What is the natural progression for someone with Dry Eye

How did you find out that you the issue was caused by bacteria ?

When he expressed the meibum he said and I quote, "you have a foamy meibum which suggests the ph is off due to lipase activity caused by bacteria". That's why he wanted me on doxy, to get inside the infection...he said doxy or a systemic antibiotic is the only way to treat MGD from the inside. You can compress, lipiflow, whatever you want but it's just superficial.

[mbperso]

Yes, I have mild blepharitis caused by an overgrowth of bacteria in my meibomium glands.

How did you find out that you the issue was caused by bacteria ?

[jack1988]

Yes, I have mild blepharitis caused by an overgrowth of bacteria in my meibomium glands. That threw off the PH and consistency of my meibum and caused most of my issues. You need someone to express your glands under the slit lamp and id also get a meibeview if the expression is odd. that way you can see if the glands are functioning. Almost all dry eye is related to MGD, very few are legit aqueous deficiency. So my gut is telling me you may have some bad glands or lack of expression, thick meibum, something thats causing this reflex tearing....because it sounds like evaporative dry eye. You may produce too much oil, thats can cause this issue as well.

What made you go into the doctor? did you all of a sudden get this tearing or have you had issues for a while? was there an event that set things off in a bad way?

I had squint surgery on my right eye a few years ago, and since then I have noticed that it is dry when I wake up sometimes, then over the past few months I have noticed after 12pm it starts getting really sore and red. My right eye is worse than my left in terms of dryness. Hylo-forte takes the edge off but that's about it

Yes, I have mild blepharitis caused by an overgrowth of bacteria in my meibomium glands. That threw off the PH and consistency of my meibum and caused most of my issues. You need someone to express your glands under the slit lamp and id also get a meibeview if the expression is odd. that way you can see if the glands are functioning. Almost all dry eye is related to MGD, very few are legit aqueous deficiency. So my gut is telling me you may have some bad glands or lack of expression, thick meibum, something thats causing this reflex tearing....because it sounds like evaporative dry eye. You may produce too much oil, thats can cause this issue as well.

What made you go into the doctor? did you all of a sudden get this tearing or have you had issues for a while? was there an event that set things off in a bad way?

[jack1988]

This is such a hard question to answer...do you have A diagnosis on what type of dry eye you have? For example, I have evaporative dry eye caused by MGD. My meibomium glands produce a foamy type of meibum...it's like getting soap in your eyes. Do you have an autoimmune disease? I could keep going but my point is that it's hard to say.

I injured my eyes, conrbeal abrasions and it set off the worst pain I've ever felt in my life. I couldn't find relief then finally, for me, it was lid hygiene, hot compress, restasis and a light steroid called alrex. I just got my autologous serum drops today and just started those. I feel way better, id say I have my life back, plus slight inflamed eyes. But I can function, I can laugh again, life is better. Could it get worse, yes and it most likely will. So I would personally be as aggressive as possible when treating your disease. I just tried doxycycline also, got the stomach flu, thought it was the doxy and stopped. But I'm going to start back on that once I feel my gut is back to 100%. Why? Bevause my doctor said the best way to control the MGD from the inside out is with an antibiotic.

Id say go see more doctors, get a solid diagnosis, and don't wait...so it now.

thanks for the reply,

the doc told me my eye surface wasn't that bad at all and gave me hylo-forte. Do/did you have bleph?

My doc says i don't have bleph either, so weird!

This is such a hard question to answer...do you have A diagnosis on what type of dry eye you have? For example, I have evaporative dry eye caused by MGD. My meibomium glands produce a foamy type of meibum...it's like getting soap in your eyes. Do you have an autoimmune disease? I could keep going but my point is that it's hard to say.

I injured my eyes, conrbeal abrasions and it set off the worst pain I've ever felt in my life. I couldn't find relief then finally, for me, it was lid hygiene, hot compress, restasis and a light steroid called alrex. I just got my autologous serum drops today and just started those. I feel way better, id say I have my life back, plus slight inflamed eyes. But I can function, I can laugh again, life is better. Could it get worse, yes and it most likely will. So I would personally be as aggressive as possible when treating your disease. I just tried doxycycline also, got the stomach flu, thought it was the doxy and stopped. But I'm going to start back on that once I feel my gut is back to 100%. Why? Bevause my doctor said the best way to control the MGD from the inside out is with an antibiotic.

Id say go see more doctors, get a solid diagnosis, and don't wait...so it now.

[jack1988]

2Hi guys,

Over the past couple of months, my dry eye has gotten worse. The doctors, last time i went to see them, gave me Hylo-Forte. That helps a little bit, but my eyes are still sore, inflamed, and when i finish work and go outside they often stream with tears.

I am lucky i guess, bcos when i wake up in the morning, that is my most comfortable. I can open my eye no problem. But, after 12pm my eyes start to sting, and they go red. The Hylo-Forte takes the edge off, but that's about all it does.

So, my question is, what is the usual progression in terms of medication? I presume it is something like this

1) Artificial Tears/lubricant in the first instance.
2) Then Steriods / Immune depressive eye drops if Artificial Tears don't work
3) Plug the tears ducts

Am I along the right lines?


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My routine

Hylo-Forte x3 daily
Omega 3,6 & 9 4 capsules daily