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Hi Trac, LittleMermaid is my daughter (14) - she has had moderate/severe dry eye from MGD from ocular rosacea for 3y. She uses Fluorometholone ophthalmic suspension (FML drops) chronically according to red-eye flare-ups to control surface inflammation and prevent neovascularisation and resulting corneal opacity. Because there is no sensation to warn of this, we use more FML than an adult may need.
We dose according to inflammation on a tapering regime. On flare-up she may use FML 3xday (rarely 4xday), then taper to 2xweek according to judgement of super-ophth. FML does not affect her vision on instillation at all.
Yes, we use warm compress every day, even with a red-eye, to keep the meibomian glands functional because they are blocked. She also cleans the eyes 2xday with a steamy flannel or warm water cotton wool. Cold compress doesn't clear the MGs for us, although people use it for inflammation, but if her eye surfaces are red and look swollen we skip warm compress that day and may use a cooler flannel until the FML controls it next day.
She also uses tear film substitute drops at least 6xday to protect eye surface and control inflammation.
NB people have different aetiologies - this is our fix for MGD with aqueous deficiency and reduced tearing reflex. It is important for the ophth to establish what the problems are and design a regime to fix specific the problems.
We dose according to inflammation on a tapering regime. On flare-up she may use FML 3xday (rarely 4xday), then taper to 2xweek according to judgement of super-ophth. FML does not affect her vision on instillation at all.
Yes, we use warm compress every day, even with a red-eye, to keep the meibomian glands functional because they are blocked. She also cleans the eyes 2xday with a steamy flannel or warm water cotton wool. Cold compress doesn't clear the MGs for us, although people use it for inflammation, but if her eye surfaces are red and look swollen we skip warm compress that day and may use a cooler flannel until the FML controls it next day.
She also uses tear film substitute drops at least 6xday to protect eye surface and control inflammation.
NB people have different aetiologies - this is our fix for MGD with aqueous deficiency and reduced tearing reflex. It is important for the ophth to establish what the problems are and design a regime to fix specific the problems.
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