Author's note: I am not a doctor. Do not substitute any of the following for a doctor's advice.
Abstract
My Story
Lessons Learned
The Tear System
The Two Main Types of Dry Eye (And How Electronic Screens Cause Them)
Looking For a Doctor
At the Doctor’s Office
Treatments, Part 1
Treatments, Part 2
Treatments, Part 3
Get Away From Your Screens
Final Thoughts
0. Abstract
What this post is: This post is my “memory dump” on dry eye caused by computer use. It contains virtually everything I’ve learned about the condition since I first got dry eye, including:
What’s in this post: The following is an outline of the content in this thread. There are 10 total sections (including this one) and each section corresponds to a new post in this thread. At the top of each new post (and thus the beginning of each section) is an outline of the 10 sections so that you can easily navigate to a new section. I’ve also attached the entire content of the thread as both a Word and PDF document in this first post, if you prefer to download it.
Abstract
My Story
Lessons Learned
The Tear System
The Two Main Types of Dry Eye (And How Electronic Screens Cause Them)
Looking For a Doctor
At the Doctor’s Office
Treatments, Part 1
Treatments, Part 2
Treatments, Part 3
Get Away From Your Screens
Final Thoughts
0. Abstract
What this post is: This post is my “memory dump” on dry eye caused by computer use. It contains virtually everything I’ve learned about the condition since I first got dry eye, including:
- Lessons I’ve learned
- Advice on how to find a good doctor
- Treatment options available for the two main types of dry eye
- Ideas for how to minimize computer use
- You’ve used electronic screens (e.g., computers, phones, or TVs) for 12 hours or more per day on a regular basis over the last few years
- You have no known allergies that might cause dry eye, or have eliminated allergies as your cause for dry eye
- You are in your 30s or earlier (though older generations can certainly get computer-induced dry eye as well)
What’s in this post: The following is an outline of the content in this thread. There are 10 total sections (including this one) and each section corresponds to a new post in this thread. At the top of each new post (and thus the beginning of each section) is an outline of the 10 sections so that you can easily navigate to a new section. I’ve also attached the entire content of the thread as both a Word and PDF document in this first post, if you prefer to download it.
- Abstract
- My Story
- Lessons Learned
- Lesson #1: Dry eye is a progressive disease
- Lesson #2: Generally, knowledge about dry eye is poor among doctors, but is steadily improving
- Lesson #3: You can’t get better unless you remove the source of your problem
- Lesson #4: No matter how much you’ve think you’ve “tried everything,” you haven’t tried everything
- Lesson #5: Even with great management, you can get new and/or worse symptoms at any point
- Lesson #6: Dry eye is a three-headed monster
- The Tear System
- The Lacrimal Glands
- The Meibomian Glands
- Corneal Nerves
- The Two Main Types of Dry Eye (And How Electronic Screens Cause Them)
- Meibomian Gland Dysfunction
- Aqueous Deficiency
- Looking For a Doctor
- Optometrists vs. Ophthalmologists
- Your Best Chance
- At the Doctor’s Office
- Before the Visit
- bringing a list of prescriptions and eye drops
- a list of questions to ask the doctor
- Patient Questionnaires
- Tests
- Tests for General Eye Health
- Vision Test
- Eye Pressure
- Tests for Aqueous Deficiency
- Schirmer Test
- Ocular Staining
- Tear Meniscus Height
- Confocal Microscopy
- Tests for Meibomian Gland Dysfunction
- Meibography
- Meibomian Gland Production Count
- Blink Analysis
- Tests for Both Aqueous Deficiency and Meibomian Gland Dysfunction
- Tear Osmolarity
- Tear Break-Up Time
- Tests for General Eye Health
- A Diagnostic Checklist
- Evaluating Your Doctor As He Evaluates You
- Before the Visit
- Treatments
- Treatments for Aqueous Deficiency
- Artificial Tears
- Prescription Drops (Restasis, Xiidra)
- Steroid Drops
- Moisture Chamber Goggles
- Punctal Plugs
- True Tear
- Lacrisert
- Serum Tears
- Scleral Lens
- Amniotic Membrane (Prokera)
- Treatments for Meiibomian Gland Dysfunction
- Blinking Exercises
- Warm Compress
- Doxycycline
- Lid Scrubs
- Manual Expression
- Lipiflow
- IPL
- Probing
- Treatments for Both Aqueous Deficiency and Meibomian Gland Dysfunction
- Diet
- Omega-3 Supplements
- Treatments for Pain Management
- Nortriptylline
- Naltrexone
- Carbamazepine
- Treatments for Aqueous Deficiency
- Get Away From Your Screens
- Exercise
- Audio Entertainment
- Find a Different Job
- Final Thoughts
- TLDR
- Keeping Hope
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