MGD (Dry Eye) Treatment Guide - How to Treat Meibomian Gland Dysfunction
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- Опубліковано 2 жов 2024
- Learn about meibomian gland dysfunction treatment strategies and dry eye syndrome! Learn more about dry eye treatment here: • What Causes Dry Eyes? ...
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SHOW NOTES
⚡ For Meibomian Gland Dysfunction Home Therapy ⚡
-- Warm Compresses for eyes
The TearRestore (sponsor of this video but I do use it)
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Want to find the best warm compress for you?
• Best Warm Compress for...
After an eyelid warm compress, many eye doctors recommend doing an eyelid massage to encourage the oil glands to release the now melted oils. Learn how to perform a gentle eyelid massage here: • How to do Eyelid Massa...
Learn more about the Nulids Device here: • The BEST Dry Eye Treat...
⚡ Procedures offered through some eye clinics ⚡
Meibomian gland expression
Meibomian gland probing
Lipiflow dry eye treatment: • Lipiflow Treatment Rev...
iLUX Treatment: • New Revolutionary Dry ...
Intense Pulsed Light - IPL treatment • Lumenis IPL Dry Eye Tr...
TearCare: • Tear Care System Dry E...
Prescription medications used for treating the Meibomian Glands
Ask your doctor for further info
Topical Eye Drop Cyclosporin A (Brand names Restasis and Cequa)
Topical Eye Drop Azithromycin (Brand name Azasite)
Oral Doxycycline
Omega 3 fatty acids: Many studies suggest omega 3s can help with Meibomian gland dysfunction and dry eye symptoms in general. However, there are also studies that show no benefit. Despite the mix of study results, many dry eye specialists do recommend improving the diet and omega 3 supplements for dry eye and overall eye health (good for the retina as well).
Learn more about Omega 3s in this video here: • Dry Eyes Natural Remed...
Note: Dry eye syndrome can be complicated by other forms of ocular surface disease and it is always best to consult with your local eye care professional if you are experiencing any eye pain or vision changes.
🔴 Find a dry eye specialist near you! dryeyedirector...
✅ Looking for more information about the dry eye syndrome? Check out our series here • What Causes Dry Eyes? ...
✅ Want to know about my favorite dry eye drops? Check out this video
• Best Eye Drops for Dry...
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About this video: So what is meibomian gland dysfunction? In this video I share different strategies for mgd eye treatment that are often recommended for people struggling with evaporative dry eye. If you are looking for mgd treatment at home or looking into other medical treatments for dry eye, then this video may help you. If you are struggling with severe meibomian gland disease then it is important to follow up with a specialist in either optometry or ophthalmology that is trained in dry eye syndrome management.
MEDICAL ADVICE DISCLAIMER: All content in this video and description including information, opinions, content, references, and links is for informational purposes only. The Author does not provide any medical advice on the Site. Accessing, viewing, reading, or otherwise using this content does NOT create a physician-patient relationship between you and its author. Providing personal or medical information to the Principal author does not create a physician-patient relationship between you and the Principal author or authors. Nothing contained in this video or its description is intended to establish a physician-patient relationship, to replace the services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately-credentialed health care worker in your community in all matters relating to your health.
Want to know my favorite eye drops for dry eye? Check out my video here: ua-cam.com/video/UrmpLwR7vt4/v-deo.html
Are you able to speak to Regener-Eyes (or just biologic eye drops, in general)?
My mother has a dry eye problem but She doesn't have that yellow dot on her eye lids ! She has constantly water coming out of her eyes even after we got Lipiflow done! Also she regularly massages her eyes but it's getting no result ! And she can't even watch your video properly as well ! So what should we do??
Does dry eyes cause frequent broken eye capillaries?
@@ashishkapoor6364 have her try Keebler pecan sandies. 2 each morning helps my eye oil.
Hi, I love your enthusiasm and your knowledge, and the brilliant way you impart the knowledge in a quick but understandable way. I've been through most of the videos in the eyelid hygiene list and I wondered if there is there any chance you could put your playlists in date order, with the most current videos at the top? Then we would get the most current information first, with the very useful references to other related videos as well.
From checking out your videos I suspect I have a chalazion (it's not painful when I touch it) and I am about to buy the Bruder Moist Heat Eye Compress. Does this stay hot enough for 10-20 minutes, or would it be better to buy two and use each for 10 mins? I think I got the chalzion due to my cat trying to walk across my head when I was in bed and he mis-judged it and his foot moved across my eyelid. His feet were dirty. I never thought anything of it, but I had what I thought was a stye, the next day and my eyelid was red. It's been like that for a month or two now. Is this possible or is it just coincidence?
