What is the natural progression for someone with Dry Eye

[Dreeyegirl199]

They say for bacterial mgd dry eye and blepheritis , Azasite is very effective. I have acqueous deficiency so it did not work for me.

[mbperso]

Hi MGD1701 ,

Yellow discharge became clearer and much less than before.

Gritty/Dry at wakeup
Good to know you haven't it at wakeup. That proves it is not just because of MGD.
I had itchy but after using Cliradex or 50%TTO once a day, itchy is gone
Could be allergy because after using allergic drop for 3 weeks, a foreign body sensation is gone.
No fan when sleeping.
None of doctors I visited told me that I have red eyes, but with magnifying mirror x20 I can see some red blood vessel.

So my plan is continue TTO and allergic drop. No other idea.

[MGD1701]

'Yellow' discharge is not normal but creamy or clear, I think. But if you manage to get it out, maybe ok.

Grittiness
I seldom have it now. Even I do, not upon wakeup.
I suspect maybe link with demodex, if you also have itchy, red eyes? or allergy?
Do you have fan or air con. running when sleep? that could dry eyes too??

Good to consult dr and let us know. Thanks!

[mbperso]

Hi MGD1701 ,

Thanks for this interesting info.
Indeed at wake up I used to have yellow mucus but after starting heat and massage it has become normal. Everybody has it I think.
My staph analysis are ok, so that means there is no infection.
Regarding the gritty eyes at wake up, what is the link and how to treat it ?
Do people/you with MGD have this gritty symptom at wake up ?

[MGD1701]

Hi mbperso

This seems to answer your questions

January 17, 2018| By Korin Miller

The Fascinating Reason You Get Eye Boogers When You Sleep

Eye doctors sometimes refer to these ocular boogers as “rheum.”
Rheum is basically a mucus-based discharge that builds up in your eyes as you sleep, JP Maszczak, O.D., assistant professor of clinical optometry at the Ohio State University College of Optometry, tells SELF. This happens as an extension of your normal eye function.

Your eyes are constantly bathed in a tear film that helps them stay moisturized and allows you to see as best you can, according to the National Eye Institute. This tear film is comprised of an oily layer on top to keep tears from evaporating too quickly, a watery layer in the middle to provide nutrients to your corneas (the dome-shaped surface on your eyes’ outer surface) and your conjunctiva (the mucus membrane that covers the front of your eyes and inside of your eyelids). Finally, there’s a mucus-based layer that binds to the watery one to help your eyes stay wet.

Rheum is mostly made up of that mucus, though it also contains some water, oil, and skin cells, Sajeev Kathuria, M.D., F.A.C.S., an ophthalmologist with Katzen Eye Group, tells SELF. You’re producing the matter that makes up rheum all the time, but it’s more obvious after you sleep.

When you’re awake, you’re constantly blinking. This washes excess tear fluid that would form into rheum away into your eye’s tear drainage system, Dr. Kathuria explains.

But when you sleep, this matter has a chance to collect in the corners of your eyes because you’re not blinking. When exposed to air for long periods of time, it will harden, forming little balls of crust. FYI, there’s a right way to get rid of these eye boogers, and you’re probably not doing it.

Most people tend to use their fingers to try to dig out eye boogers or scrape it away with their nails—but you shouldn’t. For starters, you can scratch your eye or accidentally put bacteria in there that can lead to an eye infection, and it’s also just not the most effective way to handle this.

Instead, it’s best to take a washcloth, wet it with warm water, and then press it to your eyes to soften the crust, Dr. Kathuria says. Once it’s soft and easier to move, gently rinse the area with plain warm water or wipe the booger away with your washcloth.

...............

If you’re dealing with a serious eye booger situation, it might be time to call your doctor
There’s no set amount or volume of eye boogers you should be dealing with in the A.M. Much like snowflakes, everyone’s eye booger situation is unique. But if you find that you’re seeing a lot more of it than normal and you’re not sick, it’s probably time to call your eye doctor. That’s especially true if you don’t have anything like a cold that would normally turn your mucus yellow or green, but your eye boogers still take on one of those hues. That can signal an eye infection. You should also sound the alarm if your increased eye boogers come along with pain, sensitivity to light, or eye redness—those are all signs that you may have some sort of infection or condition that needs treatment, Dr. Maszczak says.


full text https://www.self.com/story/why-you-get-eye-boogers

[mbperso]

That's just another symptom of your dry eye...your eyes aren't evaporating tears at night, which is good. Probably means you don't sleep with your eyes open. Then you wake up, you feel great and as the day progresses, as your eyes are open and exposed to air, they dry out and get inflamed. So as the day progresses they burn. Then you close them again for 8 hours, they recover, then you start the cycle again.

