Yes. I suffer from MGD/ dry eyes and I have had multiple Lipiflow, and IPL treatments. I use heating masks, take Omega 3 every day and use Restasis. I’d be happy to speak with you in the office about your eyes and answer any questions you might have in person.
Have you heard of autologous serum?
Yes. Autologous serum is an eye drop made from your own blood. The white part of blood, called serum, has many anti-inflammatory properties. We have been using autologous serum for years, and it is very effective in some patients with MGD and dry eye. Our autologous serum is compounded at Hunt Valley Compunding Pharmacy. Click…Read more
What is the role of antibiotics in dry eye/ MGD?
Minimal. The cause of MGD is not bacterial; therefore antibiotics have a limited role. Doxycycline and Minocycline are often used in low doses, because they have an anti-inflammatory effect to oil glands (and are often used by dermatologists to treat acne and rosacea.) When we use oral Doxycycline or Minocycline, or a topical antibiotic of…Read more
Why do I have dry eye/MGD?
Your genes play a role. MGD is more common as time passes on the body, and is more common in women, than men. Menopause can exacerbate MGD. So can diet and environment.
What is the difference between anterior and posterior blepharitis?
You may see some articles discussing anterior and posterior blepharitis, and offering different treatments. However, in my opinion, these are essentially the same condition with the same treatment.
What is the difference between MGD, blepharitis, and ocular rosacea?
These terms are interchangeable in my opinion, and they refer to the same condition – the inflammation of the eyelids which causes the meibomian glands to produce a dysfunctional oil.
What do you think of lid scrubs?
Some of our patients find cleaning the eyelids to be very beneficial. We prefer lid foams, which can be used to gently remove lid debris (dried oils, and cellular material). However, we do not like lid scrub pads. These pads can be quite abrasive. As the problem in MGD is inflammation, we find that “scrubbing”…Read more
Have you ever heard of using rice in a sock/ hot potato/ hot water in the shower?
Any type of heat to the eyelid will help (as long as you are careful to not burn or scald the lids) However, we find that hot water in the shower is not hot enough. Rice in a sock and a hot potato work, but require long prep time. We find that heating masks, which…Read more
What dry eye testing do you perform?
We offer Meibomian gland imaging, which we find interesting to gauge the anatomy of the meibomian glands of the eyelids. The “classic” test is called Schirmers testing, and this requires putting a thin piece of paper on the eyelid, touching the eye, for 5 minutes. We find this test to be uncomfortable, and unreliable. We…Read more
I have used Omega 3 pills and they did not help, and caused a bad after taste/burping/ indigestion. Are there better types of Omega 3?
Most of the commercially available Omega 3 including the FDA approved Lovaza, are prepared in an ethyl ester (EE) form. The EE form is very difficult for the body to absorb, and often remains undigested, and causes a lack of effect and “fish burp” and indigestion, and GI upset. We recommend Omega 3 in a…Read more