I love your videos Dr. Eye. Thank you!. I would like to share my experience with dry eye and the tratments I have had so far. I was diagnosed with dry eye like 15 years ago. At that time it was not too bad, just some eye drops once in a while and everything was good. With the passing of time my symptoms have been worsening, concidencially after moving to Canada. It started with eye inflamation, stinging, burning, scratchy sensation. When I visited an optometrist I was diagnosed with severe dry eye and allergy reaction to the preservatives of eye drops. I have visited two doctors now, the fist one gave a 3 weeks of treatment with non-preserved prednisolone acetate 1% (equivalent to Pred Forte), the result was amazing, but after that he prescribed to me: I-drop pur gel (for the day), I-defence dry eye ointment (for the night), bruder hydrating compress (i didn't like it since it gets cold fast), systane omega3 supplements. All of these stuff didn't work on me. Then I change of doctor, and got the IPL (3 sessions) & lipflow (1 session) treatment. To be honest, I didn't feel anything special after this very expensive treatment (CAD 2400 not covered by my insurance). Nevertheless, I have continued with the maintenance of IPL 6 months later (CAD350). At the same time of IPL & lipflow, my second doctor prescribed to me restasis to be used twice a day (thanks God covered by my insurance). Only after around 6 months of starting with restasis I started feeling a relief in my eyes, however, there are days and days, sometimes I feel almost 90% good, but other days I feel terrible. Talking to my doctor during the last visit, she said that a gluten & dairy free diet could improve my sympthoms. I started right away with my new eating habits. To be honest, I am feeling way better now. Sumarizing, I am applying hot compresses at least twice a day (I got an electric one which is amazing!), restasis twice a day, omega 3 supplement, Hylo-dual drops (provided by my doctor), refresh tears, avoid cold beverages, and try the most to eat healthy. Hopefully I keep this improvement like that. It has been very helpfull to learn from others testimonials, so sharing my experience I hope it help somebody.
I've had Blepharitis, Demodex and MGD for at least 7 years and have tried almost everything. special wipes , drops, chinese herbs, restasis, compresses and nothing really helps. I'm going to try to cut down on gluten, sugar and dairy, because I believe that like with most diseases, it's not about getting something else, but eliminating what's causing it. A doctor once told me that after he eliminated sugar, his dandruff went away !
If he meant added sugar then I'm telling you it's been three years I don't eat sweets or add sugar to my food or drinks. also I drink so much water. So I don't think so, but yeah some changes in diet is great anyway @@nzimbilef
Thank you!
I learned a lot from this video. It will enable me to talk to my eye doctor about my dry eyes more intelligently. Thank you.
I have just been diagnosed with Dry eyes due to meibomian gland issues. It is moderate to almost severe. They offered me a clinical trial for NOV03/Perfluorohexyloctane drops. I hope to be accepted. I am so surprised by the diagnosis. I encourage everyone that has eye problems to get their eyes checked for dry eyes or at least look at the symptoms to see they might have dry eyes. I wish I would have caught this problem earlier. I just didn't recognize the symptoms.
How are you now? What were your symptoms initially that you ended up with moderate to severe MGD? I was diagnosed with MGD yesterday but my only symptom I was aware off was a feeling something was lodged in my upper eyelid last weekend, so not that long. I’m told I have a few bumps there and in the other eye too but I’ve no discomfort yet. I’m now using a heat mask and massaging afterwards but worried this seems to simplistic to work, i dunno, I’m always sceptical.
@nickijames5122 If you develop bumps under the lids that could be a result of an allergic reaction. OTC allergy drops may help along with artificial tears.
Thank you so much, this is so much more helpful than my optician. Everything else on the internet basically amounts to "nothing works and you're doomed to suffer forever", and I can't tell you what a relief it is to see a video about what treatments are available
So so true! I have suffered with DED and MGD and blepharitis, etc. it seems FOREVER! No one, ever explained anything. It’s been since July 2019. I’m so thankful for learning on you tube.
I have been to so many optometrists to help me with my dry eyes, this situation was affecting my life in a negative way. I listened to this video, and tried the eye compress as advised, my eyes have not felt this good for years. Thank you so much you have helped me more than any of my optometrists in South Africa.
@@pattyschrider1681 hey just wanted to check if your mgd has gotten better and what you did that you think really helped I am currently suffering from it.
Ah,I feel you,buddy. I have this disorder,as well.
@@juliedavison-white1496 Hey buddy,I hope you are at your best condition and healthy,May I ask what kind of eye compress you are using?I am from Iran,a small city where I can't find a good one,I want to order a good one from our capital city and now that I saw your comment,I wanted to ask you what kind is helpful cuz you have experience and I don't.Thank you in advance
I have MGD for about 2 years. I do warm compresses once a day for 10 minutes. I’ve been on Doxycycline about 4 times. I see my doctor about every three months. Sometimes he squeezes my lids between 2 cotton swabs. It’s gotten better after taking doxycycline. I used to have lumps in my eyelids. Now I noticed that my lids have dry skin and gets crusty sometimes. I also use baby shampoo and a washcloth to scrub my lids occasionally. My doctor never mentioned any of the instruments you mentioned. I feel so frustrated. Thanks for talking about this subject.
Shampoo can dry out the skin. Especially thin places.
Lipiflow is extremely expensive. it was $900 for 10 mins for me. I should ask my doctor about doxycycline.
@@puppy4260 is there some research about antibiotics against dry eye? You could first try warm water at the eye first instead of standard cold water, since water from the water outlet is rather cold compared to the human body temperature and fat is less soluble in cold water. Only do eyelids with warm water, not inside the eye. Gently warm your fingers with warm water, carefully rub the under eye lids from temple inwards to the nose. Very gently no pressure.
