Can Muro 128 ointment be used long term?

[farmgirl]

Well apparently not if you have already done that and could not be functional.

[ebi1368]

I would suggest ebi that if you are over tearing that plugs are not your solution and I would try removing at least 2 of them, if not all until the over tearing subsides.
The rash could be caused by the excess salts from the overtearing irritating the thin sensitive skin on the lid. If that happens to me I protect it with a coating of Vaseline and that seems to help. It usually only happens in the inner corner which makes me think it is salts as I use unpreserved saline a lot.

If I remove plug I can not be functional. I lost one and it was so painful. Should I remove one plug and see how things go for a while?

[farmgirl]

I do. But with four plugs I have tear coming down my cheek. Even with lots of tear, my eyes are always painful. Should I try it for a few days?

I would suggest ebi that if you are over tearing that plugs are not your solution and I would try removing at least 2 of them, if not all until the over tearing subsides.
The rash could be caused by the excess salts from the overtearing irritating the thin sensitive skin on the lid. If that happens to me I protect it with a coating of Vaseline and that seems to help. It usually only happens in the inner corner which makes me think it is salts as I use unpreserved saline a lot.

[ebi1368]

I wouldn’t stop the compress, just make sure it’s not too hot. I’m not a doctor, but I’ve read studies that suggest doxy at 200mg for up to a year, for a rosacea patient, is safe and efficacious. I would try going to 200mg assuming your doc is ok with it and stay there. It’s the only drug that can fix the problem from the inside. Even steroids are a bandage in that regard. Doxy gets into the gland. I also think it would help your skin. I just found out they make a slow release especially for acne and rosacea patients..I’m going to try that in a few months.

If you haven’t been diagnosed with demodex, I would stop the tee tree oil. Can you get a diagnosis? I only say that because it burns. I would suggest hypochlorous avid spray. Avenova has been marketed as killing the demodex eggs. Not the actual mite. But assuming that’s true, after a few months, you should be exterminating them.

Can doxy make my condition worse. I noticed that since I started doxy my eyes are more painful. Not sure if it is because of doxy or something else.

[ebi1368]

Are you sure that you don't have a demodex infestation on your skin?

Honestly I do not know. Is there anyway that I could know that myself. I have been to so many doctors but I am not sure if they checked for that.

Do you notice cylindrical dandruff on the base of your eyelashes under a close look at the mirror?

I usually have dandruff in my eyebrows. Not sure about the eyelash. I wash my face a lot with water as it gives me temporary relief. Like I do that 10 times a day or more. SO I can easily miss it if I had.

I am using tea tree oil foam once a day for my eyelid. Should I increase it to twice a day?

[Milo007]

I do not have the rash right now. But you can see some rashes on my face.Also feel like, my eyelid is a bit swelled.

From the pictures it looks like you still have a rosacea flare.

Are you sure that you don't have a demodex infestation on your skin?

Since you have redness in the cheeks and nose I think you should use the tea tree cleanser on that part of the skin to see if it reduces the flare up. It might take at least two weeks to notice results. Rosacea could be due to demodex or without them.
So depending upon the results from the use of TTO foam on your skin you will come to know.

Once you know you have demodex in your facial skin you may specifically target the eyelashes. There's another way to know if you have ocular demodicosis.

Do you notice cylindrical dandruff on the base of your eyelashes under a close look at the mirror?

I wouldn’t stop the compress, just make sure it’s not too hot. I’m not a doctor, but I’ve read studies that suggest doxy at 200mg for up to a year, for a rosacea patient, is safe and efficacious. I would try going to 200mg assuming your doc is ok with it and stay there. It’s the only drug that can fix the problem from the inside. Even steroids are a bandage in that regard. Doxy gets into the gland. I also think it would help your skin. I just found out they make a slow release especially for acne and rosacea patients..I’m going to try that in a few months.

