LipiFlow device - what the????

[mbperso]

I'm not specialist of IPL but I would say first probing (free glands) then Lipiflow (clean glands and renew meibum) then IPL after 2 months

[Italyboy]

All right guys so another question , I have to option right know :

1 : this doctor want me to do a session with IPL with a mask ( not the gel one ) https://youtu.be/vwbIW5cuVUU ( is in Italian but the mask is that one , someone have ever traied it ?). +

PLUS again another try with probing after the mask wither the heat.

2 doing Lipiflow instantly , without probing , just lipiflow go see if actualy help.

————

also my thought is doing IPL First with the probing , because probing will ( in theory) open the scars and free the glands , and than lipiflow will be more Effective .

what you think guys ? Should I do lipiflow before or after the ipl session ? And also how long I have to wait for this session ( I mean IPL than 2 week later LIPIFLOW)

thanks .

[mbperso]

yes baby shampoo not good !
Doxy: be careful don't expose to the sun ! You need to take it for 1 month to feel relief if it works.

[farmgirl]

Has that resolved somewhat pythonidler or is it still the same as when it first started.\?

[MGD1701]

Hi Italyboy
Baby shampoo is bad - no doctors now recommend it. It only does bad than good.

[Italyboy]

Hello guys , I will do a post about my recent visit ( today ) with the doctor and what I did but first :

mbperso

1.2. HhHhey man I already did hot compress ( 1 year with blephasteam +massage) can feel the oil/ water but seems it does nothing .

1 1Omega 3 I took it every day since 2 years , pretty much good quality , no result

2 lid hygiene evry every day with baby shampoo + blefarette, no result

3 about doxy I only taked for 2 days than my hands start to become infected lol , I don’t even know what to say it , but my hands get something like it was burned ( maybe the sun , sun side from doxy???)

maybe on doxy I should invest more , 2 days Is too short I think but I get this side effect and I get worried ( also trailed azythomicin, zero result 5 days )

4 blink exercisie doing it from 5 days , will keep on it already they are free.

5 I did IPL with the gel , 3 times no result , Cyclosporine 6 months , a bit improvement then maybe I got allergies in eyes which cyclosporine can’t help so I decided to stop ( maybe it was an error , maybe I will jump on it again)




—-


Doctor did this , PROBING ( ****** ) a bit painful , he said that he opens 7 glands both Eyes...

no result yet , I don’t know if tomorrow or the next day eill
improved , I’m just hoping probing doesn’t damage the glands ...


also after probing he said that my eyes have allergies , so I need cortison , plus some drops , plus lacrisek pills 1 day with omega 3 ( as always ) he said that my ALLERGIES is also a priority ...

also he told me about a new IPL Method that he has , with a mask , don’t know how to explain well .


Well guys that’s it , I probably will try LIPIFLOW and This new IPL METHOD , will see if something can improved my condition lol

[pythonidler]

Hi python,
Sorry,I'm not sure to understand: you did PRP injections into the meibomian glands ? did it help ?

I had injections into the lacrimal glands. Probably 1-2 minutes after the injections my eyes started to feel gritty for the first time in over 2 years. The grittiness was from nerve deterioration caused by the rapid increase in inflammation. I've had intermittent grittiness ever since then. That's why I warned people about this - so that they don't increase the inflammation in their eye.

[mbperso]

mbperso unfortunately, before that test I was already doing a lot to reduce inflammation - including taking Lotemax daily, taking 3000 mg of omega-3 daily, and going on a gluten-free diet. Those PRP injections really jacked up the inflammation in my eyes.

Hi python,
Sorry,I'm not sure to understand: you did PRP injections into the meibomian glands ? did it help ?

[fernellen]

Not a good day; tearing and burning; eye drops helping a bit; have to go to work at 3:00; will start hot and cold compresses in an hour.

[pythonidler]

It is my understanding that if you are going to do probing it would be done before lipiflow or IPL.

I would change that statement to "if probing is necessary, it should be done before LipiFlow or IPL." The problem is, not a whole lot of doctors know how to recognize scar tissue, and therefore would be able to tell a patient if probing is necessary. And since for most patients they could get IPL locally (vs. having to fly to see a doctor who does probing), and three sessions of IPL are cheaper than 1 probing, I think most people should get a few sessions of IPL first - and THEN if that doesn't work seek out probing.

[pythonidler]

mbperso unfortunately, before that test I was already doing a lot to reduce inflammation - including taking Lotemax daily, taking 3000 mg of omega-3 daily, and going on a gluten-free diet. Those PRP injections really jacked up the inflammation in my eyes.

Dowork123 thanks for the wishes and for the feedback.

It is very encouraging to see that you did have the ghosting and that it went away, you're a success story ! I am assuming you also had starbursts around lights? Sort of goes with the ghosting no?

Im my case the original problem are my glands that were clogged, leading to inflammation.
Now that lipiflow was done 3w ago I am hoping for relief soon. My dr told me it took 3 months for her own glands to fuel lipids post lipiflow.
I have been on steroids for 3w now, tapering the doses though and transitioning to Xiidra. I have eye pain on the regular right now and hoping it goes away. Fingers crossed.

The ghosting is gone but the starbursts and glare still remain. It's annoying at night, but what can I do. I used to have really good vision before my accident that caused this cascade of horrible events. Now, my vision changes constantly...I still have slight double vision in the left eye, but thankfully it's not that bad. The doctor saw that my cornea has a wave to it that's causing the light to enter my eye in a weird way.

[mbperso]

Personally, a few days ago I had an InflammaDry test done on me with a high inflammation result .

Hi, and then what are the actions and treatment you've done to reduce this inflammation ?

[mbperso]

Hi Italyboy ,

I agree, one of your problems is partial blinking (I had 100% of partial blinking).
Seems your LLT is around 70 , not too bad. Good news for glands.
I don't think you're producing too much oil, because some glands are dead or shortened.
Doxycycline aimed to reduce inflammation and so makes producing more oil.
Probing should be done only in case of scare tissue or if others treatments will not working to unblock glands.

I would recommend to deepen the diagnosis:
What are your symptoms ? TBUT ? Schirmer test ? Is oil thick ?

From what you said I would try doing for at least 3 months:
- Heat + massage (1x/day)
- lid hygiene after massage
- Doxy 100mg by day, 1 month/2
- Omega 3
- Blinking exercises every 2 hours

[pythonidler]

Italyboy it's weird that your doctor didn't mention the partial blinking to you. That's the root of the problem for you. IPL might have worked if your blinking was better, but it's hard to say at this point.

I would try doing the doxy + blinking exercises + warm compresses together for a month. If you still don't improve, then you might want to consider probing.