use in pediatrics

There is not enough experience with the use of Catarax in children. It is possible to use Catarax in children in cases where the expected therapeutic effect outweighs the potential risk of developing possible side effects.

Pregnancy and lactation

There is no sufficient experience with the use of Catarax during pregnancy and lactation (breastfeeding). It is possible to use Catarax in pregnant women and nursing mothers in cases where the expected therapeutic effect outweighs the potential risk of developing possible side effects in the fetus or child.

Impact on the ability to drive vehicles and operate machinery

Patients whose vision is temporarily impaired after instillation are not recommended to drive a car or work with complex machinery, machines or any other complex equipment that requires clear vision immediately after instillation of the drug.

Interactions with other drugs have not currently been established.

Conditions and shelf life

Store at a temperature of 15-25°C in original packaging.

Keep out of the reach of children.

Shelf life: 3 years when stored in unopened original packaging.

After opening the bottle, the drops should be used within 4 weeks.

Conditions for dispensing from pharmacies

Dispensed from pharmacies with a doctor's prescription.

Package

Plastic dropper bottle 15 ml.

A dropper bottle along with an insert in a cardboard box.

The best eye vitamins for cataracts and glaucoma

Aging of the body is manifested by a decrease in the functions of various systems. With age, visual acuity gradually decreases, which is due to physiological changes in eye tissue. Cataracts or glaucoma often develop. The intake of useful substances into the body allows preventing irreversible phenomena. For example, experts recommend using eye vitamins for cataracts.

Why do cataracts and glaucoma occur?

Cataract is an irreversible clouding of the lens and capsule. Often the disease is a consequence of the aging of the body. The following pathologies that provoke cataracts are also significant:

  • metabolic disorders;
  • diabetes.

The chemical composition in the tissues of the lens changes as natural aging occurs, which is accompanied by the formation of free radicals. They lead to the accumulation of toxic compounds.

Over time, the eye's antioxidant protection weakens. This increases the risk of developing cataracts. Gradually, adverse effects on the tissues of toxins are observed. Irreversible changes occur in the lens of the eye. If treatment, which also includes taking vitamins, is not started promptly, cataracts may occur. Pathology significantly worsens the quality of life.

The causes of cataracts include:

  • unfavorable heredity;
  • deformation of the lens due to injury;
  • pathologies of the endocrine system;
  • eye diseases (glaucoma, myopia);
  • severe infectious processes;
  • Down syndrome;
  • burns of the organs of vision;
  • eczema, neurodermatitis and other skin diseases;
  • prolonged insolation;
  • long-term corticosteroid therapy;
  • exposure to radiation;
  • unfavorable environmental conditions;
  • poisoning with heavy metals and toxic substances;
  • bad habits (excessive consumption of alcoholic beverages, smoking);
  • insufficient sleep.

Sometimes cataracts are congenital. Pathology occurs as a result of previous diseases, which include rubella. Lens abnormality and cataracts may develop if a pregnant woman takes certain medications or has been exposed to radiation.

Glaucoma causes increased pressure in the eyes, which leads to atrophy of the optic nerve. The pathology can progress asymptomatically for a long time. Often, a visit to a doctor is noted when there is a loss of visual acuity.

Glaucoma is considered a dangerous disease that causes blindness if left untreated. Timely therapy can stop the process of optic nerve atrophy. It is not possible to cure the disease completely.

In most cases, glaucoma is bilateral and is associated with a genetic predisposition. If there is a family history, intraocular pressure should be constantly monitored.

Increased pressure in the eyes and the development of cataracts are accompanied by the following symptoms:

  • blurred vision;
  • narrowing of fields;
  • severe pain.

The reasons for the development of glaucoma are due to its varieties:

  • congenital;
  • secondary;
  • open angle;
  • closed angle.

Typically, an increase in pressure is associated with a violation of the drainage system of the eyes, leading to a change in the outflow of chamber fluid. Atrophy is caused by stress on the optic nerve. Among the factors that provoke glaucoma are:

  • cervical osteochondrosis;
  • sclerotic changes in blood vessels;
  • lowering blood pressure.

These factors cause insufficient blood supply to the brain. Gradually, visual functions are impaired due to changes in metabolism in the tissues of the optic nerve and eye, and cataracts and glaucoma develop.

What vitamins are needed for cataracts and glaucoma

Vitamin deficiency often leads to eye diseases. For example, a lack of magnesium, zinc and selenium can trigger the development of cataracts. Regular intake of nutrients slows down the pathological process and stops the progression of eye diseases.