My mom used to have me put a warm wash cloth on my eyes and that worked pretty well
Washing your eyes with warm water works too.
actually - he addressed why this does NOT work in an older video: too cool too fast. I use his recommended compress: Bruder Moist Heat Eye Compress | Microwave Activated. Relieves Dry Eye - and it has made all the difference. :) Good luck!
@@ccm800 - I have found that a quick 3-4 minute treatment with the Bruder mask works best. If I keep it on longer it just dries out the moisture instead.
Thank you Dr Alan for informing about using 3m Nexcare tape to prevent proscription glass fog.
Hey I am glad it helped! Thanks for watching!
Hi, I had sever dry eyes for a couple of yrs and no drops of any kind did not help, I was crying constantly from wind and I live in England.
I have about 6 months now taking Vit A, Vit E Complex and Collagen daily and drops for dry eye twice a day and I think I am ready to put mascara back on, no more crying my friends !
Your eye's color is amazing it's like an ocean ❤️
Yah he is great ❤️
Screen time has caused many of my problems and likely makes my mgd much worse.
Ditto
Thank you for all these ideas!! My eye doctor told me nothing could be done for it other than the drops and lid cleaner. $$$
I have tried Azasite, warm compresses, eye massages, Doxycycline, Lotemax, Restasis, and none have had long-lasting effects. Now I'm going to try the Nulids device. Here's hoping for the best.
Just recently had collagen plugs put in
Immediate clarity in my vision
Am one month in
Occasional tearing from one eye
I was recommended to still use my drops an appointment at night.
Still a work-in-progress but definitely 85 + percent better just haven't found my sweet spot yet. To return in three months if the collagen plugs seemed to help work we will discuss silicone plugs after another examination
Holy crap I've seen these pustules and had transient insanely scratchy and painful eyes for 20 years...ever since moving out to a high desert climate. Literally every doc has dismissed my symptoms as a general morphological change and told me to deal with it. Guess I should have been a squeakier wheel.
Thank you for this video. I need to go yell at my eye doctor now.
Ive never heard that expression before, I love it
Gruesome stuff. I did learn something useful, that warm compresses can refresh your eyes but I've found that a teabag of my favourite herbal tea (fennel) after I've drunk the tea works really well and costs nothing. Resting my eyes for 10 minutes from my tablet is a pretty good idea too.
I have been struggling with this issue for years and never ever has any doctor I've consulted with even mentioned MGD. Thank you!!!
I was recently diagnosed with dry eyes and now I finally know what those little "bubbles" that I've been getting for years are. --- I love informative videos!
It’s Dr Wonderful! 😊 another amazing video 💯
Haha thank you so much Justin!
Wish you were practicing in my neighborhood, doc!!
I tried the eye compress and it resulted in a terrible sinus headache. I find using a warm wash cloth during my shower helps better.
Yes, warm clean washcloth in the morning & drops in the evening do seem to help plus taking strong fish oils daily.
I was diagnosed with dry eye syndrome about 21/2 years ago. Have had a variety of treatments ranging from Doxycycline and even a shot to the lower lid when the styles were bad. As of now I’ve settled in with massaging the outside of the lids with baby shampoo and a Qtip also using rest as is and the Omega 3 ( which real didn’t seem to do much until I got to 1200 units) Lastly Restasis has been used on and off for the past couple of years. But when all else fails warm compresses. My still become very dry during the night
During the night I wear a silicone eye mask that retains the moisture. It does give me relief during the night.
thanks so much for your help. I used a hot compress on my eyes and resolved quickly. I spent the whole weekend trying to figure out why my eyes felt like I had something stuck in them. I noticed a little white bump inside my eyelids and you helped me figure out and resolve so fast. thanks very much!!
Do you still get them?
@@SupremeODMG no. If my eyes start feeling dry again I just use a hot compress again. I don't have to use any eye drops or anything. I assume the pharmaceutical companies don't want people to know how simple it is to resolve.
Interesting thought. MGD is caused from 2 reasons. 1) De-intervation of parasympathetic stimulus from near phone/computer work/meds/toxins/glands becoming insulin resistant 2) tear lake reduction (from causes above) that dries out the opening of the meibomian glands. Once the opening is dried - the oil atrophies and the glands do as well. It doesn't happen from mysterious reasons.
The inflammation is secondary to the reduction of tear lake. SPKs form and the tissue reacts with inflammation. All the tear lake reduction occurs secondary to meds, age, near work parasympathetic overload, lack of blinking, ect ect.
Here is the final redpill. Literally use a properly sized punctual plug. Collagen lasts 3 days. 6 month can fall out- not all lacrimal canals are made equal- usually lasts 3-5 months- if the pt will tell you they felt way better then they will tell you its dry again- and spks didn't resolve- it fell out. Silicone has its own issues but are awesome if they are well managed. And watch what the patient tells you. DES vanishes. Watch acuities improve.
Also systane hydration pf is the best oct drop on earth for removing spks.
You dont have to believe me on plugs. Just trial it. God bless. Thanks for making dry eye management more mainstream.