Hi
Reading this post I'm wondering whether you (or anyone) can explain my gritty eyes that I only have at wake up ?
I have MGD and Demodex. In the day I can control symptoms but every morning at wake up, my eyes are gritty and very dry.
Then in the shower I let the hot water run on my face for a few minutes and gritty sensation goes away. (I think it is equivalent to hot compress)

[jack1988]

That's just another symptom of your dry eye...your eyes aren't evaporating tears at night, which is good. Probably means you don't sleep with your eyes open. Then you wake up, you feel great and as the day progresses, as your eyes are open and exposed to air, they dry out and get inflamed. So as the day progresses they burn. Then you close them again for 8 hours, they recover, then you start the cycle again.

So, my results are back from the eye doctor. My glands are okay. They did unblock a couple and expressed them while I was there, everything was normal. The problem on my right eye is that I have a little bit of scarring on the edge of the cornea due to squint surgery w few years ago. This tiny area has dry cells due to the scarring.

Could anybody recommend some type of drops for this particular type of dry eye?

[Hokucat]

Different drops work for different people, depending on the severity of the dryness, what is causing their dry eyes (MGD, aqueous deficiency, allergies, etc.), whether they have an intolerance to certain ingredients in the drops, etc. For example, Refresh is a brand many people like, but the main ingredient in most versions of their drops is Carboxymethylcellulose Sodium, which bothers my eyes, so I can't use that brand at all.

If you find Hylo-Forte works well for you, that's good. For future reference, here's a "Drops, Gels and Ointments Ingredients List" Rebecca maintains on the Dry Eye Zone that you may find helpful.

https://dryeyeshop.com/pages/lubrica...reference-list

[jack1988]

Jack, this may have already been mentioned to you, but some have found wearing moisture chamber goggles at work, in the house, and outside helpful to keep the air out during the day. 7Eye, Wiley and Zienna are some favorites. The goggles can be ordered clear for indoors or shaded for outdoors.

https://dryeyeshop.com/collections/d...ses-sunglasses

I used to wear goggles at work and outside, along with using a thicker longer lasting eye drop to provide an extra barrier from the air. I used Systane Ultra originally, but when I needed a better sealant, I started using Genteal Severe Eye Gel under my goggles. Some people like Refresh Celluvisc. Sometimes even the Genteal was good enough alone, if the air conditioning or fan was not blowing.

https://dryeyeshop.com/collections/s.../systane-ultra

https://dryeyeshop.com/collections/d...ts/genteal-gel

Am assuming you're using your eyes at work on the computer, reviewing documents, focusing on something, etc. so probably blinking less. It may also help to do blinking exercises to keep the oils flowing, especially at work, and also take breaks to rest your eyes.

http://www.skyvisioncenters.com/blog...exercises-app/

Thanks for the info.

I used Hylo-Forte drops, aren't they like the gold standard? Are there better drops out there that will help?

[Hokucat]

Jack, this may have already been mentioned to you, but some have found wearing moisture chamber goggles at work, in the house, and outside helpful to keep the air out during the day. 7Eye, Wiley and Zienna are some favorites. The goggles can be ordered clear for indoors or shaded for outdoors.

https://dryeyeshop.com/collections/d...ses-sunglasses

I used to wear goggles at work and outside, along with using a thicker longer lasting eye drop to provide an extra barrier from the air. I used Systane Ultra originally, but when I needed a better sealant, I started using Genteal Severe Eye Gel under my goggles. Some people like Refresh Celluvisc. Sometimes even the Genteal was good enough alone, if the air conditioning or fan was not blowing.

https://dryeyeshop.com/collections/s.../systane-ultra

https://dryeyeshop.com/collections/d...ts/genteal-gel

Am assuming you're using your eyes at work on the computer, reviewing documents, focusing on something, etc. so probably blinking less. It may also help to do blinking exercises to keep the oils flowing, especially at work, and also take breaks to rest your eyes.

http://www.skyvisioncenters.com/blog...exercises-app/

Strange that in the morning they don't burn at all, but then around the evening time they do burn. Also, my lubricating drops also burn my eyes in the evening, but do not in the morning.

