Published in Primary Care

Clinical Updates in Ocular Surface, Lens Technology, and Glaucoma Management

This is editorially independent content
6 min read

Join Drs. Coats and Ramsey as they discuss some of the most intriguing products and developments in eyecare.

In this episode of Inside Intrepid, Jade Coats, OD, FAAO, and Adam Ramsey, OD, discuss recent developments in eyecare, emerging products, and clinical strategies to improve patient health and practice efficiency.
Dr. Ramsay is an optometrist, the owner of Socialite Vision in Palm Beach Gardens, Florida, and a co-founder of Black EyeCare Perspective, an organization that provides mentorship and education for pre-optometry students. Dr. Coats is an associate at Exclusive Eye in Fayetteville, where she provides comprehensive, patient-centered eyecare focusing on ocular surface disease and aesthetics. Prior, she spent the first decade of her career working in an OD/MD clinic.

Hygiene and replacement reminders

Educating patients on replacing makeup products, especially liquid eyeliners and mascaras, is vital to prevent eye infections. With these products being prone to bacterial contamination and applied in such close proximity to the ocular surface, even minor microbial exposure may lead to irritation, inflammation, or infection.1
Dr. Ramsey noted that some patients experience recurrent styes. To stress the importance of hygiene, he uses the analogy of an open cereal bag: “A box of cereal may say that it's good until 2028, but if you open the bag of cereal, it won't last until 2028."
Melissa Barnett, OD, designed EyeVida stickers, which are placed on makeup like mascara or eyeliner to remind patients to replace them every 3 months. Practitioners can apply these stickers at the point of sale to ensure adherence and encourage future visits for replacements and/or we can encourage our patients to purchase an entire pack for themselves to apply to all of their disposable makeup products. The same stickers could be used to remind patients to change contact lens cases regularly to promote better eye hygiene.

Ocular surface and aesthetic treatments

For ocular surface and aesthetic management, TearRestore WINQ Serum is an over-the-counter roll-on serum that contains cooling plant extracts, hyaluronic acid, and caffeine. It is designed to enhance comfort for patients with digital eye strain by encouraging more frequent blinking and potentially reducing under-eye puffiness and fine lines.2
Another product in the pipeline, the Azura AZR-MD-001 selenium sulfide formulation,3 uses selenium sulfide (commonly found in anti-dandruff shampoo) and features a unique twice-weekly nighttime dosing schedule to treat the lids and lashes. This nighttime, twice-a-week dosing may help reduce the burden of treatment for many patients.4

Advances in lens technology

Several advances in lens technology have been made, such as Newton Sequel Computer and Meeting lenses and Zeiss ClearMind.
Newton Sequel Computer and Meeting lenses are computer and office lenses, respectively, that use a base-in prism to reduce defocus from higher prescriptions and keep the eye centered.5 Dr. Ramsey noted, “We have some patients that don't drive in these glasses, but in their office, they just want to see the TV that's 10 feet away, a clock, the computer, and their phone. And if the office in the room is small enough, those types of lenses can be actually a great component for a patient, and a great addition.”
The ZEISS ClearMind lens is specifically engineered to eliminate peripheral blur, a common complaint among patients with high prescriptions.

Pharmaceutical and glaucoma management

Transitioning patients to preservative-free glaucoma medications is a great long-term strategy for ocular surface health. Bimatoprost ophthalmic gel 0.01% is a preservative-free option for protecting the ocular surface in glaucoma patients, who often experience dry eye.6
“I really thought it was cool that Théa now has a Bimatoprost Ophthalmic Gel 0.01 % that allows us to provide what we need in a unique muco-adhesive gel formula that doesn't have BAK," explained Dr. Coats. "That’s such a huge problem with a lot of our glaucoma patients; they have to use these medications, but it worsens their dry eye, and it doesn't help their ocular surface.”
Furthermore, presbyopia-correcting eye drops are emerging as an alternative or supplement to glasses and contact lenses. They help attract new patients and foster long-term relationships through refills and follow-up visits. Offering these products usually requires patients to return for office visits to obtain refills, which supports continuity of care.

