Hello!
I am hoping some experienced patients or doctors can give me some input to make a more informed decision.
I saw my eye doctor this morning for a follow-up to my visit 10 days ago when he prescribed Alcon drops for my corneal abrasions. It was a frustrating appointment for me as he doesn't seem to answer questions very well. He is sure that my dry eye is all a lack of oil and yet he says I have seborrhea. I asked if he saw skin flakes or greasy residue on my lashes and he said no, it's dry. I don't understand.
I specifically asked about my TBUT and the right eye is at 3 and the left (most symptomatic) is at 2. I didn't use the Alcon drops very much at all as they stung quite a bit. I did use Nutra-Tears, Dakrina and Dwelle quite a bit though and have been doing lid scrubs for a week, and the abrasions were gone.
He mentioned he might want to try a lower plug in my left eye next time to see if it would help. I am confused. If it is a MG dysfunction, what good will a plug do? Will a plug raise my TBUT? My left eye has been tearing for years. Usually, it's not enough to drip down my cheek, but it leaks along the crease in my lids and sits there leaving a salty mark. Will a plug make that worse?
My first instinct is not to get a plug. I do not really trust this doctor's opinion on anything thus far. I asked him today about lid scrubs and such for the seborrhea and he said they don't do any good in his experience and I shouldn't bother.
Can someone help me with the pros and cons of this and help me understand the anterior/posterior bleph? I thought the way he talked about lack of oil last time that I had MGD.
I am hoping some experienced patients or doctors can give me some input to make a more informed decision.
I saw my eye doctor this morning for a follow-up to my visit 10 days ago when he prescribed Alcon drops for my corneal abrasions. It was a frustrating appointment for me as he doesn't seem to answer questions very well. He is sure that my dry eye is all a lack of oil and yet he says I have seborrhea. I asked if he saw skin flakes or greasy residue on my lashes and he said no, it's dry. I don't understand.
I specifically asked about my TBUT and the right eye is at 3 and the left (most symptomatic) is at 2. I didn't use the Alcon drops very much at all as they stung quite a bit. I did use Nutra-Tears, Dakrina and Dwelle quite a bit though and have been doing lid scrubs for a week, and the abrasions were gone.
He mentioned he might want to try a lower plug in my left eye next time to see if it would help. I am confused. If it is a MG dysfunction, what good will a plug do? Will a plug raise my TBUT? My left eye has been tearing for years. Usually, it's not enough to drip down my cheek, but it leaks along the crease in my lids and sits there leaving a salty mark. Will a plug make that worse?
My first instinct is not to get a plug. I do not really trust this doctor's opinion on anything thus far. I asked him today about lid scrubs and such for the seborrhea and he said they don't do any good in his experience and I shouldn't bother.
Can someone help me with the pros and cons of this and help me understand the anterior/posterior bleph? I thought the way he talked about lack of oil last time that I had MGD.
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