This post Eyegiene the Natural Way with Hypochlorous Acid (HOCl) first appeared on MyDryEye.ca
It was written by Dr. Diana Nguyen.
Please visit MyDryEye.ca to visit the original post.

Make room for a new promising addition to your dry eye care – hypochlorous acid (HOCl). It has a long history in the medical field with uses in wound care before antibiotics were available. Fast forward to the present day and HOCl is used in several healthcare industries ranging from dentistry, dermatology and optometry.
HOCl has become a common disinfectant in healthcare because of its gentle yet effective power. It has the same active ingredient as bleach but holds a different chemical structure. As a result, it neutralizes much quicker and it is not harmful unlike bleach and alcohol.
Interestingly, pure HOCl is also produced by our body as an immune response. Its oxidizing properties are released by our immune cells which helps kill microorganisms.
HOCl Role in Eyegiene
Blepharitis is a common condition seen in dry eye patients. A large bacterial load affecting the skin of the eyelids, base of lashes and eyelash follicles can cause irritation and inflammation. HOCl is highly effective against bacteria and can be provided as a treatment option for eyelid hygiene (eyegiene).
One study tested HOCl’s ability to reduce bacteria on the ocular skin. After 20 minutes with the HOCl hygiene solution, there was reduction in gram-negative, anaerobic and gram-positive bacteria. HOCl dramatically decreased staphylococcus strains by 99.6% on 71 eyes. The application of HOCl also reduced the bacterial load of susceptible and/or resistant strains to antibiotics.

However, full eradication of bacteria can be harmful to the body because some bacteria strains protect us against pathogens. HOCl preserves the diversity of microbial species and does not eliminate resident commensal bacteria. It demonstrated a clinically significant reduction of >90% in overall bacterial load.
Another publication determined HOCl’s efficacy against bacterial and viral conjunctivitis. Total resolution of bacterial conjunctivitis occured in 64 out of 65 cases and complete and rapid resolution of viral conjunctivitis symptoms.
HOCl is a powerful agent against pathogens and has multiple uses within optometry and other medical fields. It is shown to be a non-toxic and safe treatment option for patients with blepharitis and dry eyes.
Considerations with HOCl
Purity and stability are important factors when choosing HOCl products. Many solutions on the market employ buffers and stabilizers to maintain a certain pH range of 3.5-6.5 as the proper concentration. When the pH is outside of this range, dissociation occurs and HOCl may not be as effective against pathogens. Typically, the buffers contain a form of sodium hypochlorite (bleach) which damages tissues and is highly irritating to the eyes and skin. Secondly, the stability of HOCl can vary depending on the product. It’s best to find a product that has a longer shelf life to maximize use and ultimately, comfort when applying it.
HOCl Option in Canada

Briotech HOCl (BIHOCl) 0.018% maintains a strict pH range of 4.4 which is maintained over time and does not include any bleach in its formulation. As a result, BIHOCl is non-irritating, gentle on the eyelids and does not have harmful side effects.
BIHOCl excels with its stability with a shelf life of 3 years if left unopened and 6 months once opened. This exceeds all products on the market and is an economical choice for patients and clinics. It has also shown to demonstrate efficacy and stability in temperatures over 30°C.
How HCOl is Made

Under strict quality-control procedures, water and salt are used to create a specific brine solution and then it is passed through a proprietary, electrolytic chamber. The finished product is a weak acid solution with powerful benefits. The electrically active HOCl maintains efficacy to eradicate offending microbes and is a much needed addition to eyelid care and dry eyes.
References
- Stroman DW, Mintun K, Epstein AB, et al. Reduction in bacterial load using hypochlorous acid hygiene solution on ocular skin. Clin Ophthalmol. 2017;11:707-714. Published 2017 Apr 13. doi:10.2147/OPTH.S132851
- Peter S Adamson, Hendrik Roos, Jon von Holdt; Treatment of bacterial and viral conjunctivitis with topical ultrapure stable hypochlorous acid (HOCl): a clinical evaluation and treatment response in 79 cases. Invest. Ophthalmol. Vis. Sci. 2015;56(7):280
- Wang L, Bassiri M, Najafi R, Najafi K, Yang J, Khosrovi B, Hwong W, Barati E, Belisle B, Celeri C, Robson MC. Hypochlorous acid as a potential wound care agent: part I. Stabilized hypochlorous acid: a component of the inorganic armamentarium of innate immunity. J Burns Wounds. 2007 Apr 11;6:e5. PMID: 17492050; PMCID: PMC1853323.
PRN De3 Dry Eye Omega Benefits: The Complete Canadian Guide

