Abstract:
Embodiments of the invention include a heated eyelid cleansing apparatus, a method of manufacturing a heated eyelid cleansing apparatus, a kit for providing treatment to the eyelids, and a method for cleansing an eyelid with a heated eyelid cleansing composition. The apparatus comprises an eyelid cleansing composition, a fabric pad impregnated with the eyelid cleansing composition, and a heating element. The heating element may be encased within the fabric pad or it may be external to the fabric pad.

Description:
PRIORITY AND CROSS-REFERENCE TO RELATED APPLICATIONS 
       [0001]    This application claims priority to and benefit from U.S. Provisional Patent Application Ser. No. 61/132,593 filed Jun. 20, 2008. This application is a continuation in part of U.S. patent application Ser. No. 11/592,684 filed Nov. 3, 2006, incorporated by reference herein in its entirety. 
     
    
     BACKGROUND OF THE INVENTION 
       [0002]    The eyelids are important to overall ocular health because they protect the eyes from dangers such as approaching objects or from airborne contaminants, such as pollen, dust particles or other foreign bodies. The eyelids contain several glands including the lacrimal glands and meibomian glands that produce layers of tear film that are critical for healthy eyes. When an individual blinks, a new tear film is created and tears are distributed across the cornea to lubricate the surface of the eye. This blinking action also “flushes” foreign materials from the eye. 
         [0003]    The eyelids, however, are subject to certain problems, which while common, are nonetheless bothersome, especially for contact lens wearers. Also, these problems may lead to other, more serious complications. One complication is staphylococcal blepharitis (blepharitis). Blepharitis is a common chronic inflammation of the eyelids characterized by a scaly crust on the lid margins. The condition may be caused by a bacterial infection, allergic in origin or associated with seborrhea of the face and scalp. 
         [0004]    Often associated with or secondary to blepharitis is a bacterial infection of the surface of the skin at the edge of the lid, known as an internal hordeolum. Other such infections include external hordeolum, commonly referred to styes, which are infections of the tiny oil secreting meibomian glands along the edge of the eyelid, surrounding the eyelashes. A stye begins as a red, tender bump and usually fully develops within three days. It may be accompanied by pain, redness and tenderness of the lid margins. Although styes are often recurring, regular cleansing of the eyelid margins can minimize the occurrences. A second problem is a chalazion, which is an inflammation of the meibomian glands inside the eyelid. Chalazia typically grow slowly over 2-3 weeks and although they do not typically cause pain, they often require surgical intervention if left untreated. 
         [0005]    Endophthalmitis is an intraocular infection that commonly occurs after cataract surgery. The causative agent in post-operative endopthalmitis is typically a bacteria, often the causative bacteria is  Staphylococcus Epidermidis.    
       SUMMARY 
       [0006]    Embodiments of the invention comprise a heated eyelid cleansing apparatus, a method for manufacturing a heated eyelid cleansing apparatus, a method of cleansing an eyelid with a heated eyelid cleansing apparatus and a kit for providing treatment to the eyelids. 
         [0007]    In one embodiment of the invention, an apparatus for cleansing eyelids comprises: an eyelid cleansing composition; an absorbent pad wherein the pad is impregnated with the eyelid cleansing composition; and a heating element, wherein the heating element is encased within the absorbent pad. 
         [0008]    In one embodiment, the eyelid cleansing composition comprises a foamable liquid. In one embodiment, the eyelid cleansing composition comprises a surfactant mixture comprising PEG-80 sorbitan laurate, sodium trideceth sulfate, PEG-150 distearate, cocamidopropyl hydroxysultaine, lauroamphocarboxyglycinate, and sodium laureth-13 carboxylate in a concentration of 7-10%; PEG-15 tallow polyamine present in a concentration of 0.1-0.5%; at least one preservative selected from the group consisting of Quaternium-15 and benzyl alcohol present in concentration of 0.1-0.5%; and disodium ethylenediaminetetraacetic acid present in a concentration of 0.0-0.1% in an aqueous solution. 
         [0009]    In another embodiment of the invention, the eyelid cleansing composition comprises an eyelid scrub. The eyelid scrub may be effective as an anti-microbial, while being minimally irritating to the eye. The eyelid scrub comprises polyhexamethylene biguanide (PHMB), 1,2-hexanediol, 1,2-octanediol, and a pH stabilizing surfactant solution present in an amount effective to control the pH level of the composition between 5.5 and 7.5. The use of a surfactant solution to control pH rather than traditional pH adjusters, makes the composition less irritating to the eye. Also, the foaming capability of the surfactant solution included in the composition increases its cleansing ability. 