That was a very helpful and detailed overview of the various ways to help with meibomian gland dysfunction. Have you ever seen an instance were only one eye suffers from this problem? In my case it's my left eye only that experiences dry eye. This has been the situation for several years.
72 years old here . Dry eyes since mid forties. Tried all available drops and on Restasis now. Cataract surgery three months ago. Started Omega 3 supplement one month ago. Started eye lid massages as described two days ago. Really want to try Lipiflow….So ready to have eyes that do not hurt!
I love in Montclair NJ close to NYC. Dry eye specialist please! Thanks so much.
Found this super helpful. Thank you!
I thought it was a pimple. Thanks for the info. Now I have to do a warm compress. Does it matter if I popped the bubble?
thank you so much for your helpful uploads! I wonder, what causes the the meibomian dysfunction? Is it genetic or the environment?
Hi doctor - Perhaps you can comment on 2 important things I have learned as a new dry eye/mgd sufferer (1 year):
(1) We sufferers quickly seek help and self-education on the internet. We are looking to address the CAUSE as well as the SYMPTOMS. I learned that fluctuating androgen hormones (both in male and female) greatly affect our sebaceous glands - which includes the meibomian glands. Perio/post menopausal women experience MGD earlier and at twice the rate of men., with onset usually at the perio/post menopausal time. In men, dry eye/MGD onset is tyoically later as testosterone drops further. No eye doctors have ever mentioned possible androgen/hormone testing/treatment, although I see lots of opthal research saying research is ongoing. Ha ha! I guess kindof like all the male birth control still being "studied". Which leads me to realization #2.
(2) Some eye products or using too many and doing too much can make things worse. The highly recommended OTC preservative-free eye products could be the cause of your eye margin irritation or worsening it. I have no known allergies, but discovered that my eyes do not like most Refresh products - drops or ointment. So far I am doing well with Systane. My eye lid areas also did not like castor oil, aloe vera gel, or even a little vaseline around my eye area after warm compress. I probably irritated the delicate eye area skin by doing too much -- too hot a compress, too long, too much massage, washed with diluted baby shampoo in the morning and Occulids wipes at night was too much. I was exhausted and frustrated and kept adding more, trying to get on top of things! While waiting for my next eye appt, I stopped using everything, except Systane night gel and drops during the day (started clean and back to the beginning). My eyes started to improve after 2 weeks of eye product detox. Eyelids were still inflamed but improving when I finally saw a dry eye specialist, who still prescribed Cyclosp and a steriod cream. I put off the Rxs and continued detox. My eyes are much better. I am still figuring out my individual routine, which may change as needed with symptoms. But I am going to talk to my OBGYN/endocrinologist about DHEA/androgen hormone and MGD. (I also see studies correlating MGD with high cholesterol, low vit D, obesity, so I know MGD can be multifactorial.)
Very well said. I used to take finasterde and my eyes were killed bcs of severe dry eye . Then I stopped finasterde ( which is a testosterone suppressor and prevent its conversion to DHT) and my eyes got better and eventually normal . But again I have started Spiro and dry eyes problem has returned. So androgen has a direct role in creating dry eyes.
Thanks very much for such thorough informations GOD BLESS YOU 🙏👏💐
Thank-you young man!!!
Dr. Do you have any insight on MGD in someone on Accutane ? My daughter experiencing oil solidification on the rim of her eye lids. Will try your at home recommendations, but wanted to see if this is reversible? Thank you soo much
You forgot to mention that the gland expressing with the squeeze tool is a 10 out of 10 pain
Hi Doctor Eye Health, I just want to ask why you haven’t experienced eye surgery, or if you have what was your experience?
He has another video on that, I think it’s called why I wear contacts or something. But he said he doesn’t want eye surgery because he can get clearer/more accurate vision with contacts or glasses
@@Delightfullydee7 Thanks for the reply
@@dios.9586 Happy to help!
I have MGD but I have stopped doing my compresses because I am lazy ☹
Hey! Thanks for the video! I am dealing with MGD myself right now. I have a question, is such constantly warming eyes healthy for them? Sometimes I am getting scared won't this lead to some other problems later on in life or should I not be worried about the compressing?
Thanks once more for these videos and information Doctor Allen!
surely he wouldn't have recommended it if it wasn't going to be a good idea in the long term. That makes no sense to me.
Very good question: are warm compresses giving instant relief then destroying the glands ? I think it happened to me: after 5 months of use of bi daily compresses, i had no oil anymore flowing (it was visible on an handkerchief before).
@@NinorahDeuxthat doesnt mean the oil isnt flowing, it means the opposite( its flowing as its supposed to each time you blink, not call at once). So it actually did what its supposed to do.
Thank you !@@joea.9969
Thanks for the information 👍.
I have been suffering from increasingly painful meibomian gland dysfunction. My doctor has me on a regimen of Omega 3, Refresh Omega 3 drops, warm compresses, eyelid cleansers, etc. I took Cequa & then Xiidra (very expensive). Xiidra worked well at first, but then it didn't. When the price increased 100%, I just stopped using it. I'm seeing my doctor tomorrow. I am so miserable. I want to explore the use of Lipiflow. It's apparently expensive & not covered by insurance. But I'm willing to try anything! Thanks for this very informative presentation.
