Oil to No Oil

[MGD30]

Been a dry eye sufferer for years now and have tried a number of different drops, everything from restasis to lotemax to hylo, to serum. Have tried lipiflow and am currently seeing a corneal specialist. Also on doxy for about 3 years. I had my glands expressed about 3 months ago and the doc was very pleased that she got the oil flowing from several glands even though it only gave me about 2 days of relief. She expressed my glands again last week and couldn't get much oil flowing in either eye...maybe 2 in the left and one in the right. My question is..do the amount of glands that are open and flowing change back and forth from some to none, or many to few just naturally, or when they stop flowing are they closed for good? Have considered probing, but at this point my doc hasn't suggested it...thanks...Max

I was just looking over my Doctor's notes. My glands changed from one day to the next. One eye increased by two functional glands, the other by three. The increase by two might not sound like much but it went from 3 to 5 which was a 40% increase in just one day.