What Damages the Microbiome

What if your dry eye, macular degeneration, or even glaucoma didn’t actually begin in your eyes? What if the root cause of your eye inflammation started with poor gut health?

On the Dr. Eye Health Podcast, Dr. Joseph Allen sits down with dry eye specialist and nutrition expert Mila Ioussifova to explain the gut–eye axis and how gut imbalance and microbiome health may be fueling dry eye disease, glaucoma, and macular degeneration.

From gut health and dry eye to probiotics, inflammation, and autoimmune eye disease, this conversation explores how your microbiome may be affecting your vision more than you realize.

What You’ll Learn

✅ What the gut–eye axis is and how your microbiome influences eye inflammation

✅ How gut dysbiosis may contribute to dry eye, glaucoma, and macular degeneration

✅ The real connection between rosacea, autoimmune disease, and ocular surface disease

✅ The difference between probiotics and prebiotics and why most supplements fall short

Check out https://offer.inmodeaesthetics.ca/envision to learn how Envision Eye’s treatments could be the next step in your dry eye journey.

Timestamps

(00:00) Could your vision problems actually start in your gut?

(02:26) Why nutrition changed Mila’s dry eye treatment approach

(07:21) Why eye doctors should ask about bowel health

(14:02) Gut dysbiosis explained

(19:50) Leaky gut and systemic inflammation

(29:38) Eye diseases linked to gut imbalance

(35:31) What damages your microbiome

(46:27) Probiotics vs prebiotics

Key Takeaways

🔹 Inflammation that begins in the gut can circulate through the bloodstream and affect the eyes.

🔹 Dry eye, rosacea, glaucoma, and macular degeneration all show emerging links to gut dysbiosis.

🔹 Antibiotics, processed foods, stress, and poor sleep disrupt your microbiome.

🔹 Supporting gut health requires both probiotics and prebiotic fiber from real food.

About Our Guest Mila Ioussifova, OD, CNS, FAAO, FOWNS

Dr. Mila Ioussifova is an optometrist, dry eye specialist, and certified nutrition expert. She is a board member of the Ocular Wellness & Nutrition Society and completed advanced training through the American Nutrition Association. Her work integrates functional medicine and clinical dry eye treatment to address inflammation at the root cause.

Sponsor:

InMode: https://www.inmodemd.com/

Envision Treatment: https://www.envisiontreatment.com/

Resources Mentioned

Mila Ioussifova, OD, CNS, FAAO, FOWNS: https://www.linkedin.com/in/mila-ioussifova-od-faao-cns-fowns-37962435/

Website: Doctor Eye Health https://www.doctoreyehealth.com/

YouTube: Doctor Eye Health https://www.youtube.com/@DoctorEyeHealth

Instagram: @doctoreyehealth https://www.instagram.com/doctoreyehealth

TikTok: Doctor Eye Health https://www.tiktok.com/@doctoreyehealth

Facebook: Doctor Eye Health https://www.facebook.com/DoctorEyeHealth

LinkedIn: Dr. Joseph Allen https://www.linkedin.com/

Disclaimer

The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content and information is for general information purposes only and does not replace a consultation with your own doctor or health professional. In addition, some of the links in this post may be affiliate links, meaning, at no cost to you, I will earn a small commission if you click through and make a purchase.

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