Review (5/5): 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.