How do doctors check to see if your glands are dormant (scarred over)

[pythonidler]

thanks, and have you noticed an improvement?

Hard to say. Right now I'm not using them because they are prescription goggles, and my scleral lenses are also prescription - so I can't wear them both at the same time.

[jack1988]

Hard to say. Right now I'm not using them because they are prescription goggles, and my scleral lenses are also prescription - so I can't wear them both at the same time.

at least you are getting some comfort

I am on FML and Hylo-Forte atm, but will look into blue light filtered lenses

[Hokucat]

Hi Jack. Regarding diet advice, different things work for different people because we have various underlying causes and levels of severity. But I would suggest making additions or eliminations to your diet one at a time, trying each change for at least one week. I kept a detailed daily log of everything I ate and drank (as well as supplements and meds taken, exercise, etc.) and how my eyes felt in order to determine what helped and what bothered my eyes. It was a lot of work, but that's how I discovered what personally helps me:

After my last meibomian gland procedure, I started drinking fresh lemon juice in strong green tea 2x daily. Within a week eyes felt less dry. I think somehow the lemon/tea was the most effective of any diet changes (or of any meds or treatments) because the natural antibacterial, antibiotic, and anti-inflammatory properties of the lemon/tea helped my gut, immune system, and overall body including the glands in my eyes function correctly from the inside out.

Other things I found beneficial (or detrimental) in my diet:
-Protein, like juicy salmon or periodically a small portion of quality steak or prime rib (I know, right!? Beef does work for me for some reason every time, but I limit it).
-Spinach or kale salad.
-A cup of berries (blueberries, blackberries, raspberries, strawberries) or pomegranate.
-Fresh juice made from a rainbow of vegetables, including kale, chard, collard greens, bok choy, beets, cucumbers, carrots, butternut squash, and parsley, and apples. When added parsley to the mix, had noticeable improvement in dryness.
-Drinking lots of water all day, including right before bedtime and as soon as I wake up.
-Limiting sugars, gluten, and dairy.

I also take flaxseed and fish oil, but don't think it helps me. I've been taking it for years, and never noticed any improvement.