Ophthalmologist specializing in dry eye - Athens

[ThomasG]

Hello everyone, I have increased dry eye due to dysfunction of meibomian glands (MGD) and blepharitis. I live in Athens and I am 16 years old, but I have not found an ophthalmologist to really help me with the problem. Everybody tells me to put only artificial tears and that is nothing. But these pockets have not helped me at all.

Any advice to be welcomed. Thank you

[farmgirl]

Its tough Thomas if there are no docs in your area that specialize in dry eye. I went to a corneal specialist because I was worried about my corneas and he is the only doc I have found that actually treats beyond drops and hot compresses. Are there any docs like that in your area. Have you tried moisture chamber glasses and or getting plugs for the tear ducts. Both of those were game changers for me.

I found a paper written by several doc but one was as follows:


Associate Professor in Ophthalmology and Clinical Lead, 2nd Department of Ophthalmology, “Attikon” University Hospital, University

of Athens, Greece;

Perhaps you could contact that department and see if they see patients or if that Dr is available in a private practice. Here is a link to the article:

http://www.touchophthalmology.com/si...odossiadis.pdf

Maybe this can help you find that specialist that you need.

[ThomasG]

Its tough Thomas if there are no docs in your area that specialize in dry eye. I went to a corneal specialist because I was worried about my corneas and he is the only doc I have found that actually treats beyond drops and hot compresses. Are there any docs like that in your area. Have you tried moisture chamber glasses and or getting plugs for the tear ducts. Both of those were game changers for me.

I found a paper written by several doc but one was as follows:


Associate Professor in Ophthalmology and Clinical Lead, 2nd Department of Ophthalmology, “Attikon” University Hospital, University

of Athens, Greece;

Perhaps you could contact that department and see if they see patients or if that Dr is available in a private practice. Here is a link to the article:

http://www.touchophthalmology.com/si...odossiadis.pdf

Maybe this can help you find that specialist that you need.

Hello thank you very much for the useful information you sent me. I'll be addressing one of these ophthalmologists soon . :-)

[farmgirl]

Let me know how you make out....F/G

[Guest]

Hey brother, fellow Greek here living in American, my names Panagiotis. I hope you find the help you need. If you need anything and I can help send it to you, let me know.

[ThomasG]

Hello to our beautiful community. Thank you very much for your help. I went yesterday to the ophthalmologist and told me that. I have eyelash and dysfunction of meibomian type 2-3 glands. I suggested thilogel the night before I sleep, artificial tears at least 3 to 4 times a day, optive plus and systane balance 2 times a day. She also told me to wear contact lenses for a few hours and wash the eyelids with a cleaning foam and make hot compresses. finally told me that my problem is because of puberty (because of hormonal changes).

What else do you propose to do? what did you do most? I'm thinking of buying the blephasteam device you've tried?


Thanks for time.

[MGD1701]

Great to hear. Did doctor take gland images?

Puberty (hormonal changes): interesting but no idea what is it? How did your doctor detect it? What are your symptoms?

Contact lense: what are purpose? to protect your cornea??

[ThomasG]

Great to hear. Did doctor take gland images?

Puberty (hormonal changes): interesting but no idea what is it? How did your doctor detect it? What are your symptoms?

Contact lense: what are purpose? to protect your cornea??

Thank you very much for your message. Contact lenses I wear anyway to correct myopia (-12 sph / 1.75 cyl) so he told me to wear them less. As far as I know I saw the gland inside and put me in a special device with circles that change color for the eyelash and dry eye. She told me I have blepharitis due to teen hormonal changes. (due to age).

[MGD1701]

Thanks!
Never heard blepharitis links to hormonal changes. Did dr said it is bacteria or demodex?

Good to know your glands and secretion status next time.
Glad you are aware that drops is not a solution and have take action to find more knowledagable dr
- I wish I did that long time ago to save my glands.

[Guest]

Thanks!
Never heard blepharitis links to hormonal changes. Did dr said it is bacteria or demodex?

Good to know your glands and secretion status next time.
Glad you took action to find more knowledagable dr - I wish I did that long time ago to save my glands.

The lacrimal and meibomium glands are filled with androgen receptors. So low androgens or high estrogen can really dry the eyes. That said, I'd never diagnose someone as having hormonal changes without a bloof test for testosterone free and total, E2, progesterone, FSH and TSH at least. Only then could you definitely say that's the reason...and there could still be other issues also.

I know now that I was a bodybuilder for years, I used to inject 1500mg test a week for years. It was 3 years after I stopped all exogenous test that my eyes started to really dry up. My free test was 60 the low end of the scale was 72 so I was LOW. I'm on 100mg a week test cypionate injections. It's helped a lot with depression and gland function imho. I think I'll need to be at 200 a week tobe optimal so I'll have him most likely bump me up next visit. I have a pituitary that doesn't really work.

So anyway, I'd always say get your hormones checked...they regulate so many processes in the body they shouldn't be left in a deficit.

[ThomasG]

Thanks!
Never heard blepharitis links to hormonal changes. Did dr said it is bacteria or demodex?

Good to know your glands and secretion status next time.
Glad you took action to find more knowledagable dr - I wish I did that long time ago to save my glands.

Good morning and thank you both for the interest and the discussion we are doing, it helps me a lot. The problem is indeed with blepharitis and meibomian type 3 glands. In order for there to be blepharitis, there may also be demodex and for what he gave advice on the use of contact lenses. (such as the lenses do not come in direct contact with the water, wash the cases only with the cleaning fluid not with water, wearing them as 8 hours a day, etc.). What else can I do about it? if there is demodex what to test?

[MGD1701]

Demodex
only tea tree oil can kill demodex but pure is risky.
Just focus on lid hygiene.
There are several useful videos from YouTube - but only the ones from eye doctors are safer/useful, such as

from Dr Sandra Cremers,
Use warm compresses and diluted tree oil (or Cliradex or Avenova) to clean your eyelids especially when you have foreign body sensation, gritty eyes, tearing, redness. See http://eyedoc2020.blogspot.com for more info.
https://www.youtube.com/watch?v=srfWtLRWdh8&t=2s

https://www.youtube.com/watch?v=j0kEZt79RHc
this is old, 2013 but explains very well, for doctors, how to diagnose
In the second of our video series on Demodex, Dr. Scott Hauswirth explains how to diagnose this tiny critter.

[ThomasG]

Thank you very much though it seems odd to me here demodex 16 years old I am. what will I suggest to try? is it worth buying blephasteam?

[MGD1701]

Lid cleanser
Maybe try the one your doctor recommends first and see how it develops.

Blephasteam: there are some studies show it is effective.
Many doctors consider steam/moist is better than dry heat, for me, it indeed works better.