Starbursts and ghosting, dry eye sensation without actual dryness.. HELP

[MGD1701]

Hi phenix

GLA is omega 6 but very good for dry eye. most doctors in USA recommend HydroEye. more info please visit their website.
Some recommend PRN, formulation of 3:1 re-esterified EPA and DHA only.
There are abou 6 different food contain GLA.
I do realized recently if I reduce/stop compress and omega 3/GLA, my eye are not good.

No oil flowing feeling: maybe your oil is now flowing, after LipiFlow, probing so you dont feel it?
or you did not feel it prior to probing as well? just curious!

[phenix01]

Thanks a lot. that is really interesting to learn.
So it is not capped too?? but from incomplete blinking as you mentioned?? What are your blinking numbers from LipiView??

Compress
You wrote ''mr Dr. said he never had to re-do probing with his patients (if they do warm compresses once a day for life)''
meaning you need to do compress once a day for the rest of your life???
Do you feel oil flowing when you do compress? Does dr recommend you massage after compress?
Well, I now know I need to do daily, regardless what dr says.

GLA - Aftering adding GLA with omega 3, my oil quality improves - you did not mention it so I just share it. There are many articles support such combination, if you care to read more.

Your doctor just detect such ''clogging from oil that became like a crust'' from slit lamp examination or oher tools?

Great you have finally found a doctor who is knowledgeable/helpful! Thank you.

Blinking: I'm not sure, lipiview said I blink ok, but to be faire when I'm asked to blink, of course I'll pay more attention to my blinking so I feel like the test is flawed. It does not catch me blinking in front of my computer for instance.

Compress: Yes, he says once a day for life. I might end up doing it once every other day.. To be fair when it comes to warm compress every Dr says something different. Some say to massage after, some say not to. Some say do blinking exercises, some say those are useless. I've heard about everything. I don't feel oil flowing when I do the compress but it feels good for sure.

GLA: what is it?

Clogging: doctor only did examination, he did not seem to worried about scarring or fibrosis.

I now need to solve my ghosting problem, so much trouble thanks to Lasik. I can't believe the FDA allows this non-sense.

[MGD1701]

Thanks a lot. that is really interesting to learn.
So it is not capped too?? but from incomplete blinking as you mentioned?? What are your blinking numbers from LipiView??

Compress
You wrote ''mr Dr. said he never had to re-do probing with his patients (if they do warm compresses once a day for life)''
meaning you need to do compress once a day for the rest of your life???
Do you feel oil flowing when you do compress? Does dr recommend you massage after compress?
Well, I now know I need to do daily, regardless what dr says.

GLA - Aftering adding GLA with omega 3, my oil quality improves - you did not mention it so I just share it. There are many articles support such combination, if you care to read more.

Your doctor just detect such ''clogging from oil that became like a crust'' from slit lamp examination or oher tools?

Great you have finally found a doctor who is knowledgeable/helpful! Thank you.

[phenix01]

My Dr didn't seem to think I had scar tissue, simply clogging from oil that became like a crust.

[MGD1701]

Hi phenix01

Thanks again for update.

Several mentioned in the forum that if one has scar tissue, probing helps.
Is that your case too? or just blinking issue? How did dr scar tissue then?
Just try to figure out how exactly probing helps.Thank you!

[ebi1368]

Yes this is also a factor that could cause distortion, which is what I was hoping for in my case. But I learned about those irregularities and now that I have better tear film I still have the distortions, so tear film was not the main issue in my case.

I see. You may want to do aa lipiview before doing PRK. You may feel more comfortable but your tear film is not normal (100nm) yet. Just something to think about.

[phenix01]

Also, I just searched the forum to see if anybody has the same symptoms as I have. I found this post:

http://forum.dryeyezone.com/forum/ar...s-and-dry-eyes

This lady did not have lasik or anything but since her mgd started, she got all these visual symptoms. I think everybody has some irregularities in their cornea surface but if you have a good tear film it can cover it.

Have you noticed any difference in your visual symtoms? Maybe it is too soon to tell.

Yes this is also a factor that could cause distortion, which is what I was hoping for in my case. But I learned about those irregularities and now that I have better tear film I still have the distortions, so tear film was not the main issue in my case.

[phenix01]

I went to a doctor in FL but not ******, PM me if you want info. After Lipiflow I had some glands unblocked and those were producing quality oil according to my Lipiflow Dr.

