The stars they have are unrelated to the product
I spray a small bead of foam onto my finger and rub it into the closed eyelids.  Then take a QTip and gently work it into the upper and lower eyelids.  After a week of doing it twice a day, the itching and scratching resolved.  I will do it once a day for a couple of weeks then once a week for a couple of months.  Then once a month.  My Optometrist uses it too.
Rating: 5 stars