         [0010]    In one embodiment, the pH stabilizing surfactant solution comprises cocoamphodiacetate disodium, polyoxyethylene 80 sorbitan monolaurate, decyl polyglucoside, and a modified Ringer&#39;s solution. 
         [0011]    In another embodiment, the composition also includes moisturizers, such as methyl gluceth-20, sorbital, glycerine, glycols, propylene glycol, carboxylates, amino acids, glucoside derivatives, urea, lactates, and derivatives of pantothenic acid. 
         [0012]    In one embodiment, the absorbent pad comprises a fabric pad. In another embodiment, the fabric pad may further comprise a first sheet of fabric and a second sheet of fabric. The first and second sheets of fabric are held together by adhesive means. In one embodiment, the first and second fabric sheets are held together by stitching or Velcro. In one embodiment, the heating element may be located within the first and second sheets of fabric. 
         [0013]    In one embodiment, the heating element further comprises: a first packet containing a first chemical, the first chemical selected from calcium oxide, copper sulfate, water, butylene glycol, zinc, sodium silicoaluminate, kaolin, PEG 8, methyl gluceth 20, hydroxypropylcellulose, talc, acrylates copolymer, polyethelene, methycellulose, ethylcellulose, BHT, tetrasodium EDTA, or ultramarines; a second packet containing a second chemical, the second chemical selected from calcium oxide, copper sulfate, water, butylene glycol, zinc, sodium silicoaluminate, kaolin, PEG 8, methyl gluceth 20, hydroxypropylcellulose, talc, acrylates copolymer, polyethelene, methycellulose, ethylcellulose, BUT, tetrasodium EDTA, or ultramarines; and a thin membrane positioned between the first packet and the second packet. 
         [0014]    The eyelid cleansing apparatus may further comprise means for breaking the thin membrane. In one embodiment, the means for breaking the thin membrane comprise application of a twist, snap, bend, torsion, flex or other motion. 
         [0015]    In another embodiment, the means for breaking the thin membrane comprises an actuator. The actuator may comprise at least one sharp end, the sharp end comprising a surface sharp enough to puncture the membrane without causing significant damage to the fabric pad. In another embodiment, the actuator further comprises one or more of the following: a button, a lever, switch, or a stud. 
         [0016]    The means for breaking the thin membrane allows the first chemical to contact the second chemical, thereby producing an exothermic reaction. The exothermic reaction heats the fabric pad to a temperature range of about 80° F. to about 150° F. 
         [0017]    In one embodiment of the invention, the first or second sheet of fabric may further comprise a flap, wherein the first or second sheet of fabric is adapted to allow the fabric pad to be inserted and removed. The heating element may be configured to retain thermal energy when exposed to a means of heating, the means of heating including a microwave oven, conventional oven, toaster, stove, laser, flame from a lighter or a hairdryer. The heating element may further be configured to heat the fabric pad for three to seven minutes. 
         [0018]    In another embodiment, a kit for treating eyelids comprises: an eyelid cleansing composition, the eyelid cleansing composition comprising a surfactant mixture comprising PEG-80 sorbitan laurate, sodium trideceth sulfate, PEG-150 distearate, cocamidopropyl hydroxysultaine, lauroamphocarboxyglycinate, and sodium laureth-13 carboxylate in a concentration of 7-10%; PEG-15 tallow polyamine present in a concentration of 0.1-0.5%; at least one preservative selected from the group consisting of Quaternium-15 and benzyl alcohol present in concentration of 0.1-0.5%; and disodium ethylenediaminetetraacetic acid present in a concentration of 0.0-0.1% in an aqueous solution; a fabric pad, the fabric pad pre-moistened with the eyelid cleansing composition; and a heating element. In one embodiment of the invention, the heating element is enclosed within the fabric pad. 
         [0019]    In another embodiment, a kit for treating eyelids comprises: an eyelid cleansing composition, the eyelid cleansing composition comprising an eyelid scrub; a fabric pad pre-moistened with the eyelid scrub; and a heating element. 
