Dry eyes MGD and Blepharitis from accutane?

[maddykav]

Hi everyone.
Ive signed up to this forum to hopefully find some people like me and to get a little hope for the future.

So for for the past 6 weeks I have been suffering from dry eyes, blocked MG and some inflammation on my upper lids.
Starting from the 1st of February I took roaccutane 20mg a day for 7 weeks before ceasing the course due to sore joints. It was about 3 days before I stopped the roaccutane that my eyes started going a little blurry, and then the upper right lid became very inflamed and my eyes started drying (particularly the right eye).
I went to a optometrist and he said I had MGD and that is was permanent.
I have been doing lid cleansing and hot compress since the 29th of March and the lid inflammation has reduced and they are no longer sore but the dryness is still there.
I am using systane balance drops but they don’t seem to be working and I am using them hourly at the moment.
When I apply them they sometimes irritate my eye as well, especially inner corner of my eyes (makes them itchy).

Very long post but I’m getting desperate, I just feel like I can’t live like this, it is effecting my whole life.

Thanks
maddy

[maddykav]

Sorry to make it go longer.
But I would like to add that this is all very sudden, I have never had dry eyes before and it was like I just woke up one day and boom! I had dry, irritated eyes.
I also had the Mirena inserted in August 2017. I saw that some people think this may be a link.

Also I’m a 24 yr old female.

Thank you everyone!!

[Lucky Shamrock]

It’s likely due to accutane. Accutane normally causes dryness in certain areas especially the lips, nose, hair, eyes and skin. Your eyes must have dried out quite a bit which caused irritation leading to the inflammation. You might still have it because it takes a good month for accutane to be out of you system but could take longer.

I think it’s good sign how you have mentioned that they’re are no longer sore and that the inflammtion has gone down. If it’s improving that’s really good. I’d keep going with your routine at the moment. Regarding the eyedrops, they don’t always work for everybody. For me personally they irritate my eyes more and sometimes casue overtearing! You could try other eyedrops and see if they work better than the Systane ones.

Hope everything goes well!

[hannahmaywils]

Hi!

I am very keen to share my story with all of you who suffer with dry eyes, its nice to to know I am not the only one out there! I am a frequent visitor of this website and have been for some time, so have decided to create an account and share my story.

It all started when I was 21 years old, in my second year at university. I was a contact lens wearer, as I played squash everyday for my university team ( I also represented wales and England!), however that all came to an end. I began having difficultly wearing contact lenses for more than a couple of hours as my eyes would feel so dry, so resulted to glasses and only wore my contact lenses when I was on the squash court. This was fine, up until the last year. I went into the chemist and brought myself some Hylo-Forte ( red ones) eye drops as my eyes were getting worse by the day. I finally reached out to my parents, to which I was referred to a specialist in Manchester. He put me on antibiotic drops at first and eye drops for a week, of course nothing changed. He then suggested punctual plugs in my lower tear ducts, so I gave them ago. I felt moisture straight away, however I was very aware of them in my eyes which unfortunately led me to have them out. Given that there was success with the plugs, in terms of an increased tear coating he suggest going ahead with permanent punctual cautery of the lower punctrum. I was of course happy to go ahead with this procedure. Everything went well, and my punctrum healed very well. However, it had been a few weeks post op, and my eyes were still dry and I was still using my drops every half hour or so. I went back and he put some punctual plugs in my upper punca. WOW! I felt amazing! Watery eyes, but not excessive! I really was not complaining about the few tears that streamed down my face. Anyway, I i felt 100% better, I was only used my drops once in the morning and that was it! I was able to wear make up again, go for runs outside, go out till late with my friends! I had my normal life back. This lasted for about 7 months. During this time, I also got an office job, it is 3-11pm shifts. All was going well for the first 3 months and then suddenly my symptoms returned. I was heart broken. My upper plugs were still in place so I was confused as to what went wrong. Anyway, I went back to my specialist in Manchester and he suggested recauterising my lower tear duct again as they apparently can re-open. I had this done, and he also put in complete ocluders plugs in my upper ( I didnt realise you could have different plugs). So i basically had no tear drainage. I felt good again, for a week. Anyway my issue now is that I have swollen eyelids ( DOES IT EVER STOP!). I have been told I have blepharitis so I am doing the warm compresses, baby shampoo etc. Not really helping if im honest. I am due to see my specialist again, although I feel he has played his part in helping my eyes. But I am desperate. So my questions are

1) Hormones? I have never looked into this side of things but have read a lot of info on this website. I have the marina coil in, does this affect dry eyes?!
2) I take all the supplements, flaxseed oil, tumerin, omega three etc. Anything else I should be aware of ?
3) HELP!

I was even considering having all of my tear ducts permanently closed, but my specialist is obviously hesitant to do this because of my age. He thinks the environment in my eyes will eventually change! I think the opposite. However, I will not give up. I will find a CURE for my eyes no matter what it takes. I feel for every one of you who suffers from dry eyes.

Its 2018, surely we are getting close now!

Anyway, feel free to ask me any questions, likewise I will be grateful to hear your feedback