That's just another symptom of your dry eye...your eyes aren't evaporating tears at night, which is good. Probably means you don't sleep with your eyes open. Then you wake up, you feel great and as the day progresses, as your eyes are open and exposed to air, they dry out and get inflamed. So as the day progresses they burn. Then you close them again for 8 hours, they recover, then you start the cycle again.

[jack1988]

I can't say exactly why, I can make guesses based on my experience with MGD and my research on the subject.

1) you have evaporative dry eye, so when you're exposed to the wind, you're tears are evaporating at an extremely fast rate. That send a signal to your brain, hey, we're dry. So you start what's called reflex tearing to compensate for the evapotation.

2) you probably have some ocular surface inflammation that's causing your drops to sting more. That was the case for me and once the steroids got me under control, my eyes felt way better. Same with the serum drops, that gave me pretttymuch complete comfort.

It could also be that the specific drops your taking just burn as a side effect. My restasis burns for about 30 mins after in put it in. Just the nature of the drug.

Strange that in the morning they don't burn at all, but then around the evening time they do burn. Also, my lubricating drops also burn my eyes in the evening, but do not in the morning.

thanks for all the advice

I will give you a run down of my symptoms / routine during the day.

7:00am Put in FML steroid drops - no stinging
7:30am Put hylo-forte drops in both eyes - no stinging (also take omega 3 at this point)

09:00am - take doxy tablet after breakfast

12:00 Put in FML drops - no stinging
12:30 Put in Hylo-Forte drops in my right eye only- rarely this can sting a little

Finish work at 16:00: when i step outside my eyes water/sting for a couple of minutes

16:30 Put in FML drops (can sting my right eye sometimes)
16:45 Put in hylo forte into both eyes (my right eye usually stings a lot at this point)

17:00 clin lids and compress etc...

21:00 Put FML drops in my eyes

22:00 go to bed

Question 1: what do you think it causing my eyes to water when i go outside after work.
Question 2: Why do my eyes sting in the evening when i administer drops?

Thanks

I can't say exactly why, I can make guesses based on my experience with MGD and my research on the subject.

1) you have evaporative dry eye, so when you're exposed to the wind, you're tears are evaporating at an extremely fast rate. That send a signal to your brain, hey, we're dry. So you start what's called reflex tearing to compensate for the evapotation.

2) you probably have some ocular surface inflammation that's causing your drops to sting more. That was the case for me and once the steroids got me under control, my eyes felt way better. Same with the serum drops, that gave me pretttymuch complete comfort.

It could also be that the specific drops your taking just burn as a side effect. My restasis burns for about 30 mins after in put it in. Just the nature of the drug.

[jack1988]

The strongest I've seen for eyes is .015% so maybe it's not going to be harsh, but just be aware, I personally wouldn't recommend it. Good luck.

thanks for all the advice

I will give you a run down of my symptoms / routine during the day.

7:00am Put in FML steroid drops - no stinging
7:30am Put hylo-forte drops in both eyes - no stinging (also take omega 3 at this point)

09:00am - take doxy tablet after breakfast

12:00 Put in FML drops - no stinging
12:30 Put in Hylo-Forte drops in my right eye only- rarely this can sting a little

Finish work at 16:00: when i step outside my eyes water/sting for a couple of minutes

16:30 Put in FML drops (can sting my right eye sometimes)
16:45 Put in hylo forte into both eyes (my right eye usually stings a lot at this point)

17:00 clin lids and compress etc...

21:00 Put FML drops in my eyes

22:00 go to bed

Question 1: what do you think it causing my eyes to water when i go outside after work.
Question 2: Why do my eyes sting in the evening when i administer drops?

Thanks

My steroids are 0.1% Fluorometholone.

It says the acid is safe around the eyes and it's 0.2%.

The strongest I've seen for eyes is .015% so maybe it's not going to be harsh, but just be aware, I personally wouldn't recommend it. Good luck.