         [0020]    In one embodiment, the eyelid scrub comprises polyhexamethylene biguanide (PHMB), 1,2-hexanediol, 1,2-octanediol, and a pH stabilizing surfactant solution present in an amount effective to control the pH level of the composition between 5.5 and 7.5. In one embodiment, the pH stabilizing surfactant solution comprises cocoamphodiacetate disodium, polyoxyethylene 80 sorbitan monolaurate, decyl polyglucoside, and a modified Ringer&#39;s solution. In another embodiment, the composition also includes moisturizers, such as methyl gluceth-20, sorbital, glycerine, glycols, propylene glycol, carboxylates, amino acids, glucoside derivatives, urea, lactates, and derivatives of pantothenic acid. 
         [0021]    In one embodiment of the invention, the heating element is enclosed within the fabric pad. In one or more embodiments, the heating element may be external to the fabric pad. The heating element may comprise a sleeve or a thermal or heating enclosure for heating the fabric pad. 
         [0022]    In another embodiment, a method for manufacturing an heated eyelid cleansing apparatus comprises: supplying an eyelid cleansing composition; providing a fabric pad, the fabric pad capable of being moistened with the eyelid cleansing composition; and enclosing a heating element within the fabric pad. Exemplary eyelid compositions have been described earlier. 
         [0023]    The fabric pad may be pre-moistened with the eyelid cleansing composition. In another embodiment, the fabric pad may be impregnated with the eyelid cleansing composition just prior to patient, customer use on the eyelids. 
         [0024]    In another embodiment, a method for cleansing an eyelid comprises: heating an eyelid cleansing composition; and applying the heated eyelid cleansing composition to the eyelid. In one embodiment, the eyelid cleansing composition comprises a foamable liquid, the cleansing composition further comprising (a) an anionic surfactant, (b) a non-ionic thickener and emollient, (c) an amphoteric surfactant; and (d) at least one preservative. In another embodiment, the eyelid cleansing composition comprises an eyelid scrub comprising polyhexamethylene biguanide (PHMB), 1,2-hexanediol, 1,2-octanediol, and a pH stabilizing surfactant solution present in an amount effective to control the pH level of the composition between 5.5 and 7.5. 
         [0025]    The heating of the eyelid cleansing composition comprises heating the eyelid cleansing composition to a range between 80° F. and 150° F. In one embodiment, the eyelid is scrubbed with the eyelid cleansing composition for a period of time ranging between 240 seconds and 500 seconds. In another embodiment, the eyelid cleansing composition may be allowed to remain on the eyelid without being rinsed away. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS  
         [0026]      FIG. 1  is an embodiment of the invention. 
           [0027]      FIG. 2  is another embodiment of the invention. 
           [0028]      FIG. 3  is yet another embodiment of the invention. 
       
    
    
     DETAILED DESCRIPTION  
       [0029]    Reference is now made to one or more embodiments of the present invention, examples of which are illustrated in the accompanying drawings. 
         [0030]      FIG. 1  illustrates one embodiment of an eyelid cleansing apparatus  100 . A fabric pad  105  comprises a first packet  120  and a second packet  130 . The first  120  and second  130  packets contain chemical reactants that exothermically react with one another. Together, the first packet  120  and second packet  130  may form a heating element. The first packet  120  and the second packet  130  are separated within the fabric pad  105  by a thin membrane  110 . The thin membrane  110 , which separates a first packet  120  and a second packet  130 , may be designed to be manually broken by a user. After the thin membrane  110  is broken, the chemicals from the first packet  120  are released to contact with the chemicals from the second packet  130 , thereby initiating the exothermic reaction. In one embodiment, the first packet  120  may comprise a first chemical and the second packet  130  may comprise a second chemical. 
         [0031]    The thin membrane  110  max be broken by a variety of means. In one embodiment, the means for breaking the membrane includes an actuator. An actuator may be a button, in one embodiment, which may be designed to puncture the membrane and allow the chemicals from the first packet  120  to contact and react with the chemicals from the second packet  130 . The actuator may comprise a button, lever, switch, or a stud, in another embodiment. In another embodiment, the thin membrane  110  may be broken by twisting, snapping, bending, causing torsion, or flexing the membrane sufficiently so that it tears. However, it should be appreciated that the membrane may be broken by any suitable means so long as the reactants are allowed to react in an exothermic reaction. 
