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Do I have MGD? pics included

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  • #1

    Do I have MGD? pics included

    Hello

    A little history about my eyes: I started wearing contacts at around 16 years old, I got an eye infection a year later and after it was resolved I resumed contacts again. My contacts were starting to get uncomfortable and I would get red irritated eyes often. At around the time I was 18 to 19 years old I was unable to have contacts in my eye even for more than 5 minutes that how bad it burned and got irritated. I noticed how thick my mucus was and I took the contact out and put it in the solution I noticed a lot of oil being on it. I stopped wearing contacts for good and still my eyes were not feeling healthy I would sometimes get a swollen eyelid specially on windy days.

    I got PRK surgery about 4 months later and I think the PRK went pretty well. I was using artificial tear drops at this point, about 5 times a day. I tired many things and found out the best thing that worked for me was fish oil and flaxseed oil (Theratears Nutrition) it was kind of under control while I was using it but on my lid margin it was always red if I looked under my upper eyelid.

    I'll be having a surgery which is not related to my eyes in about 2 weeks and my doctor told me to stop taking the fish and flaxseed oil. After about 3 days I remembered how much of a bad shape my eyes are in cause all of my symptoms returned, which made me start doing research online to see if I can cure this once and for all.

    In the mornings its hard for me to open my eyes and my eyes always feel tired which I believe are symptoms of MGD, I looked at my upper lid margins and noticed its red with uneven small bumps on it. I took pics but its not as visible in the picture. I'm trying to see a dry eye specialist so I can be sure if its MGD.I have attached the pictures and in real life I can see small bumps too but they are not visible in the pictures. Please tell me if that looks like MGD. And I forgot to mention I'm now 23 years old.

    Thank You


    http://imageshack.us/f/208/pa070001a.jpg/

    http://imageshack.us/f/217/pa070002.jpg
    Tags: None
  • #2
    Hi xpro,

    It can be really hard to see MGD wihtout a slit lamp. I would get checked out by a doctor who specializes in dry eyes. A few of us on this forum have seen Dr. Caffery and been very happy with her evaluations and treatments. She is located in the Yorkville area of Toronto.

    Best of luck!

    Comment

    • #3
      MGD comes in many shapes and forms. Some people have signs visible to the naked eye and others don't.
      Rebecca Petris
      The Dry Eye Foundation
      dryeyefoundation.org
      800-484-0244

      Comment

      • #4
        Originally posted by Hopeful2 View Post
        Hi xpro,

        It can be really hard to see MGD wihtout a slit lamp. I would get checked out by a doctor who specializes in dry eyes. A few of us on this forum have seen Dr. Caffery and been very happy with her evaluations and treatments. She is located in the Yorkville area of Toronto.

        Best of luck!
        I called her office and unfortunately she is booked for a long time. If there are any other dry eye docs in the Toronto area please let me know. I'll be going to Pittsburgh, pa soon so if there are dry eye doctors there too it would be beneficial to me.

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        • #5
          I found about Lipiflow which is offered in Toronto. I will get a consultation with Herzig so they can check my glands.

          Comment

          • #6
            I believe Herzig offers a free consultation where they tell you about the state of your glands. Just be aware there might be pressure to go ahead with the lipflow that day.

            Comment

            • #7
              Originally posted by Hopeful2 View Post
              I believe Herzig offers a free consultation where they tell you about the state of your glands. Just be aware there might be pressure to go ahead with the lipflow that day.
              Thanks for telling me this hopeful2 I'm doing a lot of research on this, trying to find out which will work better probing or Lipiflow.

              Comment

              • #8
                RE: Lipiflow

                LipiView is what they call the assessment/consult prior to LipiFlow (treatment). At Herzig in Toronto,

                The consult will cost $120.00 and if you go ahead with the treatment it will cost $700/eye. The fee will include the follow up visits.
                Just like another person posted, be aware that they will charge you for the WHOLE thing when you arrive unless you specify that you are only there for the consult! I was surprised when they took my credit card and charged the whole amount. I said, "I thought you did an assessment first. How do you know I'll need the treatment?". The girl at the desk said they'd refund me if I didn't need the treatment.

                I've had two LipiView (assessments). I got good information about my MGs from both of them and I actually recommend them if you've got (or think you've got) problems with your MGs.

                Comment

                • #9
                  I called Herzig for an assessment when I was in Toronto over the summer. I was only about four months post lasik. I believe that Herzig and the lipiFlow procedure require you to be at least 7 months post op. . . but I'm not sure.

                  I think I'll at least get the assessment done when I my flaps have healed enough. Although I would be worried that the procedure might damage the flaps. Does the doctor give treatment suggestions too?

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                  • #10
                    RE: LipiView and LipiFlow

                    I've never had any refractive surgery so I can't comment on what the rules are wrt any assessment and/or treatment.

                    Yes, the doctors at Herzig give you other treatment options besides LipiFlow based on their findings during the consultation and LipiView.

                    For my other posts on LipiView/LipiFlow see here:

                    http://www.dryeyezone.com/talk/showt...ght=#post63012

                    http://www.dryeyezone.com/talk/showt...ght=#post63748

                    http://www.dryeyezone.com/talk/showt...ght=#post64298

                    Comment

                    • #11
                      From reading other user's experiences on this forum I noticed that during the Lipiflow consultation they check for "dead" glands. I'm 23 years old and have had dry eye problems from the time I was around 18-19. Can some of my glands be "dead" by now? Unfortunately its the long weekend so I can't make an appointment yet. I'm hoping that I won't have any dead glands. When they say dead glands does that mean it will never ever work again?

                      Comment

                      • #12
                        Xpro, your upper (inner) eyelids and lid margins look alot like mine. I can see some mild MG capping going on (its hard to see but you can see it), I have this on my upper lids too. Your inner eyelids have vascular blood vessels like mine also (but my lowers are much worse than my uppers), not sure what your lowers are like.

                        For what its worth, its unlikely you have dead MG's at 23, your glands are prob just not functioning properly due to inflammation etc.
                        I healed my dry eye with nutrition and detoxification. I'm now a Nutritional Therapist at: www.nourishbalanceheal.com Join my dry eye facebook group: https://www.facebook.com/groups/420821978111328/

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