The following nutrients are necessary for the visual organs:

  1. Tocopherol (vitamin E). The antioxidant is able to protect the eyes from adverse environmental influences.
  2. Retinol (vitamin A). The component helps preserve vision and prevents the development of pathologies associated with the eyes.
  3. Riboflavin (vitamin B2). The substance restores the eyes after fatigue, and also eliminates the harmful effects of ultraviolet radiation, supporting the lens.
  4. Ascorbic acid (vitamin C). The useful component helps strengthen the retina and blood vessels.
  5. Zinc. The nutrient improves color perception, which is impaired with cataracts.
  6. Calcium. The element normalizes the functioning of nerve fibers.

The best vitamin complexes for eye health

Medicines with vitamins can be used both for therapy and prevention of eye diseases.

Blueberry Forte

The dietary supplement is a vitamin complex with berry extracts. The unique formula is designed to protect the eyes. The antioxidants included in the composition eliminate the harmful effects of ultraviolet rays, improve the resistance of the visual organs, and increase metabolic processes. The complex effect of vitamins stops cataracts mainly in the early stages.

Blueberry Forte contains anthocyanosides, which protect eye fiber from changes in light intensity. The components have a positive effect on the quality of visual acuity at night. Blueberries are known to be a natural way to increase blood flow to the eyes. The extract strengthens cell membranes.

Experts recommend taking a dietary supplement to maintain eye function. Taking the drug helps prevent the development of cataracts and minimize the symptoms of the pathology. Typically, results from using vitamins are seen after a few weeks.

The drug is not recommended for exacerbation of diseases of the digestive tract. In some cases, allergies may occur. To reduce the risk of reactions from the gastrointestinal tract, you need to consume enough vegetables and water during treatment.

The dosage of the drug is selected individually. The advantage of dietary supplements is their cumulative effect.

DoppelHertz

Vitamins are produced by a well-known German company, whose products are in demand in many countries around the world due to their high effectiveness. The dietary supplement is intended to be taken for prophylactic purposes. The use of a medicine with vitamins prevents cataracts and the development of other eye diseases.

The drug has a number of advantages:

  • possibility of combination with other medications;
  • improved color perception;
  • strengthening of blood vessels due to the presence of vitamins E, C, A;
  • neutralization of harmful external factors due to the content of lutein and zeaxanthin.

With the use of vitamins, vision is normalized, the sensation of dry eyes and pain disappears.

The content of active components is minimal. That is why dietary supplements are usually used as a prophylactic agent to prevent cataracts.

Vitrum Vision

Vitamins have antioxidant properties, which eliminates fatigue, tension and dry eyes. Using the medicine can reduce the risk of cataracts and other vision pathologies.

Vitrum Vision includes the following components:

  • carotenoids;
  • vitamins C and E;
  • microelements.

The dietary supplement has a cumulative effect and reduces eye fatigue. The drug with vitamins is suitable for use by patients of all ages.

Strix Forte

Vitamins support visual acuity, blood circulation, and also protect the retina of the eyes. The complex effect is provided by the retinol included in the composition. Strix Forte helps relieve fatigue and inflammation. Dietary supplement supports the organs of vision during prolonged exercise. The drug contains extracts of blueberry and marigold, which strengthen the membrane of the eyes and minimize the likelihood of developing glaucoma and cataracts.

Reducing the risk of visual impairment at night is essential. Thus, the drug with vitamins is able to support adaptation when in a dark room. Elimination of the adverse effects of external factors is achieved due to the presence of lutein, which accumulates in the body. Vitamin E included in the composition slows down age-related changes. Zinc prevents the occurrence of cataracts.

Okuwait Lutein

The drug is characterized by a high content of useful components. Medicine with vitamins is prescribed to older people to protect their eyes from adverse factors.

Active substances (zeaxanthin and lutein) can accumulate in the body and increase visual acuity. The components have protective properties, reducing the harmful effects of ultraviolet rays.

The complex is supplemented with B vitamins, which improve eye function and eliminate the effects of stress. The selenium contained in the composition allows tocopherol to remove free radicals from the body. They are often the cause of the development of cataracts. Changes characteristic of older people are eliminated by zinc. Ascorbic acid normalizes the capillary system of the eyes.

