MGD Question

[Edan]

Hello,

My primary eye doctor, I have 3, states that I should not use any “eyelid scrub” for my MGD as this will remove needed lubrication. I have always been told the importance of keeping your eyelids clean, so I am confused.


Has anyone else with MGD been told not to use an eyelid scrub for this reason?


Thank you.

[Hokucat]

Hi Edan. Yes, one of the specialists I saw said not to use lid scrubs because it would remove any oils my glands were generating, and to only use water to do lid scrubs. Well I tried this for several days and my eyes felt worse, so went back to using lid scrubs, but changed to Ocusoft Lid Scrub Plus Foam which is pretty gentle. I do a very light scrub, only about 5-10 seconds per lid margin, and then rinse it off after, even though it says no need to rinse. This seems to work well for me. See if your eyes feel better not doing any lid scrub or using water to scrub, and compare to how your eyes feel using a lid scrub.

Were you able to get off the BAK eye drops?

[Edan]

“Were you able to get off the BAK eye drops?”

Yes.

After I did this, I was able to tolerate the GenTeal Gel at night, so I am back to sleeping 4 to 6 hours a night now.

[MGD1701]

Hi Edan
Most doctors recommend eyelid scrub and warm compress/massage twice a day (morning and before bedtime).
But I think it is important to do them in a 'right' order. I am still not sure what is correct.

My best guess is:

morning when wake up:
a) first scrub, compress/Blephasteam, massage, drop.
or b) first compress/Blephasteam, massage, scrub, drop

Before bedtime: compress/Blephasteam, massage, drop then lid scrub (to remove baterial etc).

what you guys think? Thanks!

[PG]

Your doc is wrong. The lid scrubs remove the inflammatory agents that collect on the lid margin. IMO this indicates that his knowledge of MGD is inadequate and you should remove him from your rotation of primary eye docs. When I wake up in the middle of the night with eye discomfort, the lid scrubs are VERY helpful. Systane scrubs are my favorite.

[MGD1701]

Hi Edan

I totally second PG. Some doctors are NOT knowledgeable - so we need to learn things by ourselves and help each other here.

I find these demo/info are pretty helpful by Dr Sandra Lora Cremers, MD, FACS
https://www.youtube.com/watch?v=0TTB...w&spfreload=10
http://eyedoc2020.blogspot.de/2017/0...ntroversy.html

[Klee]

I dont use warm compresses any more,every other day i just use the steam from a hot shower, just stand there,my main thing is cleaning along my lashline using a qtip and the rinseing well. So far i use a small amt of baby shampoo in a glass of water. I think the heat was causing my lid blepharitis to flare,my vision could be better,but the bleph has calmed down. I think the heat was causeing the oil to come to the surface of the lid causing bleph flares.

[MGD1701]

Some doctors warn us NOT to use baby shampoo and I finally found out why (simplest explaination: bacteria + oil = soap)
Many doctors recommend Avenova but it is not available in Europe so my new solution:
tea tree oil shampoo, soapfree, no parfum/conservatives - it works well for me.