MGD (Dry Eye) Treatment Guide - How to Treat Meibomian Gland Dysfunction

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)
Use “DoctorEyeHealth” to save 20%
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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! dryeyedirectory.com/
✅ 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 it’s 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 it’s 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.

[@DoctorEyeHealth]

Want to know my favorite eye drops for dry eye? Check out my video here: kzbin.info/www/bejne/i6PQoX-th5ypqpY

[@amandaandrew8245]

Are you able to speak to Regener-Eyes (or just biologic eye drops, in general)?

[@ashishkapoor6364]

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??

[@iseeflowers]

Does dry eyes cause frequent broken eye capillaries?

[@paulj5833]

@@ashishkapoor6364 have her try Keebler pecan sandies. 2 each morning helps my eye oil.

[@jammybilly]

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?

[@GoldenPhoenix101]

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

[@pattyschrider1681]

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.

[@juliedavison-white1496]

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.

[@mohza1890]

@@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.

[@kim2358]

Ah,I feel you,buddy. I have this disorder,as well.

[@kim2358]

@@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

[@kay4512]

I have been struggling with this issue for years and never ever has any doctor I've consulted with even mentioned MGD. Thank you!!!

[@patwanner1781]

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.

[@sumajewski8368]

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!

[@Saeren_]

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...

[@jessie988776]

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!

[@gillianbennett4518]

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 KZbin 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.

[@abigailfalcon5696]

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.

[@nzimbilef]

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 !

[@sheco97]

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

[@joannamiddleton4713]

Thank you so much for this information. I’ve never been given a formal diagnosis but was told I don’t have the oily layer of my tears and given eye over the counter eye drops. I’ve had those little oil bumps on my eye lids and even had eye surgery to remove a hard one from my tear duct. I believe he called it on the puncta? Said it was like a little marble in it. It’s much worse in my left eye and causes it to water profusely. My eye dr said it was over compensation from lack of the oily layer but I was never given a solution. Now that I’m nearing 50 I can hardly wear my contacts anymore due to dry eyes. This has only started in the last year or so. I’ve worn them for 30 years. So thankful to see there are more treatments than have been offered to me. I saw your video and am trying to blink more completely and think that is helping. I have taken omega 3 fish oil supplements for years but not consistently so will step that up. Will continue watching your videos! Thanks!!!!

[@coreymihailiuk5189]

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.

[@michelprovencher3798]

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.

[@cynthiagonzalez658]

Crustacean?

[@natashapeters5414]

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.

[@nickijames5122]

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.

[@craigcraigster5605]

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!!

[@SupremeODMG]

Do you still get them?

[@craigcraigster5605]

@@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.

[@RachelLara]

Omg. This is completely novel info! How have I not heard this before?! They’re telling me I have possible sjogrens etc… dry eyes and allergies are crippling me. Thank you! I have every eye drop, every antibiotic, Restasis, compresses, eye lid scrubs, washes… etc.

[@barbarabooth8419]

Been to a dry eye specialist. My eyes have good days and bad. He has been vitamins. Warm compresses and drops. Definitely still not great but much better then I was. I had already started some things which I learned from your videos

[@Anuj-2]

Just taking enough sleep at right time helped me a lot

[@DoctorEyeHealth]

Sleeping is SOOOO important for the eyes and overall health 👍👍👍👍

[@PERIG22]

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.

[@robinjohnson4919]

Love the natural therapy. Nice.

[@san-cj6qc]

how many hours did you sleep everyday?

[@PERIG22]

@@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.

[@sali8375]

Found this super helpful. Thank you!

[@susanallison4561]

Just diagnosed with Evaporative dry eye and IPL suggested as well as warm compresses and eye massage. Thanks for information.

[@khale6112]

Excellent & helpful information for MGD!

[@HarleyMothersole]

Thank you Dr Alan for informing about using 3m Nexcare tape to prevent proscription glass fog.

[@DoctorEyeHealth]

Hey I am glad it helped! Thanks for watching!