I had the same problem. My doctor never told me about treatment . I found it myself but I did IPL and I am so satisfied.
my upper eye lid hurts and is swollen the doctor told me its a gland thats blocked i was given a warm compress one you put in a microwave and Hydro San Extra eye drops... can i apply the warm press more the 2 times a day?
Hello, I got a question:
When should I do warm compresses? Before or after washing my eyelids? Should I even wash my eyes afterwards? I think im gonna wash away all the oils i just spent time to pull out with the warm compresses
Thanks in advance.
This is a fantastic question and I have hear arguments for both ways. I personally like to wash my eyelids first and then warm compress. I then like to do some form of eyelid massage after that.
Thank you for the helpful videos. Its refreshing to see an eye doctor that actually has dry eye and knows what they're talking about. I am so frustrated by how expensive it is to keep your eyes in good shape. Its bad enough that my glasses cost me around $350 every 3 years (I get the Crizal Sapphire 360 stuff because I hate reflections so they're worth it but its still a lot of money), now I have to add all of the dry eye stuff. I'm only 36 and I've got MGD to the point that after watching your video this morning I went and pulled back my bottom right eyelid and could actually see the glands were backed up and white so I did some massaging and gentle squeezing and that cleared up. Previously my eye doctor had only diagnosed me with blepharitis and ocular rosacea which aren't a walk in the park either. I'm disabled and certainly can't afford to spend $500+ on LipiFlow or whatever. I went and bought the EyeEco Tranquilize XL (with the sodium acetate packs because I wasn't fond of the Bruder packs that seem similar to the green microwave ones) at your suggestion but I'm really struggling with whether I should buy the NuLids or not. $280 is a lot of money for someone on a fixed income. Is it possible to get the same results with daily eyelid massage after using the Tranquilize XL and then using hypochlorous acid? I am so tired of my eyes being red, itchy, watery, and at the same time feeling like they're dry (especially the right one around the outer right edge, even the eyelid itself feels very dry) but ugh, $280 is like two months of groceries for me...
Hey doc please explain about lacrimal syranging procedure😊
Mene keya tha, 12 days k baad phr wahen
I'm so annoyed at myself, Ive had this condition since I was in my teen years and at first my GP or optometrists couldn't find out anything just kept telling me to get eye drops which never worked. And then finally one of my optometrists said it was meibomian gland dysfunction and told me to do warm compress but I didn't listen. Now 7 years later my eyes are quite uncomfortable so time to get those compresses going daily!!
Do you ever get a "cap" on the gland? I have a white dot on my eyelid margin and my vehicle is in the shop... I can't go to the ophthalmologist yet until I get the car... If you've had the white cap/blocked gland, have you ever gotten rid of with your eye compress?
I didn't know you suffer from Meibomian Gland Dysfunction yourself, I also have these "white spots", as long as they remain visible, does it mean they haven't been cured?
At the moment I'm on Cyclosporine (3 months and counting), Azytrhomicine (3 months and counting), Doxicycline (20 days and counting) and Omega-3 supplements (2 months and counting). Also wash my eyes with a tea tree oil solution twice a day. Not regular on the warm compress though, should focus on that (I'm a bit scared of hurting my eyes with too much pressure to be honest). Still suffering with dry eyes. I've also recently started trying changing my nutrition and today I'm starting on a medication prescribed by a Homeopath... Hope something eventually works. Thanks for the info Dr.!
Antibiotics will absolutely WRECK your digestive health which, believe it or not... is very often the root cause for many people's MGD. Treat the cause not the symptoms!
@@joshuanbray Thanks for the heads up, I will keep that in mind!
How old are u?
I was recently diagnosed with MDG (also have glaucoma). Your videos have been a lifesaver as the doctors here in the Netherlands don't really do more than diagnose (so different from my US doctor but I live here now). After watching your videos, I started taking omegas. Also, I am using the Blephasteam goggles. There are not a lot of videos on these goggles. Should I be worried? Are they not recommended? Thanks so much for your videos!
So what helped? My dumb doctor just recommended eyedrols
I also live in The Netherlands, my eye doctor only recommends "WARM COMPRESS" in combination with eye drops... It doesn't do anything and often makes it worse. I'm feeling awful because of this, I'm actually being transferred to another eye doctor in a different hospital because they do other stuff like meibomian expression and blephex. I'm really hoping that this will help. For me personally, the visual aspect of this is the worst, my left eye looks like shit imo, while others tell me they can't or barely see it, I do and it bothers me ALOT!
@@timbrand3147I’m from the Netherlands as well, any updates about your treatments in the hospital / private clinic?
Thank you very much for posting this- it has really helped me with my MGD. I have had difficulty finding an ophthalmologist that is knowledgeable in MGD in the greater Denver area- do you have any recommendations?
Just taking enough sleep at right time helped me a lot
Sleeping is SOOOO important for the eyes and overall health 👍👍👍👍
I agree 100 %. Although I have done several other things (I also use Nulids, covered in another video), I noticed that lack of sleep was definitely a trigger. I used melatonin and other things to enhance my sleep quality.