         [0032]    The chemicals contained in the first packet  120  and the second packet  130  employed to create an exothermic chemical reaction may be selected from a variety of exothermic reactants including calcium oxide, copper sulfate, water, butylene glycol, zinc, sodium silicoaluminate, kaolin, PEG 8, methyl gluceth 20, hydroxypropylcellulose, talc, acrylates copolymer, polyethelene, methycellulose, ethylcellulose, BHT, tetrasodium EDTA, and ultramarines. It should be appreciated that any chemicals which react exothermically when in contact with one another may be placed in the first packet  120  and the second packet  130 . 
         [0033]    The fabric pad  105  may be impregnated with an eyelid cleansing composition. In one embodiment, the eyelid cleansing composition is optionally non-irritating to both the sensitive skin around the eye and the eye tissue itself, while having an antimicrobial effect. In one embodiment, PHMB may be used as an effective antimicrobial agent. Polyhexamethylene biguanide (PHMB) is herein pseudonymous for polyhexamethylene biguanide, polyhexamethylene biguanide hydrochloride, and polyaminopropyl biguanide. In another embodiment, a combination of 1,2-hexanediol and 1,2-octanediol with PHMB may be used because it has a synergistic antimicrobial effect. 
         [0034]    PHMB may be optimally effective at pH ranges between 5.5 and 7.5. Therefore, it may be desirable to control the pH level of the eyelid cleansing composition within this range by use of a blend of surfactants. It may also be desirable that the eyelid cleansing composition of the invention has a foaming ability to facilitate physical cleansing of the eyelid. Consequently, surfactants may be chosen which will both control the pH of the eyelid cleansing composition within PHMB&#39;s effective range and provide the foaming ability to physically clean the eyelid. 
         [0035]    In another embodiment, the pH of the eyelid cleansing solution may be controlled in order to minimize eve irritation caused by an abnormal pH level of the eyelid cleansing composition. Non-irritating formulations may have a pH level which is close to neutral, or 7.0. Many skin cleaners have a pH that is not neutral and thus not at or near the 7.0 pH level. In order to neutralize the pH of the compositions, a pH adjuster may be used to adjust the pH level. Examples of traditional pH adjusters include basic pH adjusters, such as ammonia, mono-alkyl amines, di-alkyl amines, tri-alkyl amines, mono-alkanolamines, di-alkanolamines tri-alkanolamines, alkali metal and alkaline earth metal hydroxides (e.g., ammonia, sodium hydroxide, potassium hydroxide, lithium hydroxide, monoethanolamine, triethylamine, isopropylamine, diethanolamine and triethanolamine), and acidic pH adjusters, such as mineral acids and polycarboxylic acids (e.g., hydrochloric acid, nitric acid, phosphoric acid, sulfuric acid, citric acid, glycolic acid, and lactic acid). However, some adjusters may cause irritation themselves. 
         [0036]    In one embodiment, the pH of the eyelid cleansing composition is controlled with a surfactant solution rather than traditional pH adjusters. A surfactant may be less irritating to the eye than traditional pH adjusters. Suitable surfactants to be used in the pH stabilizing surfactant solution include amphoteric surfactants, anionic surfactants, and nonionic surfactants. Suitable amphoteric surfactants include, but are not limited to alkyldimethyl betaines, alkylamido betaines, sulfobetaines, and imidazoline amphoterics. Suitable anionic surfactants include, but are not limited to, fatty alcohol sulfates, alpha olefin sulfonates, sulfosuccinates, sarcosinates, phosphate esters, and carboxylates. Suitable nonionic surfactants include, but are not limited to, alkanolamids, ethoxylate amids, esters, alxylated alcohols, alkylpolyglucosides, amine oxides, sorbitan esters, and ethoxylates. 
         [0037]    In one embodiment, the pH stabilizing surfactant solution comprises cocoamphodiacetate disodium, polyoxyethylene 80 sorbitan monolaurate, decyl polyglucoside, and a modified Ringer&#39;s solution. Cocoamphodiacetate disodium is an amphoteric surfactant. Polyoxyethylene 80 sorbitan monolaurate and decyl polyglucoside are both nonionic surfactants. In another embodiment, the eyelid cleansing composition, when mixed, comprises about 0.1 to 25 wt. % cocoamphodiacetate disodium, 0.1 to 10 wt. % polyoxyethylene 80 sorbitan monolaurate, 0.2 to 10 wt. % decyl polyglucoside, and 60 to 98 wt. % modified Ringer&#39;s solution. 