Not every fish-oil bottle is designed with dry eye in mind. Some provide only a few hundred milligrams of EPA and DHA, some emphasize DHA rather than EPA, and others do not identify the chemical form of the oil. PRN De3 Dry Eye Omega Benefits stands out because the dose, ratio, rTG form and Canadian product licence all point toward a very specific use case.
This guide explains what is inside PRN De3, why it is frequently recommended by eye-care professionals, what the research can and cannot prove, and how the coming EyePromise name change fits into the Canadian story.
What is PRN De3 Dry Eye Omega Benefits?
PRN De3 is an oral natural health product for adults. Rather than coating the ocular surface like an eye drop, it supplies long-chain omega-3 fatty acids and vitamin D3 systemically. Health Canada's Natural Health Product Licence Database lists it under NPN 80101489.
The licensed Canadian directions are three capsules once daily. That serving supplies the following:
| Ingredient | Daily amount | Why shoppers examine it |
|---|---|---|
| EPA | 1,680 mg | The dominant omega-3 in the formula; the high EPA percentage is a distinguishing feature of the 3:1 blend. |
| DHA | 560 mg | A long-chain omega-3 found in ocular and neural tissues; it complements EPA rather than replacing it. |
| Vitamin D3 | 1,000 IU (25 mcg) | Supports immune function and bone health under the Canadian licence; vitamin D status is also being studied in dry eye. |
The total labelled EPA plus DHA is 2,240 mg per day. The formula also contains additional omega-3 fatty acids, with fish oil sourced from species such as anchovy, sardine and mackerel. The capsules contain bovine gelatin and a soy-derived mixed tocopherol, so the product is not vegetarian and may not suit every allergy profile.
Why is PRN De3 considered a top dry-eye omega?
“Top” should mean more than expensive packaging or a large fish-oil number on the front label. A serious comparison should examine the amount of EPA and DHA—not merely total fish oil—the ratio between them, the oil form, the serving burden, the quality controls and the claims the Canadian regulator has authorized.
PRN De3 performs strongly on that checklist:
- High active dose: 2,240 mg of EPA plus DHA in three capsules.
- Deliberate 3:1 EPA:DHA ratio: a high-EPA profile rather than a general wellness blend.
- Re-esterified triglyceride form: an absorbable form that has shown stronger long-term incorporation than ethyl esters in some comparative research.
- Vitamin D3 included: 1,000 IU per daily serving.
- Dry-eye-specific Canadian licence: the NPN entry includes claims involving OSDI symptom scores, tear osmolarity, tear break-up time and MMP-9 in dry eye associated with meibomian gland dysfunction.
- Three-softgel routine: a concentrated format available in 30-, 60- and 90-day bottle sizes.
That combination makes PRN De3 one of the most complete dry-eye omega formulas available through EyeDropShop. It does not mean that every person will respond, that it replaces an eye exam, or that a less expensive formula cannot be appropriate. For a closer look at the numbers, read why PRN De3 uses a 3:1 EPA:DHA ratio.
What does the Health Canada licence actually say?
The NPN is especially important because it separates authorized Canadian wording from broader marketing language used in other countries. The current licence states that De3 helps improve signs and relieve symptoms of dry eyes associated with meibomian gland dysfunction, including improvements measured by OSDI, tear osmolarity and tear break-up time. It also references MMP-9, an inflammatory marker in the tear film.
This does not turn a supplement into a cure or guarantee a result. It means Health Canada reviewed evidence supporting the approved conditions of use. Consumers should still follow the Canadian label and discuss persistent symptoms with an optometrist or ophthalmologist.
What is rTG omega-3?
Concentrated fish oil is often converted into an ethyl ester form during processing. In an rTG product, the fatty acids are reattached to a glycerol backbone after concentration and purification. The result is a re-esterified triglyceride structure.