Love the natural therapy. Nice.
how many hours did you sleep everyday?
@@san-cj6qc personally, before I developed dry eye and photophobia, my amount of sleep had declined from 8:30/9:00 hours to 6:30/7:30. I always needed more sleep than others (sometimes up to 10 hours, and I'm not the only one in my family who's like that). Getting older, you tend to lose the ability to sleep enough.
I died after seeing you go about your morning routine while smiling with that mask on. Defs buying one to surprise my wife.
Some doctors diagnosed me with papillary conjunctivitis and some doctors diagnosed me with mgd and i dont knows whom is the right
same first doc said i have conjunctivitis and another said i have dryness
@@furqanahmed5221 and what treatment u taken
@@nagwansami using eye drops for dryness
IPL works well for me.
That is great! How many treatments did you get?
@@DoctorEyeHealth I usually get about four treatments over a period of about 6 weeks and it is covered by my health insurance. That fixes me for several months and I continue with daily warm compresses.
I also had a blocked tear duct for several years which became continually infected. I had a DCR treatment last month which has also helped with my MGD.
Now 68, my experience with crustacean buildup on my eye lids, goes back to when I was an adolescence. It seems to be less severe now but still occurs with the advent of spring and fall. I’ve been able to deal with this by gently and throughly washing my eyes at least twice a day. Haven’t noticed any clogged glands but do experience some dryness during these times. Your information is much appreciated.
Crustacean?
Capitalism is great. They don't have any of those treatments available here in The Netherlands. They just give you a Tylenol and tell you to toughen up with some generic eyedrops.
Excellent video. I have had a 'lump' on my eyelid since Aug 2021. Shown the doctor & been applying hot towels to it. Still no change. Any advice?
My ophthalmologists don't seem to be too interested in discussing my dry eye when I bring it up. I've also had some rather severe retinal issues, a detachment and holes in both eyes that have been laser-repaired, plus a lot of floaters in one eye. Those doctors have rightly addressed those issues. Is there another type of doctor I should be seeking a referral to specifically for the dry eye? It bothers me quite a bit. I would like a formal diagnosis one way or the other. Thanks.
Thanks for asking John! Yes, there are eye doctors who specialize in dry eye or cornea who focus more on the tear film and other forms of anterior surface disease. I did put a link in the video description to a search engine for dry eye specialists.
Thanks for the video share
علاج الكيس الدهني في العين وضع قشرة البصل على العين و فركها مدة خمسة عشر دقيقة بعد البصل وضع مرهم العين خلال خمسة أيام فقط تزول و الحمدلله
Interesting, Thanku!
I’ve got floaters that I’ve learned to live with because I see fine.
I had a stye until I regularly washed down with eye-wipes and rinsed with water a lot.
Still have a little bit of dry-eye from winter but am coming out of it,
am saving up for masks, Thanku..!
Do we know if dopamine created in the retina helps reduce myopia or largely determines the eye's shape only during the eye's initial development?
That is a truly amazing question. And I honestly, don't know right now off the top of my head so I will write that one down and hopefully get back to you on it.
Thanku so much sir
What has helped me is gently pinching my eyelids for a few seconds (after warm compress) then washing eyes and face. You can literally see the glands being expressed if you shine light on it
Thank you dr for these videos. I have very dry eyes that sometimes my eyes really sting and burn and get sticky that I have to wash my eyes with water. Does dry eye produce so much oil and it blocks water line and causes a little bump on the water line?
yes...i think is blepharitis
I have Advanced Secondary Sjogren's Syndrome. My immune system is attacking my tear glands 100% of the time. I was apparently born with Sjogren's Syndrome and I always had problems with my immune system attacking my tear glands 100% of the time. My upper tear glands were cauterized in 2006. Now, I use Restasis drops. My health insurance helps pay for it. Otherwise, it would cost around $530/month. The only artificial tears that work for me is TheraTears. I get them in vials because it's too risky for me to use the bottle. If I accidentally touch the tip of the bottle, I'll get an infection in my eye. It has happened before. I can't use regular eye drops because my eyes are too chronically dry. I did try punctual plugs in 2006, but the upper ones kept popping out. That's why my ophthalmologist cauterized them. I don't know anyone personally who has eyes that are as chronically dry as mine are practically all the time. When I put my artificial tears in my eyes, my eyes start to get really dry in 10 minutes. It's extremely frustrating.
Thanks allot
Thank you. I have had dry eyes for a long time. I have seen optomatrists,ophthalmologisits...not one has ever recommended this sort of treatment. I was told it was part of menopause, but I pretty much suck it up. Thanks to UA-cam and people like you who have been educating n informative, i have done hot packs with eye lid massage. It is I still have blurry vision, but my eyes are more comfortable now.
Hi , I have those waxy deposits on the inside of my eyelid. Will warm compresses remove or loosen these deposits or more useful for avoiding new ones developing? Do you have a before and after treatment video. That would be good to see. Thaks
Thank you so much for the video and all the advices! I am living in cyprous, and I want to know where i can find I dry eye specialist near me.
You are so welcome! Hope you can find someone. I unfortunately don’t know of anyone there.