If you haven’t been diagnosed with demodex, I would stop the tee tree oil. Can you get a diagnosis? I only say that because it burns. I would suggest hypochlorous avid spray. Avenova has been marketed as killing the demodex eggs. Not the actual mite. But assuming that’s true, after a few months, you should be exterminating them.

[ebi1368]

I think you should consult a skin specialist for this particular concern. Rashes on eyelid skin maybe eczema or signs of ocular rosacea.

Treating skin problems that's contributing to inflammation is equally important.

Rashes on your eyelid skin is not a sign of conjunctivitis. But depending on the nature of the rash it could be blepharitis. A picture would be very useful in identifying what exactly is it.

I do not have the rash right now. But you can see some rashes on my face.Also feel like, my eyelid is a bit swelled.

[ebi1368]

No I think it's not demodex if the itching follows taping.




I think that's the actual reason for both your MGD and itchiness after application of tapes.

Firstly if you are doing warm compresses absolutely stop it and give it a break. Heat will only worsen your cutaneous and ocular inflammation.

Try to remember when was the first time you noticed the puffiness and soreness of your eyelids.

Was it before you started doing warm compresses?

Or was it a consequence of warm compresses irritating your eyelid skin?

I assume that you are not using any irritating eyelid cleaning products particularly the ones with tea tree oil. If yes please stop them on a temporary basis.

If your doctor has never mentioned that you have ocular rosacea I think it's a consequence of either bacterial blepharitis or irritation from eyelid hygiene practices.

You should give hypochlorous acid a try. Also since your eyelids and eyes are inflamed if possible run a course of 20mg doxycycline twice a day for a month and use azithromycin ointment at night. This will kill the inflammation fast. You can also complement them with cold compresses.

Once the inflammation is under control you can start experimenting with the tape. Until then I think you should use tranquileyes or eyeseals to protect your eyes from dessication at night.

Trust me I believe you are sleeping with your eyes open.

You can share a picture of your eyelids if you are not sure whether it's normal or not.

I forgot to mention I have Rosacea. Nobody told me that I have ocular roscea but I am sure that is the case too.

I have been on Doxyciling 100mg for two month. I tapered down to 40mg just recently.

I just started using eyelid cleaner with Tea Tree oil. Should I stop it?

I used warm compress whenever I have pain and it seems that it gets rid of pain temporary. SHould I still stop it?

[Milo007]

I get rashes on my eyelid once a while. like outside of my eyelid. Is that a sign of chronic conjunctivitis?

Most of the time drop does not relieve my pain.

I think you should consult a skin specialist for this particular concern. Rashes on eyelid skin maybe eczema or signs of ocular rosacea.

Treating skin problems that's contributing to inflammation is equally important.

Rashes on your eyelid skin is not a sign of conjunctivitis. But depending on the nature of the rash it could be blepharitis. A picture would be very useful in identifying what exactly is it.

[Milo007]

Like withing a few minutes. Is that a sign of demodex?

No I think it's not demodex if the itching follows taping.

My eyes are always sore. When I touch the top of my eyelid, I can feel it is painful. I am not sure if it is my eyes that is painful or my eyelid. I feel like my upper eyelid is a bit puffy. I am not sure if it is normal or I am obsessed about it. My eyes in the morning are super red. Like the way that I do not look at the mirror because I get stressed. So painful.

I think that's the actual reason for both your MGD and itchiness after application of tapes.

Firstly if you are doing warm compresses absolutely stop it and give it a break. Heat will only worsen your cutaneous and ocular inflammation.

Try to remember when was the first time you noticed the puffiness and soreness of your eyelids.

Was it before you started doing warm compresses?

Or was it a consequence of warm compresses irritating your eyelid skin?

I assume that you are not using any irritating eyelid cleaning products particularly the ones with tea tree oil. If yes please stop them on a temporary basis.

If your doctor has never mentioned that you have ocular rosacea I think it's a consequence of either bacterial blepharitis or irritation from eyelid hygiene practices.

