How do those with grade 4 meibomian atrophy get through their day?

[ithinkitssic]

Hi I used accutane which unfortunately stopped by glands from producing oils. I have a TBUT of 2. I am wondering how those that have no glands are able to manage in their daily life. Thank you!

[deep_dry_eye]

There is hope. I had terrible MGD before where I couldn't function at all. You need to find a good doctor.

A combination of all these treatments helped me: IPL, LipiFlow, Restasis, Xiidra, Azithromycin. I went from being bedridden to back to work facing computer >8 hrs / day.

Do not give up. Find a good doctor early, seek treatment asap.

[ithinkitssic]

What grade do you have? What was your starting TBUT? I’ve been to like 5 doctors now and they all seem clueless. I am in North Carolina if anyone has any recommendations. Thank you.

[deep_dry_eye]

I had 2-3 TBUT before. Since you are in the USA, you have lots of treatment available. I recommend getting started immediately with Restasis and Xiidra (prescriptions you can get), and find a place to do both LipiFlow and IPL.