The drug slows down negative reactions and aging processes. It is recommended to take it to prevent the development of eye diseases and in the early stages of cataracts and glaucoma.

Eye drops with vitamins

Drugs of this drug group are used as part of complex therapy. Eye drops with vitamins are prescribed for cataracts and other eye diseases. They are combined with antibiotics and antihistamines. The purpose of using drops is to quickly relieve pathological symptoms of cataracts and accelerate recovery.

For the prevention and treatment of cataracts, the following drops with vitamins are usually recommended: Taurine, Quinax, SanteFxNeo, Taufon, Vita-iodural, Visin, Okovit, Viziomax, Rohto V-active.

Conclusion

Eye vitamins for cataracts are used for therapeutic and preventive purposes. Their choice depends on age and individual characteristics, the stage of the pathological process. The use of vitamins in the later stages of cataracts is auxiliary.

Properly selected products are the key to good vision

Each plant product has beneficial properties and performs a specific function. Ingredients for vision benefits:

  • Broccoli, eggs, cabbage and spinach are rich in zeaxanthin and lutein. These are antioxidants that perform a protective function: they strengthen the retina and prevent the lens from becoming cloudy and deformed.
  • Peanuts very quickly saturate the body with useful elements and vitamins that protect the eyes from the effects of free radicals and thus cataracts progress more slowly. Sunflower seeds, hazelnuts and almonds have similar properties.
  • Products containing vitamin C are also very useful for visual function: tomatoes, peaches, oranges, nettles, strawberries help keep the eye blood vessels in good shape.
  • Legumes, veal, oysters, chicken, pumpkin seeds and seafood are rich in zinc. It helps speed up the delivery of vitamin A to the retina, which is involved in the transparency of the lens. Zinc can even cure night blindness.
  • Ingredients containing wheat flour and high levels of carbohydrates should be excluded, and it is better to replace them with foods rich in fiber. It is useful to include in your daily diet: oatmeal, bran bread, dark rice, baked goods made from only 2nd grade flour and whole grains. Dishes based on such components protect the eyes from macular degeneration and treat cataracts.
  • Honey. The most relevant in this case is linden honey, which includes many vitamins. It is recommended to eat 1 teaspoon of honey in the morning on an empty stomach; it is best to do this immediately after waking up and 15 minutes before meals.
  • To improve visual response at night, and to saturate the image with colors, you need to eat melon, potatoes, pumpkin and apricots, which contain beta-carotene and various vitamins.
  • Cottage cheese, feta cheese, butter and different types of cheese are very useful.

    Foods for cataracts

List of the best eye drops for cataracts: the most effective remedies

A cataract is any clouding of the lens of the eye. With the development of this disease, the function of the organ of vision is impaired. At the initial stages of cataracts, conservative treatment is possible with drugs that can slow down the rate of development of pathological processes in the lens.

Why do cataracts occur?

The main theory of the occurrence of cataracts is the aging of the lens fibers. After 40 years, the processes of lipid peroxidation in the body intensify and the antioxidant protection of cells decreases. The transparent fibers of the lens gradually begin to become cloudy. That is, the development of opacities in the lens is a physiological process that appears in all people, but at different ages. This type of cataract is called senile cataract.

What are the signs to suspect cataracts?


In the initial stages, cataracts are manifested by slight blurred vision, the appearance of spots in front of the eyes, and a feeling of sand in the eyes.
When the clouding increases in size, a decrease in vision and a change in color perception occur. The patient begins to see as if through foggy glass. With central cataracts, vision deteriorates in bright light, with peripheral cataracts - at night. Mature cataracts are characterized by almost complete loss of vision. The background of the pupil becomes white instead of black. In this case, the patient is able to see light and distinguish day from night.

Are drops effective for cataracts?

The only treatment for mature cataracts is surgical removal of the lens and replacing it with an artificial lens. But in the initial stages of the disease, using eye drops can slow down the process of clouding of the lens and reduce the severity of symptoms. In addition, the use of special drops is necessary after surgery to prevent possible complications.

Types of drops

Eye drops to improve vision for cataracts vary depending on the active substance included in the drug, manufacturer, and indications. There are:

  1. Preparations for the treatment of the initial stages of senile cataracts.
  2. Means for the prevention of disease.
  3. Eye medications used after surgery.