I work at an eye doctor, and have always recommended only 5 minutes of heating. I will look into the your recommendation of 10-20 min.
I have had a recurring stye in my left eye on and off for 6 years. I had it surgically cut to release the clogged gland. I have since been diagnosed with MGD and told to just do hot compresses four times a day but had little sucess. I also had lipiflow but my left eyelids keep getting red and swollen. Wish I knew what else to do.
IPL combined with manual expression straight after seem to be the way. The key is to target the root cause rather than mere symptoms, the root cause being inflammation. I have mild to moderate MGD and I’m only 24, plus I have bad light aberrations that started when I was diagnosed with MGD. I’m hoping to get IPL with expression done as soon as I find a dry eye specialist that is able to perform this.
How was Lipiflow for you? I keep hearing mixed reviews. People who have tried it seem to advise not to waste money on it but I hear encouragement from doctors, perhaps they are just trying to make that extra buck?
Same thing happened to me. MGD appeared as a result of stye. I don’t know what to do. Have you had any success treating it?
One technique that has helped me, not mentioned here. is the use of puncta plugs. These are small silicone plugs gently pressed into the teal ducts to keep tears in the eye and on the surface of the cornea from draining away. If you have good tear flow you probably wouldn't want these as your eye would be continually overflowing with tears. I have Sjogren's with dry eye as well as MBD. When the plugs kept squeezing out of my tear ducts, my Dr. finally recommended cauterizing my tear ducts shut and that too helps keep tears as well as oil in my eyes and on my corneas. Good luck to everyone struggling with these conditions. Keep trying to find a combination of treatments that work for you. They're out there but require the patient to find them and then follow them with diligence.
Thank you for enlightening me on chronic dry eyes. I am not feeling like I am getting the help needed when I go to eye doctors. I have suffered with styes and chlazions twice a year. I am doing refresh drops hourly, warm compresses 2 x day and ocusoft cleaner and leave on plus pads and fish oil added lately and do feel that it helps. Cequa is $475 month as is Restatasis. Unable to find a dry eye specialist. How do you go about finding someone? How do you get these pharmaceutical companies to not charge an arm and a leg for these products.
Hi Dr.. Allen.. this is Naseem from India... I'm suffering from MGD using cyclosporine, lubricating eye drops, and gel too, as well as moist warm compression.. and omega fatty acids, put too very little relief 😮💨
Hey Naseem. Thanks for watching. Wish I could be of better help. I did review MGD in more detail in this recent livestream: ua-cam.com/users/liveAt_0q6vQ2jw?feature=share
I hope that can offer you some guidance.
Thank you so much for your videos - they are so interesting, educational, and easy to follow!!! I am a glaucoma suspect who has been suffering from blepharitis for a while and concretions just recently, and now a corneal injury!! Do you know any good dry eye specialists in Cupertino, ca? Is it possible to have acute eye pain from elevated concretions in the upper eyelid? How many days does it take to recover fully (if it does) from a fairly deep tear to the cornea caused by a sharp, jagged edge?
Hi Dr. Allen, Can you discuss more about IPL for dry eye and MGD in a future video? My eye doctor recommended I try it but he doesn’t offer it and said it’s not available in my state. I would love to know where to get this treatment.
You should talk about lattice degeneration
Blink alot helps dry eyes
I was put on restasis leading up to my LASIK procedure, because my eyes were noticeably dry from wearing contacts. I stopped wearing them and was diligent with the drops plus regular systane drops throughout the day. On the day of my LASIK procedure the surgeon told me my eyes were pristine. No dryness at all. Restasis worked wonders for me, but it should be noted it does sting for 10 or so minutes after using.
I got a bad eye infection in January, and was informed by the eye doctor I have severe dry eye and keratoconjuctivitis. Schirmer test was 0 in the right eye and 1 in the left. Spent the last three months on doxycycline, lotepredol and erytromycin ointment. Started Xiidra last month. Also taking Omega 3, Vitamin A and Macqui extract supplements. Big improvement in the last few weeks, but still the dryness has been a pain to deal with. So weird to go from virtually no eye problems to this. Now spend most the day wondering how to fix my eyes, but it has been a big improvement from where I was 3 months ago. I hope it keeps improving, and wondering what I can try to get back to the normal I once had.
Same as you. I got this eye problem recently, about 2 weeks ago. And every day, I continue in the search of how to solve this problem. It reaaally sucks... since I'm a programmer and is horrible coding with the eyes like this.
I already went to a eye doctor, but she just recommended me some eyedrops and washing the eyelid region with baby shampoo. It helped a little bit, but still bothers me a lot.
So, I also had a bad eye infection that led to severe dry eyes after the infection cleared. My vision is also blurry now! I am afraid my eyes will never go back to my almost perfect vision.
@@Bruno87198 sir are you still suffering
@@mrinvestor1932 No. Not at all. It has been 1 year that my dry eyes went away. What really helped me was a diet with rich omega 3 foods (mainly sardines), hot compress on the eyes every morning and cleaning the eyelashes area... I'm 100% cured.
Meibomian glands do grow back. Recent published research has shown it to occur.
Ok, state your source.
What is your position on topical retinoids causing meibomian gland damage?