A six-month randomized comparison found a larger rise in the omega-3 index with re-esterified triglycerides than with an equal dose in ethyl ester form. That supports the practical importance of form, but it does not establish a universal “three times better” rule for every product, meal and person. Bioavailability varies with formulation and whether capsules are taken with food containing fat.
What do clinical trials show?
The evidence deserves a balanced answer. A 2016 randomized trial studied the same 1,680 mg EPA and 560 mg DHA rTG dose in people with dry eye related to meibomian gland dysfunction. After 12 weeks, the omega-3 group improved more than safflower-oil control on tear osmolarity, tear break-up time, OSDI scores and MMP-9.
However, the large 2018 DREAM trial tested a different omega-3 regimen—2,000 mg EPA and 1,000 mg DHA in ethyl ester form—and found no meaningful advantage over an olive-oil placebo after one year. More recently, a 2024 randomized trial using De3 at 1,680 mg EPA and 560 mg DHA did not find a symptom advantage over grapeseed oil after 12 weeks in a smaller MGD population.
Meanwhile, a 2023 meta-analysis of randomized trials reported overall improvements and found that higher dose, longer duration and higher EPA percentage were associated with greater symptom reduction. The studies differed greatly in formulation, populations and controls, which is one reason conclusions remain inconsistent.
How long should you try it?
Omega-3 supplements are not fast-acting lubricating drops. The current directions recommend daily, consistent use, and the brand advises allowing about 90 days to evaluate a response. Taking it sporadically for a week is unlikely to be a useful test.
Use the full labelled serving unless a healthcare professional advises otherwise, take it with a meal, and track symptoms using the same questions over time: burning, grittiness, end-of-day comfort, contact-lens tolerance and reliance on rescue drops. Our PRN De3 dosage and safety guide explains how to run a sensible 90-day trial.
Who should ask a healthcare professional first?
Ask before starting if you take anticoagulant or antiplatelet medication, have a bleeding disorder, are preparing for surgery, are pregnant or breastfeeding, have a fish or soy allergy, take other vitamin D products or have a condition affected by vitamin D or calcium. Health Canada's record specifically advises consultation during pregnancy or breastfeeding and if dry-eye symptoms persist or worsen.
New pain, significant redness, discharge, injury, light sensitivity or a sudden change in vision should be assessed rather than managed with a supplement trial.
Is PRN De3 becoming EyePromise De3?
Yes—in the United States, De3 has moved to EyePromise branding with “new look, same formula” messaging. PRN Vision Group, EyePromise and Avenova have been brought together under the EyePromise identity. Canadian stock is still sold as PRN De3 at the time of writing.
Frequently asked questions
Is PRN De3 a medication?
It is a licensed Canadian natural health product, not a prescription dry-eye medication. It should complement—not replace—diagnosis and a complete dry-eye plan.
Can I take fewer than three softgels?
Three daily is the licensed adult dose and the amount that delivers the stated formula. Ask your healthcare professional before changing it.
Does it replace warm compresses or eye drops?
No. Dry eye is multifactorial. Omega-3 may be one part of a plan that also addresses eyelids, meibomian glands, tear replacement, environment and prescription treatment when needed.
View product details
Sources
- EyeDropShop Canada: PRN De3 product page
- Health Canada Natural Health Product Licence Database: NPN 80101489
- EyePromise: De3 Omega Benefits
- Epitropoulos et al., 2016
- DREAM Research Group, 2018
- JAMA Ophthalmology randomized trial, 2024
- Wang and Ko meta-analysis, 2023
- Neubronner et al.: rTG versus ethyl ester incorporation
This article is educational and does not replace advice from an optometrist, ophthalmologist, pharmacist or physician. Product formulas and packaging can change; check the current Canadian label.
Eye Floaters: When Are They An Emergency?
Eye floaters are often harmless, but sometimes they can signal something more serious. Learn how to tell the difference and what treatment options are available.
Thealoz Total Eye Drops: A Complete Guide to Ingredients, Benefits and Use
What is Thealoz Total? Learn about NAAGA, trehalose, hyaluronic acid, contact lens use, dosage and safety in this complete Canadian guide.