[@jamminjoy]

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.

[@solitaguayco1697]

Hi!Doc,Thanks for additional knowledge 😍

[@TheShredfest89]

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.

[@esmeraldagarcia1095]

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?

[@pmslasmith8768]

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

[@ghaneemaha5037]

Thanks very much for such thorough informations GOD BLESS YOU 🙏👏💐

[@kenco777]

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?

[@muse3241]

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.

[@drrehanchoudhry]

I dont have words to say thanks. speechless!

[@DoctorEyeHealth]

I hope it helps!!!

[@drrehanchoudhry]

@@DoctorEyeHealth love and respect from Pakistan

[@mujtam]

@@DoctorEyeHealth I’m having some pain in my eye, I think it’s dry I’m having watering all around my eye and whenever I touch it it either s get my finger wet or sting just a little. Tell me the best eye drop to use

[@wandaingram4776]

Just had to comment now,I have dry eye,and let me tell you,it ain't fun!!! Thanks for posting this video,it is very helpful for me!!!

[@LitReese_]

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

[@barbaranye9670]

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

[@arthurkoopmanswatercolors]

During the night I wear a silicone eye mask that retains the moisture. It does give me relief during the night.

[@patvilla6019]

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.

[@johnny5guns]

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.

[@SisterhoodoftheTravelingBrush]

Thanks for the tips!

[@youngimages2000]

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..!

[@iseeflowers]

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?

[@hotflush]

Thank you so much for this. Just been diagnosed 😢

[@matildewosnjuk7508]

Me too. How are you doing 😢

[@agotapongor2069]

Thank you! I just do not want repeat others!

[@MaryPatriciaCurran]

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.

[@marcomaurer3267]

thank you so much for your helpful uploads! I wonder, what causes the the meibomian dysfunction? Is it genetic or the environment?

[@pmslasmith8768]

HI Thanks for videos. The small yellow lesion on inner lid. Can you show them go away using the warm compresses. I would love to see a video showing the effectiveness of the warm compress usefulness

[@fatimer11eil]

Thank you so much Dr for this information...had very very itchy eyes out of no where never had anything like this before after I listened to you dr I tried the massaging my eye lid it works right away :))

[@carolc4896]

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?

[@ironwithin3875]

Great video, thanks dude

[@Telenaus]

thanks this helps alot!!

[@claudinehellmuth]

Thank you for this helpful video! Do you recommend patients with MGD stop wearing contacts to help prevent it getting worse or is it ok to keep wearing contacts?

[@skybluemarshall]

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?

[@shannonr7246]

Will eye drops get rid of the white "pimple" inside the eye lid (as you have pictured)? Or will only a warm compress do that? Advice much appreciated 🙏

[@adamaturay7516]

Thank you, I did help for my dry eyes

[@michellehughes576]

Thank-you young man!!!

[@ibaswarovski188]

Am stuck in a small island and since last week the protective layer of my eye gets collected at corners. I mean my eyes look liquid all the time but it's the thin film gel. Strange but it's uncomfortable, bit hurting and blurry. I don't have medical help for 3 weeks, can you advise something pleaseeee!? Thanks kindly!

[@caleyjohnson964]

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?

[@melaniehubbard3646]

Thanks for the information 👍.

[@jonil.9]

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.

[@geertjalink]

Shampoo can dry out the skin. Especially thin places.

[@puppy4260]

Lipiflow is extremely expensive. it was $900 for 10 mins for me. I should ask my doctor about doxycycline.

[@geertjalink]

@@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.

[@coverspadeavacado381]

My mom used to have me put a warm wash cloth on my eyes and that worked pretty well

[@petrosaguilar8916]

Washing your eyes with warm water works too.

[@ccm800]

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!

[@petrosaguilar8916]

@@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.

[@joannedorman8672]

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.