         [0038]    In addition to reduced irritation, main surfactants have the added capability of producing foam which assists in the cleansing ability of the eyelid cleansing composition. To form the pH stabilizing surfactant solution, one or more foam producing surfactants are first selected to provide the foaming ability of the eyelid cleansing composition. Suitable surfactants include anionic, nonionic, and amphoteric surfactants. In one embodiment, both polyoxyethylene 80 sorbitan monolaurate and decyl polyglucoside are used as the foam producing surfactants. 
         [0039]    In this embodiment, one or more additional surfactants may be added to the pH stabilizing surfactant solution to compensate for the pH level of the foam producing surfactants. In one embodiment, the pH of the foam producing surfactants may be measured to determine whether a pH compensating surfactant should be added, and if so, a pH compensating surfactant may be chosen to control the pH of the solution within the desired range. For example, if the pH level of the foam producing surfactants is in the acidic range, i.e. less that 7.0, a pH compensating surfactant in the basic range may be chosen. Suitable pH compensating surfactants include both foaming and non-foaming surfactants, which further include anionic, nonionic, and amphoteric surfactants. In one embodiment, the pH compensating surfactant may be cocoamphodicetate disodium. 
         [0040]    The combination of surfactants may be added to a modified Ringer&#39;s solution. A modified Ringer&#39;s solution may be an isotonic aqueous solution of electrolytes which may be physiologically compatible with human tissue and may comprise sodium chloride, potassium chloride, calcium chloride, and water. In another embodiment, the modified Ringer&#39;s solution may he included in the surfactant solution to ensure that the eyelid cleansing composition will not remove water from human tissue by osmosis. 
         [0041]    The modified Ringer&#39;s solution comprises sodium chloride, potassium chloride, calcium chloride, and water. In a further embodiment, the water used is purified water. The modified Ringer&#39;s solution may also comprise 0.05 to 1.2 wt. % sodium chloride, 0.005 to 0.5 wt. % potassium chloride, 0.005 to 0.5 wt. % calcium chloride, and water. In still another embodiment, the modified Ringer&#39;s solution comprises about 0.7 wt. % sodium chloride, about 0.03 wt. % potassium chloride, about 0.033 wt. % calcium chloride, and purified water. 
         [0042]    In still another embodiment, the eyelid cleansing composition may further comprise one or more moisturizers. Moisturizers are chemicals that prevent transepidermal water loss. Moisturizers may prevent water loss by forming a film over the skin to prevent water from evaporating from the skin. Alternatively, moisturizers comprise hydroscopic molecules that draw water from the air into the skin. Suitable moisturizers include, but are not limited to, methyl gluceth-20, sorbital, glycerine, propylene glycol, carboxylates, amino acids, glucoside derivatives, urea, lactates, and derivatives of pantothenic acid. Examples of derivatives of pantothenic acid include panthenol, D-panthenol, and D,L-panthenol. 
         [0043]    In a further embodiment, the eyelid cleansing composition also comprises a foam stabilizer. A foam stabilizer is a chemical which increases the lifetime of the foam. The foam stabilizer can be a polyethylene glycol diester of methyl glucose and a fatty acid. Suitable fatty acids include oleic acid, steric acid, lauric acid, caprylic acid, and capric acid. Suitably, the foam stabilizer may be PEG-120 methyl glucose dioleate. 
         [0044]    In another embodiment, the eyelid cleansing composition comprises polyhexamethylene biguanide, 1,2-hexanediol, 1,2-octanediol, D-panthenol, cocoamphodiacetate disodium, polyoxyethylene-80 sorbitan monolaurate, decyl polyglucoside, methyl gluceth-20, and PEG-120 methyl glucose dioleate. 
         [0045]    In another embodiment of the invention, the eyelid cleansing composition comprises about 0.02 wt. % to about 0.3 wt. % PHMB, about 0.05 wt. % to about 2.0 wt. % 1,2-hexanediol, about 0.05 wt. % to about 2.0 wt. % 1,2-octanediol, about 0.1 wt. % to about 25 wt. % cocoamphodiacetate disodium, about 0.1 wt. % to about 10 wt. % polyoxyethylene 80 sorbitan monolaurate, about 0.2 wt. % to about 10 wt. % decyl polyglucoside, and about 60 wt. % to about 98 wt. % modified Ringer&#39;s Solution. 