You should give hypochlorous acid a try. Also since your eyelids and eyes are inflamed if possible run a course of 20mg doxycycline twice a day for a month and use azithromycin ointment at night. This will kill the inflammation fast. You can also complement them with cold compresses.

Once the inflammation is under control you can start experimenting with the tape. Until then I think you should use tranquileyes or eyeseals to protect your eyes from dessication at night.

Trust me I believe you are sleeping with your eyes open.

You can share a picture of your eyelids if you are not sure whether it's normal or not.

[ebi1368]

I believe eve if you have tears and arecstill in lots of pain. Something wise is going on that needs to be addressed. Based on what I now now, I would assume you have some odd lid disease. I wish you could get check for floppy eyelid. I say that because I’m wondering if you have chronic conjunctivitis. When I had tears or put in drops, I got no relief. Because the problem wasn’t dryness. The dryness was a result of the chronic conjunctivitis.

I get rashes on my eyelid once a while. like outside of my eyelid. Is that a sign of chronic conjunctivitis?

Most of the time drop does not relieve my pain.

[ebi1368]

Is it so that your lid margins get itchy right after applying the tape?

Like withing a few minutes. Is that a sign of demodex?

Also do you perform anything like lid margin debridement or aggressive eyelid scrubbing?

I used to do lid margin debridement but I stopped it as I thought I did not help. One doctor told me that I do not have demodex. Not sure if it is something easy to spot.

Are your eyelids sore to touch (especially near the base of your eyelashes?

My eyes are always sore. When I touch the top of my eyelid, I can feel it is painful. I am not sure if it is my eyes that is painful or my eyelid. I feel like my upper eyelid is a bit puffy. I am not sure if it is normal or I am obsessed about it. My eyes in the morning are super red. Like the way that I do not look at the mirror because I get stressed. So painful.


Thanks for your informative response Milo007 and guest

[Milo007]

Because even with a chamber or a shield, if the eye was open, it still got dry.

Totally agree with this. As I said moisture chambers didn't work for me. Tapes do.

So once we healed the eyelid. They finally closed at night. I do not tape anymore. I refuse to do that. I know for a fact it increased my IOP and/or caused corneal edema. So people worry about glaucoma with steroids, and you should. However pressure on the eye will increase IOP too. So I’m this position, you gotta make a tough decision.

The same thing happened with me. My IOP increased significantly after I started taping my eyes. My opthalmologist also said that I have red eyes right after removing the tapes because of a decrease in oxygen permeability while my eyelids are taped overnight. Normally our eyelids are slightly open when we sleep so small amounts of oxygen always seeps through and prevents hypoxia of the ocular surface. Taping eyelids shut completely induces marginal hypoxia so that the blood vessels dialate in an effort to supply more oxygen. Hence the reddish appearance of the palpebral conjunctiva and the corners of the eyes.

But he said anyway it's better to tape my eyelids than to leave the eyes vulnerable to dessication. The benefits outweigh the risks.

Google, eyeglass ear grip. Put those on the back of your moisture chambers and they will keep them on at night. If you’re this bad however, I think you will need tape. I needed tape at my worst. Because even with a chamber or a shield, if the eye was open, it still got dry.

I believe eve if you have tears and arecstill in lots of pain. Something wise is going on that needs to be addressed. Based on what I now now, I would assume you have some odd lid disease. I wish you could get check for floppy eyelid. I say that because I’m wondering if you have chronic conjunctivitis. When I had tears or put in drops, I got no relief. Because the problem wasn’t dryness. The dryness was a result of the chronic conjunctivitis.

So once we healed the eyelid. They finally closed at night. I do not tape anymore. I refuse to do that. I know for a fact it increased my IOP and/or caused corneal edema. So people worry about glaucoma with steroids, and you should. However pressure on the eye will increase IOP too. So I’m this position, you gotta make a tough decision.