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Does the eyelid margin and chalasis burning ever stop?

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  • Does the eyelid margin and chalasis burning ever stop?

    I'm trying everything I can... IPL, lipiflow, compresses, sprays, wipes, drops, etc.

    Everyday, my eye lid margins are burning. It's not a "fire" burning sensation but more like an "acid burning" sensation. I've been told many times that I have mild to severe levels of conjunctival chalasis on the outer bottom corners of my eyes. Could that be the reason why I am experiencing such burning on my eyelid margins? I am 9 days post second IPL treatment with Toyos. I feel like I should be experiencing some improvement with my glands. Looking in a 10x magnifying mirror, my glands are still toothpaste.

    Is the pain/burning in my eyelid margins there because my meibum is trying to get out of blocked glands? In my mind, I just picture a garden hose that has a clog, and the water is trying its hardest to escape. Is that what's going on in my lids? I also want to add that my lids are always very clean in the morning. I don't wake up with yellow crusts or mucus like many others experience. My lids are very clean with I wake up, just very dry. Throughout the day, it gets oily, which irritate my eyes.

    My eyes are red and burning, yes, but only where the chalasis are (on the outer corners of my eyes). I've seen two doctors who want to perform my surgery for chalasis. Dr. #1 wants to do a resection + glue. Dr. #2 wants to do a resection + amniotic membrane graft + glue. Dr. #1 says not using an AMT will give me better results cosmetically and functionally. He says using AMT will cause a "meaty" appearance, and that I do not need the added expense of the graft (since insurance will cover everything but the amniotic membrane graft). Dr. #2 wants to do a basic chalasis surgery of cutting out the chalasis, adding in the membrane graft, and then gluing it all together. I've always read that amniotic membrane will promote healing and anti inflammation, so I am very curious why Dr. #1 wants to do the surgery WITHOUT amniotic grafts.
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