         [0046]    In yet another embodiment of the invention, the eyelid cleansing composition comprises about 0.04 wt. % polyhexamethylene biguanide, about 0.2 wt. % 1,2-hexanediol, about 0.2 wt. % 1.2-octanediol, about 0.2 wt. % D-panthenol, about 0.215 wt. % cocoamphodiacetate disodium, about 4.032 wt. % polyoxyethylene 80 sorbitan monolaurate, about 0.275 wt. % decyl polyglucoside, about 4.3 wt. % methyl gluceth-20, about 0.6 wt. % PEG-120 methyl glucose dioleate, about 87.985 wt. % Modified Ringer&#39;s solution, and water. 
         [0047]    In another embodiment, the combination of surfactants comprises an aqueous solution of approximately 7% to approximately 10% by weight combination of an anionic surfactant, a non-ionic thickener, an emollient and an amphoteric surfactant. 
         [0048]    In yet another embodiment, the combination of surfactants may comprise PEG-80 sorbitan laurate, sodium trideceth sulphate, PEG-150 distearate, cocamidopropylhydroxy sultaine, lauroamphocarboxy glycinate, and sodium laureth-13 carboxylate. In still another embodiment, the eyelid cleansing composition may comprises a polyoxyetln lenesorbitan fatty acid ester, PEG-80 sorbitan laurate, lauroamphocarboxy glycinate and sodium laureth-13 carboxylate. 
         [0049]    The eyelid cleansing composition may further comprise PEG-15 tallow polyamine in a concentration range of 0.1-0.5% by weight. This compound is a tertiary surfactant and emollient. Sodium chloride may also be present in a concentration ranging from about 0.6% to about 0.9%. In this embodiment, the pH of the eyelid cleansing composition may be in the range of about 8.0 to about 8.5. 
         [0050]    A preservative may also be included in the eyelid cleansing composition. In one embodiment, the preservative may be quaternium-15, a quaternary ammonium salt. This preservative may be used in a concentration range of approximately 0.1% to approximately 0.5%. In another embodiment, benzyl alcohol may be used as a preservative. In this embodiment, the concentration range of the benzyl alcohol may be about 0.1% to about 0.5%. 
         [0051]    In still another embodiment, a chelating agent such as disodium EDTA may be included in the eyelid cleansing composition in a concentration range of about 0.01% to about 0.1%. 
         [0052]    Zinc salts are astringents which cause skin to tighten. The skin around the ocular area may be more sensitive that other areas of skin. The inclusion of a zinc salt in the eyelid cleansing composition may be undesirable as its astringent property would make the eyelid cleansing composition more irritating to the eyelid area. Therefore in one embodiment, the eyelid cleansing composition comprises PHMB, 1,2-hexanediol, 1,2-octanediol, and a pH stabilizing surfactant solution, but is also essentially free of zinc salts. Examples of zinc salts include zinc acetate, zinc lactate, zinc gluconate, zinc citrate, zinc butyrate, and zinc sterate. 
         [0053]    Referring to  FIG. 1 , a fabric pad  105  may be used for the delivery of the eyelid cleansing composition. The fabric pad  105  may be composed of any suitable fabric. In one embodiment, suitable fabric is capable of containing the eyelid cleansing composition in the interstitial spaces of fabric&#39;s weave. The fabric chosen may have a textured surface which is sufficient to provide for proper scrubbing action of the eyelid cleansing composition over the patient&#39;s eyelid. However, it max remain soft enough so as to not be harsh on the patients&#39; skin surface. In one embodiment, the fabric pad may be composed of a rayon material and polypropylene fabric blend. 
         [0054]    As shown in  FIG. 2 , in another embodiment of the eyelid cleansing apparatus  200 , the fabric pad  205  may comprise two sheets of fabric, a first sheet of fabric  240  and a second sheet of fabric  250 . The two sheets of fabric max be held together by stitching  260  on the sides. A heating element  210  max be enclosed within the first  240  and second  250  sheets of fabric. 
         [0055]    In one embodiment, the fabric pad  105 ,  205  with the enclosed heating element may be impregnated with the eyelid cleansing composition at the time of manufacture. The fabric pad  105 ,  205  may then be sealed within a container to prevent the eyelid cleansing composition from evaporating. The sealable container max comprise a box or a package. The package may be made of any suitable material including plastic or a metal foil material. The pre-moistened fabric pads  105 ,  205  may also be individually packaged for use. 