Drops for the treatment of cataracts

  1. Oftan-katachrom (can be found under the name Katahrom). Combined antioxidant drug with a reparative effect. Improves the exchange of nutrients between the lens and the aqueous humor of the anterior chamber of the eye, thereby reducing the rate of fiber aging. Activates cellular respiration. Oftan katachrome occupies one of the leading places in the ranking of eye drops for cataracts.
  2. Quinax. The principle of action of this medicine is based on its ability to stimulate enzymes that resolve lens opacities. Quinax increases the antioxidant protection of cells and slows down the process of changes in protein molecules in the lens.
  3. Taurine. The substance improves metabolism in tissues and has a reparative effect. The composition contains an amino acid produced in the human body.
  4. Taufon . The drug is an analogue of Taurine. Improves energy processes in tissues, stabilizes the functions of cell membranes. With long-term use, it restores normal metabolism in the structures of the anterior segment of the eye.
  5. Vita-Iodurol. The medicine contains calcium, magnesium, vitamins and amino acids. Active ingredients improve blood supply to the tissues of the eyeball and prevent the deposition of protein molecules in the tissues of the lens.
  6. Catalin. Japanese remedy for cataracts. The drug prevents the transition of water-soluble protein to an insoluble form. This slows down the growth of opacities in the lens.
  7. Cataxol. The drug protects the lens fibers from oxidation and dissolves opaque protein complexes.

Drops for the prevention of cataracts

  1. Ujala. Indian eye drops contain only natural ingredients. The drug has antioxidant and antimicrobial effects. When taken as a course, it reduces the rate of cataract development.
  2. Hey Pee Wee. The medicine is a combination of propolis extract and silver purified water. Slows down the development of degenerative processes in the lens.
  3. Vitafacol. The product contains synthetic antioxidants. Vitafacol improves cellular respiration and metabolic processes, preventing the development of cataracts.
  4. Khrustalin. The medicine contains antioxidants and B vitamins. Drops stimulate tissue regeneration and reduce the intensity of lipid peroxidation.

Medications after surgery

The duration of the recovery period after cataract surgery depends on the type of surgery. With EEC (extracapsular cataract extraction), patients are prescribed antimicrobial, anti-inflammatory, antiseptic and regenerating drugs for a long period - about 1 month. If the lens replacement surgery was performed through a small incision using a laser, these medications are prescribed for 1 week.

In the postoperative period the following are used:

  1. Signicef. An antimicrobial drug of the latest generation, classified as a broad-spectrum antibiotic. After topical application, it does not have any unwanted systemic reactions. If there are complications, the ophthalmologist may prescribe an antibiotic that acts on a specific type of microorganism.
  2. Diklo-F. Non-steroidal anti-inflammatory drug. Drops relieve pain, reduce the severity of inflammation and redness of the eyes. In case of severe swelling of the eyelids, the doctor may recommend longer use of drops.
  3. Vitabact. Antiseptic drug. Vitabact can be used for a long time, even after stopping the antibiotic.
  4. Korneregel. The medicine is in the form of a gel and has regenerating and moisturizing properties. The drug must be used in patients after EEC to prevent suture dehiscence. It is necessary to continue use for some time after removal of the suture material. This will speed up the healing of the cornea of ​​the eye.

Traditional recipes - reliable prevention of cataracts

Traditional medicine helps fight cataracts quite effectively. Here are some recipes:

  • Eye lotions based on calendula, cornflower and eyebright flowers. The procedure should be done before bedtime.
  • Tincture of potato shoots (they must be thoroughly cleaned of dirt, washed and dried thoroughly). To make the tincture rich, just take 100 milligrams of water per half teaspoon of crushed sprouts and leave for several weeks. Then the broth is filtered and drunk three times a day, a teaspoon 20 minutes before meals. Treatment lasts about three months.
  • Aloe juice, which contains many vitamins, is used as an eye compress and as drops for cataracts. Attention! The older the flower, the richer it is in beneficial properties.
  • Onion juice is very effective for cataracts; it contains many vitamins. It’s quite simple to do: dilute the squeezed juice with clean water (1:1 ratio). If possible, add dandelion juice.
  • Fennel lotions. The seeds of this plant (30 grams) need to be washed, dried and crushed using a mortar and coffee grinder. The finished mixture is placed in a gauze bag, which is immersed in hot water for several minutes. Then the bag cools down, and you can apply a compress to the eyes. The procedure is done twice a day for two months. While the bag is cooling before your eyes, you can lightly squeeze the vitamin-rich juice out of it to increase its effectiveness and prevent cataracts.
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