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  • Average LLT?

    What does this mean exactly?

    My results show LLT as 44nm and 45 nm



  • #2
    It means Lipid Layer Thickness. It is measured via examing the color pattern on your eye surface. Probably you did measurements in a dark room, while you were supposed to blink.
    The more colorful your oil in your tearfilm, the thicker it is.

    My LLTs were between 25nm and 35nm, which is severe dry eyes...

    Anything above 100nm is considered to be normal. Everything below 60-70nm (I i remember correctly) should make you feel symptomatic.

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    • #3
      I find myself wondering how much someone might expect the nm to increase after treatment (like Lipiflow for example)
      Last edited by Kabuto; 02-Aug-2018, 05:13.

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      • #4
        Originally posted by dede29 View Post
        It means Lipid Layer Thickness. It is measured via examing the color pattern on your eye surface. Probably you did measurements in a dark room, while you were supposed to blink.
        The more colorful your oil in your tearfilm, the thicker it is.

        My LLTs were between 25nm and 35nm, which is severe dry eyes...

        Anything above 100nm is considered to be normal. Everything below 60-70nm (I i remember correctly) should make you feel symptomatic.
        So you mean above 100nm is normal.

        I have both eye above 70. one eye is around 80 I think. But my eye still feel uncomfortable. and I do have blockage.

        From your experience, is that a weird result?
        i

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        • #5
          Hi hyzlt

          LLT/MGD/tear film is just one of triggers. Also need to tackle:
          inflammation (bacteria, demodex)
          if lids are sealed when sleep
          allergy to food, dusts, chemicals, smoke, comestics etc.
          aqueous or goblet cells deficiency
          conjunctivochalasis (CCH), most common symptom: tearing, pain

          Anterior basement membrane dystrophy (ABMD)
          pain upon walking in the morning, blurring/ghosting vision, photophobia, tearing

          medications, other health issues etc.
          --- some of these are often overlooked as they share similiarities to dry eye --
          Last edited by MGD1701; 04-Aug-2018, 06:57.

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          • #6
            Never forget that one day you may have an LLT > 70nm and the other day it may only be 50nm...

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            • #7
              Originally posted by MGD1701 View Post
              Hi hyzlt

              LLT/MGD/tear film is just one of triggers. Also need to tackle:
              inflammation (bacteria, demodex)
              if lids are sealed when sleep
              allergic conjunctivitis
              aqueous or goblet cells deficiency
              conjunctivochalasis (CCH), most common symptom: tearing, pain

              Anterior basement membrane dystrophy (ABMD)
              pain upon walking in the morning, blurring/ghosting vision, photophobia, tearing

              medications, other health issues etc.
              --- some of these are often overlooked as they share similiarities to dry eye --
              As I know, I do not have demodex. I do have inflammation. One doctor even said my inflammation is more serious than blockage. I am now on xiidra . I cannot get access to IPL(heard that IPL is good for treating inflammation ).

              Now, I am only access to lipiflow. But I do not know if it is worth it since my lipiview result looks not bad

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              • #8
                Inflammation level
                best is to get MMP-9 test, should be more accurate than slit lamp examination
                Demodex is hard to detect - most doctors actually do not check this.

                BlephEx and effective lid hygiene help but
                without accurate diagnosis & objective data - just waste money/time & impossible stop progression!
                Last edited by MGD1701; 04-Aug-2018, 11:14.

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