Final thoughts

From lid hygiene protocols to preservative-free glaucoma therapies, the clinical updates discussed by Drs. Coats and Ramsey reflect a broader shift toward more patient-centered, surface-conscious care.
Emerging lens technologies and topical presbyopia corrections continue to expand the optometrist's therapeutic toolkit, offering solutions that address both visual performance and ocular comfort.
Staying current with these developments positions practitioners to improve patient outcomes while building a more engaged, returning patient base.
  1. Aleksandravičienė A, Jarienė G, Kirvaitienė J, et al. Bacterial Contamination and Antimicrobial Resistance in Used Eye Cosmetic Products. Microorganisms. 2026;14(5):1011. doi:10.3390/microorganisms14051011
  2. Tu Z, Pang Y. The Effect of Blink Rate and Visual Setting on the Symptoms of Digital Eye Strain. Invest Ophthalmol Vis Sci. 2023;64(8):4000.
  3. Delaney-Gesing A. Azura gets positive FDA feedback on NDA submission for MGD ointment. Eyes On Eyecare by Glance. December 10, 2025. https://glance.eyesoneyecare.com/stories/2025-12-10/azura-gets-positive-fda-feedback-on-nda-submission-for-mgd-ointment/.
  4. Chen X, Li J, Li Y, Wei A. A study on dermatologists' self-assessment of the efficacy of a 1% selenium disulfide–0.9% salicylic acid-based shampoo for scalp seborrheic dermatitis. Arch Dermatol Res. 2025;317(1):680.
  5. Delaney-Gesing A. White paper supports Sequel progressive addition lenses for digital eye strain. Eyes On Eyecare by Glance. May 15, 2026. https://glance.eyesoneyecare.com/stories/2026-05-15/white-paper-supports-sequel-progressive-addition-lenses-for-digital-eye-strain/.
  6. Kemer OE, Mekala P, Dave B, Kooner KS. Managing Ocular Surface Disease in Glaucoma Treatment: A Systematic Review. Bioengineering. 2024;11(10):1010.
Jade Coats, OD, FAAO
About Jade Coats, OD, FAAO

Dr. Jade Coats earned her Bachelor of Science degree with honors from the University of Arkansas–Fayetteville and went on to graduate magna cum laude with her Doctor of Optometry degree from the Southern College of Optometry, where she received numerous awards for clinical excellence, leadership, and community service.

With nearly a decade of experience in collaborative optometry and ophthalmology care, Dr. Coats specializes in dry eye disease, ocular surface health, contact lenses, and comprehensive eye care.

Dr. Coats is also a respected leader in her field. In addition to being a Director for the Arkansas Board of Optometry, she has been named a Contact Lens Institute Visionary (2023 & 2024), recognized as one of Celebrate Arkansas Magazine’s “Ones to Watch” (2023), and was recently honored as the 2025 Young Optometrist of the Year by the Arkansas Optometric Association. She actively shares her expertise through national lectures, publications, and collaborations with leading eye care organizations.

Outside the clinic, Dr. Coats is deeply committed to giving back—co-founding Caton’s Cubs, a nonprofit supporting pediatric hospice care, actively serving on the board of Circle of Life Hospice, and dedicating seven years of service to the board of Hope Cancer Resources. Earlier in her career, she also participated in international medical mission trips, providing free eye exams to underserved communities in Nicaragua, Honduras, Mexico, and Colombia.

Jade Coats, OD, FAAO
Adam Ramsey, OD
About Adam Ramsey, OD

Dr. Ramsey graduated Cum Laude from the University of Florida, he went on to Southern College of Optometry where he obtained his Doctorate of Optometry. Dr. Ramsey is the owner of Socialite Vision Eye Care with Style.

Dr. Ramsey is a board-certified Optometrist who is the past board chairman of the Palm Beach Optometric Association and past vice president of the T Leroy Jefferson Medical Association. Dr. Ramsey is an internationally known and respected published author, speaker consultant, researcher, and advisor.

Over the past few years, Dr. Ramsey has made it his mission to help with the issue of diversity and inclusion in the eye care space. In 2019, he co-founded Black Eyecare Perspective, a nonprofit organization designed to cultivate lifelong relationships between African Americans and the eye care industry. In May 2022, Dr. Ramsey was awarded the New England College of Optometry Presidential Medal for his work through Black Eyecare Perspective.

Adam Ramsey, OD
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