Investigating my symptoms, I need your help

[Alix]

Yesterday I saw the sixth eye doctor in three years. Tomorrow I will try LipiFlow for the first time cause apparently I also have MGD.

Hey there how did the Lipiflow go?

[gilles]

Yesterday I saw the sixth eye doctor in three years. Tomorrow I will try LipiFlow for the first time cause apparently I also have MGD.

You might want to try warmth compresses and massages + cleaning (e.g. blephasol) first.
Then some oral medication against inflammation and bacteria (e.g. minocycline),
then cyclosporine eyedrops.
And after that tear duct plugs.

These steps have more scientific literature about mgd.
Between these steps you could also free lance with lipiflow, sure, but I'd try these steps chronologicly.
Anyway, don't forget to search for the root cause of your dry eyes too, while stopping the syptoms (e.g. an oily skin type, screen use, vision problem and prescription glasses, bacteria, hormones, allergies, ...)

[Fenix]

Yesterday I saw the sixth eye doctor in three years. Tomorrow I will try LipiFlow for the first time cause apparently I also have MGD.

[gilles]

As strange as it may sound: for me it is the complete opposite. My eyes can get dry as soon as I am 20 minutes behind a computer screen reading an article, but I have no problem reading books a whole day long. But it is more the reading of the screen that makes my eyes dry, because I could be using a computer for programming and only start to have dry eyes after an hour.
I recently found out that I can watch series again when using prescription glasses (very low prescription, for far distances), where I always sit a bit farther from my screen. My eyes don't get as dry as they used to when watching series. Maybe my eyes are having it a little bit "easier" with the help of the glasses, thus giving them enough rest and blinking opportunity.
But reading is no problem, even the opposite happens then: my eyes get well hydrated naturally again.
I am also quite sensitive to artificial light, like Alix mentioned. So in the evenings I will hug onto the prescription glasses, which give some relief.

Off topic: I noticed my nose gets dry once my eyes are dry. But I guess this might have something to do with the fact that there is no fluid humidifying the nose via the tear duct (as it already evaporated)

[Alix]

I have low Schirmers score (8) and Blepharitis, and have problems with eye strain as well, especially when on my PC or reading. This is worse in the office or in the evenings at home where there is artificial lighting. I can’t go to the cinema anymore.

If your eyes are not perfect, then logically it is normal that they are going to start aching when you put them under stress.

When I have been to see private ophthalmologists here in London and overseas (Spain) I have had to complete the Ocular Surface Disease Index questionnaire and thats one of the questions in it (something like do you have problems reading?), so dry eye and eye strain are related.

If the pain is unbearable I would go see your doctor again.

[Fenix]

I'm pretty sure to have dry eye (shirmer < 5mm),blepharitis and some kind of allergic reaction, but I have a question that I can't answer by myself:

I am able to work in front of a computer for 8 hours if I rest my with some breaks. Working tires the eyes but I have no particular consequences. the next day I can like the day before.

The problem I'm investigating on:
If I read a book, after 15+ minutes my eyes starts to feel tired. I start to lose focus, like I'm a little confused.
If I continue to read for 60+ minutes, I feel a sort of pain/headache around the eyes. The consequences are that I have to stop everything and going to bed early to rest my eyes. The next day the eye discomfort is softened, and If I want to feel better I have to spend the entire day resting my eyes.
(I wear glasses, the eye doctor and the optician says that the glasses correction is correct.)
this problem is caused also when I watch movies and play videogames. This is the reason why I have stopped all my hobbies... I work and rest, work and rest.

I need to study on books, I can give up on movies, videogames etc, but i need to study and read books.
It can be a dry eye consequence, but maybe can be related to glasses or other problems. I don't know.

Does it happen also to you guys?
Do you think that it is related to dry eye?
Let me know.