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I came back to the USA from China and saw a doctor that had the Oculus Keratograph and did a manual expression.
When he did the manual expression he said on my eye that is painful and has the TBUT (tear break up time) of 2-3 seconds the oil was like toothpaste. He expressed the glands, which I think all expressed oil, but he said it stood up like little pillars of thick oil, then fell over. On my eye that is livable the oil came out a bit thicker than said was good but it came oil as a liquid. That eye has a tear break up time of 6-7 seconds but again, if both eyes were like that my life would be OK.
So I guess how often should I go to get that done? One issue is that the only doctors who seem to have any knowledge about bad oil glands are almost a two hours drive from my home. Which in goggles and no AC in a heat wave was not that pleasant. My eye did feel great after the expression, really good.
I tired today to do the warm compress for 20 minutes and I couldnt get any oil out of the bad eye expressing the glands myself, while on the right eye it was much better than previously which Im very happy about. Im trying to figure out what to do with this knowledge.
Other info: Im in the process of ordering the Klarity-C Drops with cyclosporine from ImprimisRX because my insurance doesnt cover Restasis and buying from the Canadain pharmacy said it would come from Mauritius which seems strange. Still from that location the Restasis was 270$ for 3 months while the Klarity-C drops which have twice as much cyclosporine are $150 for 3 months.
The ophthalmologist also gave me a sample of Xiidra so I will use that. As far as I know my insurance will not pay for Xiidra, though it will pay for some of blood serum drops
I also got some bad news that my eye are Map Dot Fingerprint Dystrophy which also leads to easier tearing of the cornea and he said i use Muro 128 ointment at night to increase water levels in the eye at night to reduce tearing and improve healing.
Im not sure what to do with the info that one eye has toothpaste oil. Get on cyclosporine drops will start later this week I hope when product arrives. Im doing warm compress 4-5 times a day for 20 minutes trying to keep that stuff liquid on the bad eye. All the glands are there but are not straight as have some loss in length. All expressed toothpaste oil.
Im guessing to try and keep getting expressed maybe every two weeks? Just do the drive and listen to a lot of audiobooks.
Should I be waiting until I do cyclosporine for a while before I try lipiflow or IPL?
The reality is I met a good doctor in another city but the doctors in my area dont even know what manual expression is. I had a local ophthalmologist tell me just use some drops and dont worry about gland loss. I was speechless. I am more informed than that medical doctor.
When he did the manual expression he said on my eye that is painful and has the TBUT (tear break up time) of 2-3 seconds the oil was like toothpaste. He expressed the glands, which I think all expressed oil, but he said it stood up like little pillars of thick oil, then fell over. On my eye that is livable the oil came out a bit thicker than said was good but it came oil as a liquid. That eye has a tear break up time of 6-7 seconds but again, if both eyes were like that my life would be OK.
So I guess how often should I go to get that done? One issue is that the only doctors who seem to have any knowledge about bad oil glands are almost a two hours drive from my home. Which in goggles and no AC in a heat wave was not that pleasant. My eye did feel great after the expression, really good.
I tired today to do the warm compress for 20 minutes and I couldnt get any oil out of the bad eye expressing the glands myself, while on the right eye it was much better than previously which Im very happy about. Im trying to figure out what to do with this knowledge.
Other info: Im in the process of ordering the Klarity-C Drops with cyclosporine from ImprimisRX because my insurance doesnt cover Restasis and buying from the Canadain pharmacy said it would come from Mauritius which seems strange. Still from that location the Restasis was 270$ for 3 months while the Klarity-C drops which have twice as much cyclosporine are $150 for 3 months.
The ophthalmologist also gave me a sample of Xiidra so I will use that. As far as I know my insurance will not pay for Xiidra, though it will pay for some of blood serum drops
I also got some bad news that my eye are Map Dot Fingerprint Dystrophy which also leads to easier tearing of the cornea and he said i use Muro 128 ointment at night to increase water levels in the eye at night to reduce tearing and improve healing.
Im not sure what to do with the info that one eye has toothpaste oil. Get on cyclosporine drops will start later this week I hope when product arrives. Im doing warm compress 4-5 times a day for 20 minutes trying to keep that stuff liquid on the bad eye. All the glands are there but are not straight as have some loss in length. All expressed toothpaste oil.
Im guessing to try and keep getting expressed maybe every two weeks? Just do the drive and listen to a lot of audiobooks.
Should I be waiting until I do cyclosporine for a while before I try lipiflow or IPL?
The reality is I met a good doctor in another city but the doctors in my area dont even know what manual expression is. I had a local ophthalmologist tell me just use some drops and dont worry about gland loss. I was speechless. I am more informed than that medical doctor.
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