[@jtown4187]

I was recommended to have an eye spa and had it twice plus I have been using the HYLO-Gel but I was recommended to have IPL treatment. Since as you mentioned this has not been FDA approved would this be safe? It was just postponed because of the new COVID wave here in Bangkok. Should I go for it?

[@mihaelagatejel9730]

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 !

[@caroltaylor4282]

Thank you for all these ideas!! My eye doctor told me nothing could be done for it other than the drops and lid cleaner. $$$

[@kyawchann1783]

Dear Doctor, Can I do warm wash cloth instead of. warm eye mask(not available in my area) and eye lid massage 6 year s after lasik surgery.

[@ephflores]

Hello. I had PRK recently and wondering if it is safe to do warm compress. I have been doing warm compress before PRK and found it helps for my dry eyes. Just wondering when is it safe to do it again after PRK.

[@chrisschiller1163]

Excellent information.

[@LisaS1]

I've started to watch your video here but could I ask you a ? - what could I put directly on my eye lid & crease area that would be totally safe for my eyes to take this tension pain away. I think it's vein pain maybe. Would a lavender/chamomile tea bag work or lavender oil? Or is there a natural, organic cream (cost affordable) you could suggest? Thanks Dr.!

[@star222333]

I love your videos, thank you for making them. There's always something to learn. Awhile ago you mentioned Zaditor, that's been very helpful, I also learned about the Abbe value and bought 3 pairs of Randolph sunglasses, which I love. 😎 Later this month I'm getting new reading/prescription glasses and I'm going ask for CR39, all things I learned from your channel. Thank you Doctor Allen.

[@DoctorEyeHealth]

OH that is so amazing to hear Lorie!!!! Really makes me happy to hear you have gained from watching the channel and that you are loving your Sunglasses! (Randolphs are still my #1) Many blessings to you Lorie! Thank you.

[@lynettepalecek3141]

The only sunglasses that I have been using for the past several years have been ones that are extremely thick for my front vision, top vision, and peripheral vision. I have 2 pairs, but I can't get more anywhere.

[@lynettepalecek3141]

@@DoctorEyeHealth I never heard of Randolph sunglasses before. My sunglasses are extremely thick for my front vision, upper vision, and peripheral vision. I have 2 pairs, but unfortunately I can't get any more anywhere. Is the Randolph brand just like mine? If so, where can I get some without ordering from Amazon?

[@kimyoung3484]

Thank you so much Sir.❤️🌹

[@rheadavis6673]

I've had my lower tear ducts plugged 30 years ago at Loma Linda, now at 70 years old dealing with pretty severe dry ice. A CAT scan discovered my left side of my face that's a big sinus issue so surgery scheduled for that June 16th. the question is could that have been affecting my eyes all this time? Considering lipiflow after that. Was prescribed restasis but wasn't very faithful to it and I do a lot of preservative free eye drops and ointments at night and the warm compresses.

[@stevenarenella7229]

Are you still doing the different eye movement video? Thanks Steven

[@mlhalperin]

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.

[@emmahovahannisyan6724]

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.

[@marie.98]

Love this video

[@meghanmurphy6888]

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.

[@tiga2001]

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.

[@janebrennan2086]

Can I ask i have map dot dystrophy so is it OK to apply heat via heat mask? Thank you

[@nathansiapno5966]

How about sodium hyaluronate eye drops? Are you okay using it with dry eyes?

[@juanmagana7001]

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 KZbin. Seems like the Lasik industry is way bigger (marketing..).

[@sonia6808]

Thank you so much for this video! What contact lenses would you recommend for someone with MGD?

[@fauziasulaiman]

V nice and informative video.💐

[@snowbike8032]

Thank you so much for your videos! You are an excellent teacher! Does the IPL procedure leave spots of lightened skin around your eyes? I am a fair skinned person but since I go to Utah to hike a few times a year my doctor said that she won't do the procedure on me because if I have any tan skin at all it will leave white spots. Can you comment on that?