The reason why glands blocked is one no one seems to be clear about. In my case I do a lot of computer so less blinking, which was probably a contributing factor. My theory is that Lasik is also a major factor since your nerves get cut = less tearing and blinking = oil is still and clogs the glands.

For people in front of a monitor all day like me, warm compresses every other day is the best thing to do apparently to prevent clogging. Definitely not enough awareness out there.

[ebi1368]

Also, I just searched the forum to see if anybody has the same symptoms as I have. I found this post:

http://forum.dryeyezone.com/forum/ar...s-and-dry-eyes

This lady did not have lasik or anything but since her mgd started, she got all these visual symptoms. I think everybody has some irregularities in their cornea surface but if you have a good tear film it can cover it.

Have you noticed any difference in your visual symtoms? Maybe it is too soon to tell.

[edmunder]

For me glands were blocked and the oil that I produce was good (olive-oil like). Apparently fish oil can help to make your oil smoother.

Not sure how long you need to wait for PRK to be done after Lasik. I'm also not sure what causes these irregularities. For me my view was perfect right after lasik and irregularities showe up 3-4 months after. What I get from this is it takes time before it is all settled down, and intuitively I'd want it to stop moving before I get PRK. With that in mind, waiting one year may be safe imo.

So your glands were blocked but were making good olive oil. Did the doctor give a reason why the glands blocked?

Did you go to Dr. ****** in Tampa or to a local doctor for the probing?

Very good info here.

[ebi1368]

I just found this paper about doing PRK after lasik. It says min 2 years:

https://www.healio.com/ophthalmology...nt-after-lasik

[phenix01]

For me glands were blocked and the oil that I produce was good (olive-oil like). Apparently fish oil can help to make your oil smoother.

Not sure how long you need to wait for PRK to be done after Lasik. I'm also not sure what causes these irregularities. For me my view was perfect right after lasik and irregularities showe up 3-4 months after. What I get from this is it takes time before it is all settled down, and intuitively I'd want it to stop moving before I get PRK. With that in mind, waiting one year may be safe imo.

[ebi1368]

Thanks for update phenix01. I am glad you are feeling better.

I am wondering if your oil gland were blocked or it was just thick oil? I do not think I have blocked oil gland as I see little dots on my lid margin but it is so thick. When my doctor express my gland they are like toothpaste.

On visual distortion, I do notice that when I put drop and I do not blink it subsides my visual distortion. Do you know how long after lasik you can have PRK?

Since you have almost normal tears, have you seen any difference in visual distortion?

[phenix01]

ONE WEEK PROBING UPDATE

One week after probing, everything is great. Before Lipiflow, my eye comfort was 2/10 (can barely go to work), after Lipiflow I was 4/10, After probing I was 8/10, one week after probing I'm 8-9/10 depending on days (normal life). I work in front of a computer screen all day an can work late no problem now. So I am very happy with the result. My eyes are dry sometimes in the morning, I suspect that my eye don't shut fully when I sleep. Also mr Dr. said he never had to re-do probing with his patients (if they do warm compresses once a day for life)..!

VISUAL DISTORTION ADVICE

There has been some discussion on visual distortion. For those having it, I'd recommend this test. Look at lights where you have a distortion (halo, starbursts, etc.). Use a lubricating eye drop in each eye then without blinking look at the light again (you may blink once doesnt matter). If the visual distortion subside for a couple seconds (which is my case), then you know the issue is on the surface of your cornea. What happens is the drop fills the irregularities on the surface of your cornea and masks the irregularities, providing a smooth surface for a couple of seconds, until gravity removes the drop from an even position on your eye. If problem is on the surface, this is encouraging since PRK could correct this. In my case, I will have ot go forward with it since I can't even drive at night since Lasik. So I'm hoping for the best. It will probably be in fall, I will keep you guys updated in due time.

My Lasik surgeons kept telling me everything is fine. They are either not equipped to make a diagnostic (weird) or not honest and unwilling to admit that Lasik failed (even more weird and disturbing). My experience with eye doctors is: you need to see many of them, the level of proficiency varies a lot.

I would never recommend Lasik to anyone, way too risky. It may work with some people, but overall it is WAY to risky, and Lasik doctors don't tell you all of the potential risks, in fact they tell you nothing at all.

[diydry]

I would also love to hear how you are doing phenix01 !