         [0056]    In another embodiment, the fabric pad  105 ,  205  with the enclosed heating element may be impregnated with the eyelid cleansing composition moments prior to use. The eyelid cleansing composition may be packaged separately from the fabric pad  105 ,  205  and applied to the fabric pad  105 ,  205  by the user. In one embodiment, the eyelid cleansing composition may be packaged in a foaming pump dispenser. 
         [0057]    In one embodiment of the invention, the eyelid cleansing apparatus  100 ,  200  may be heated prior to application to the ocular area. When heated, the eyelid cleansing composition on the fabric pad is also heated which may serve to increase the efficiency of the eyelid cleansing composition. 
         [0058]    The heat transferred to the eyelid cleansing apparatus  100 ,  200  and eyelid cleansing composition may be sufficient enough to bring the temperature of the eyelid cleansing composition to a temperature which aids in cleansing of the ocular area while maintaining a temperature low enough not to scald the patient&#39;s skin or otherwise cause discomfort. In one embodiment, the eyelid cleansing apparatus  100 ,  200  may be heated to maintain the temperature of the eyelid cleansing composition in a range of about 80° F. to about 150° F. 
         [0059]    In another embodiment, the eyelid cleansing apparatus  100 ,  200  may sustain heat long enough to complete the cleansing process. The exact time required for cleansing the eyelid may vary from patient to patient and may further depend on the severity of the patient&#39;s condition. In one embodiment, the eyelid cleansing apparatus  100 ,  200  may maintain heat for approximately 3 minutes to 7 minutes. 
         [0060]    Referring to  FIG. 2 , in another embodiment of the eyelid cleansing apparatus  200 , a heating element  210  after being externally heated may be placed within the fabric pad  205 . In this embodiment, the fabric pad  205  may comprise a flap (not shown) for inserting the heating element  210 . The flap is closed after the heating element  210  is enclosed. It should be appreciated that the heating element  210  may be encased in the fabric pad  205  by any suitable means known in the art including stitches  260  or Velcro. 
         [0061]    The heating element  210  may be heated by any reasonable means including heating in a microwave oven, conventional oven, toaster, stove, laser, flame from a lighter, or a hair dryer. However, it should be appreciated that the means of heating are not limited to those listed and could be any potential means which produce heat. 
         [0062]      FIG. 3  represents another embodiment of the eyelid cleansing apparatus  300 , wherein the fabric pad  305  is heated by being placed in a heating or thermal sleeve  310  for a certain time period. The thermal sleeve  310  may be heated by means of a heating device. In one embodiment, the thermal sleeve  310  may first be warmed, for example, in a microwave oven. The thermal sleeve  310  may be heated until it retains enough thermal energy for heating the fabric pad  305 . Once the thermal sleeve  310  is heated, the fabric pad  305  may be placed inside of it so that heat may be transferred from the thermal sleeve  310  to the fabric pad  305 , thereby warming the fabric pad  305 . In one embodiment, the fabric pad is impregnated with the one or more exemplary eyelid cleansing compositions described earlier. The heated fabric pad  305  may then be easily removed from the heating sleeve  310 . A user may apply the heated fabric pad  305  to the ocular area. The fabric pad  305  may be pre-moistened with the eyelid cleansing composition or the eyelid cleansing composition may be placed on the fabric pad  305  by the user at the time of use. 
         [0063]    In one embodiment of the invention, the eyelid cleansing apparatus  100 ,  200 ,  300  is used to cleanse the eyelids. The eyelid cleansing apparatus  100 ,  200 ,  300  may be useful in preoperative sterilization of the eyelid and in everyday application for the prevention of various diseases of the eyelid, such as blepharitis. 
         [0064]    The eyelid cleansing composition may be mild enough that it can be allowed to remain on the eyelid after cleansing, without rinsing. Allowing the eyelid cleansing composition to be left on the eyelid rather than rinsing it off may increase the eyelid cleansing composition&#39;s anti-microbial effect. In general, the longer an anti-microbial eyelid cleansing composition is allowed to contact the pathogens, the more pathogens it may kill. 
         [0065]    While the invention has been described with reference to several embodiments, it will be understood by those skilled in the art that various changes in form and detail may be made therein without departing from the spirit and scope of the invention. Thus, it is intended that the present invention cover the modifications and variations of this invention provided that they come within the scope of any claims and their equivalents.