They do: i had this experience, after just one week of use of Adapalene. Poison, promoted by criminals like Dr Dray, dermatologist on the net. My life is RUINED because of this.
I suffer with dry eye and recently had to see an eye doctor. He advised me on what eye lubricant drops to buy. It was not expensive and it worked.
Both optometrist and ophthalmologist treat dry eye syndrome. If you ask the eye doctor for specific dry eye treatments they can provide the information. It is important during the work up, ie when you talk to the technician or nurse, to bring the topic up. Also have specific information about your symptoms.
I have been to 3 doctors about eyelid problems without success. Why is it so difficult to find a doctor who can deal with this problem?
Can you kindly review the Precision 1 contact lenses for astigmatism. txs!
Can you please talk about MGD and contacts. I mostly struggle with it when wearing contacts. I’m not sure if it’s the contacts causing the mgd or the mgd causing the irritation I get when wearing contacts
I was using contacts when my dry eyes started. Used them for about 4 years
@@xEriklink what contact lens are those? I have CONTACT LENS INTOLERANCE (CLE) for 2 years
I’m an optometrist and the contacts are not causing MGD. If you treat dry eye or MGD, your contacts will feel more comfortable.
I never had anything like this one day ago I felt my eye painting a little when I looked in the mirror it was soar and swollen a little white bumps lower corner of eye I've used warm compressions.
Can You Please, Do A Product Review Of "The Magic Touch Eye Drop Applicator" Thanks!! 👀
From: Dr. Julia Schulman Product!! 👀
The crust remains on my eyes when I wake up in the morning, please tell me its treatment and this crust stays on my eyes all day till I rub it hard and clean it which hurts a lot.
Great question! This is very common. This can be due to dry eye and the oils drying out on the lids, or it could also be caused by blepharitis or infection. Cleaning with eyelid cleaning products is a great thing to do on a regular basis, I also suggest to avoid any air flow to the eye while sleeping (such as a fan).
I use hydromellose ophthalmix solution USP 0.3% eye drops for eye dryness... Should i carryon with this or change it 🙏🏻
It could be a demodex infection as your symptoms sound similar to what I had. Demodex is a form of mite that is especially active at night, they can cause secondary bacterial infections. Tea tree oil is toxic to demodex. If you think you might have this, you can treat yourself.
I treated myself by mixing tea tree oil with olive oil (50:50 ratio), then shook the bottle and applied to eyelids and eyelid margins with cotton pads. Left it for 10 mins, it stung a little bit, before washing off and drying off with cotton pads. This helped me a lot.
The chemist in uk has a product called Blephasol to treat eye mites use daily it helps get rid of crusty eye lids ...my bottle lasts two months when used on both eyes ...cost is £10
I'm using restasis, & xiidra drops 2 times daily. I also use over the counter Refresh Optive drops 4 times daily & warm compresses.
Meibomian Gland Disfunction is still painful.
Thank you so much for your wonderful videos that educate me. Please can you find a doctor in Toledo Ohio. I live in Michigan boarder with Toledo Ohio. If it's not a doctor in Toledo a doctor in no far than an hour. Ann arbor, Detroit Farmington Hill that will be ok.
Thank you so much for this. Just been diagnosed 😢
Me too. How are you doing 😢
How do I find a dry eye specialist? I’m not happy with the eye clinic I go to. They only give me antibiotics drops and just cut open glands to drain them.
The back of my eye muscles are pulling and my doc says nothing she can do except surgery and not recommended. What’s your opinion?!
It burns so much I can't talk properly with people by looking at there eye I feel so embarassed
@Anonymous thank u for understanding me😅
Great information. Can you recommend a dry eye specialist in Seattle Washington?
Hey Doc, what are your thoughts on ICL? I see a lot of your videos have to do with glasses, contacts and Lasik. Have you ever talked about ICL? There doesn't seem to be enough ICL content on UA-cam. Seems like the Lasik industry is way bigger (marketing..).
I have a question on one of your previous topics. In the past, I've had two separate retinal tears, due to vitreous detachment. Both were repaired with laser surgery. I need some help with self diagnosing flashers.
Obviously, I've made the right call twice already. In fact, when I had my first tear, the ophthalmologist did not see it and she told me that I was fine. The flashers persisted, so I got a second opinion and a Retinal Specialist performed laser surgery on my eye. A few years later, it happened again. I skipped the routine eye exam and I went straight to the Specialist. He repaired a second tear.
Over the past ten years since my last surgery I have experienced temporary flashers many times, probably at least 3 times per year. I watched them carefully and each time, they went away, so I did not see a doctor. I guess that I correctly assumed the flashers were caused by "normal" vitreous detachment. And for the record, I get a complete eye exam at least once per year.
So, here are my questions: What is the longest period of time that a patient will experience "normal" temporary flashers? How can I be certain that I am in the clear each time? On the one hand, it's pretty scary, knowing that if I get it wrong, I could suffer permanent vision loss. But, on the other hand, if I ran to the doctor every time I saw some flashers, I might have 4 or 5 false alarm doctor visits in a single year. When should I transition from carefully watching and waiting, to ringing the fire alarm and insisting on getting an immediate eye exam?