[@aipingdong7706]

I have a question- my eye lashes often drop into my eyes! And on the eye lids I sometimes have styes! I use warm compressor to help! But I can see some of the oil glands are clogged! Right now on Restasis! Is there any med I can use to treat styes ? Is stye problem same as MG D? Thank you so much doctor

[@zannymoss]

I must go get my money from the doctor I visited last. Thank you for this information

[@TheGeekazoid]

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?

[@anitarzepeda2579]

Thank you. I am suffering with I think dry eye flair up. 5 weeks ago I had cataract/glaucoma surgery. 10 days ago my eyes started flaring up. I have now use 5 resetting drop. Gel at night. I take omega every day. Warm. Saw my surgeon he said it should clear up. My eyes are scratchy, red, irritated, burning. And light sensitive. Screens and TV bother my eye. I had dry eye prior too the surgery. I have had punctal plugs. I believe they are still in place. I do get some relief as the days goes on.

[@nancyhawkins8568]

Thank you so much for creating this video. Do you know of any Dry ice specialists in the greater Charlotte North Carolina area?

[@jennymaginel6810]

Thank you for making these informative videos!! Packed full of info, no chitty chat- straight to the point, and trust worthy. I need a dry eye specialist in my area as I have MGD. Can you rec one in the NC Triangle Area?

[@lkleeberg]

Yes, me too.

[@DoctorEyeHealth]

I've got this dry eye directory linked in the description. Hope it helps! dryeyedirectory.com/

[@markt8041]

Dr. Wright @ Eye Care Center in downtown Raleigh is a good guy who tries very hard to help his patients. I went to him when I lived there three years ago.

[@alfiekennedy1657]

Hey nice vid! What do you do when theres an uncomfortable fold in your contact lens?

[@HaiderAli-qx5fd]

Plz make another detail video on digital eye strain its cautions, treatement, suplementation and best exercises.

[@Geekosification]

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.

[@cynthiagonzalez658]

Wish you were practicing in my neighborhood, doc!!

[@dianelamorticella6053]

I put a hot washcloth on my eyes every morning. I also use an eye foam that tea tree oil in it, I apply that to my eyes once or twice a day. I also have allergies to pollen and my eyes get very irritated.

[@porsiteimporta9218]

Can you kindly review the Precision 1 contact lenses for astigmatism. txs!

[@rachidbz7825]

thanks doctor you are great

[@traceyfalkenberg7678]

Hi just saw this video. I live in Canada so we're a bit behind the times but the eye Dr I see suggested doing radio frequency which is similar to IPL What are your thoughts on this procedure and have you heard of this and how safe are these procedures? Thanks so much😃

[@tris3356]

Omgg finally! I always have this 😭

[@susanb9105]

5 years ago I contracted Lichen Planus, generally heat aggravates my skin conditions. Cold helps my eyes feel better at least initially but not sure it helps my dry eye problem. Do you think heat would also help my eyes? The Mybo Clean cleansing gel is great, my eyes are not as red and more comfortable. The HEYDRATE lid & Lash cleanser also soothe my eyes. 👏 Thank you for all your help!!

[@kitkat4887]

We just got IPL at our clinic for our dry eye/mid patients. We are super stoked to be able to offer this for our patients.

[@petrosaguilar8916]

What does it cost?

[@iotanb1772]

Hi love your videos. Struggling for a year now with reoccurring chalazions even after surgically removing one. Im in California in Ventura county/Los Angeles area - it would be amazing if you could refer me to a knowledgeable specialist in the area

[@nintezzz]

Hey thanks for the great video. I'm looking for a dry eye specialist in Israel Cheers

[@dontaejarell]

Thanks for the video share

[@sharon8121]

I have severe MGD last 2 years. At first the dermatologist thought it was seribhic keratosis and got cryosurgery around my eyes that just caused skin damage. I am taking fish oil. Use warm compresses and wetting eye drop. I had a blood test showing cutibacterium. What could I use for that? I Google and it says benzoyl peroxide but I can't use that one my eye! Also I been a contact lens wearer all my life do I have to switch to glasses?