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? About MGD and Steroids

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  • ? About MGD and Steroids

    I have done warm compresses and lid massages sporadically, mainly because I have not been diagnosed with blepharitis/mgd. No MD has looked closely at my meibomian glands to see if they are blocked. I am aqueous deficient with schirmers consistently ranging from 3-7mm per eye. Is it possible for the castor oil in restasis to provide for a falsely good TBUT? Also, my eyes REALLY look horrible upon awakening and seem to improve slightly as the day goes on. I heard this is typical of MGD.

    My last questions are pretaining to warm compresses and steroids. I have read a lot of the past postings and some folk have had significant improvement within a week of doing 1-2 compresses/lid massages per day. I have used steroids periodically as well but have not completed a full round of 4x/day for a month and tapering off 1 dose per month. I always start off very optimistic but I need to know what my realistic expectations should be. As usual, all comments and advice are much appreciated... Thanks, DN
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