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  • KittyCat
    replied
    gilles my eye doctor said I have no signs of bleph at all so there's no real need for me to practice rigorous eyelid hygiene unless I feel I really want to. Obviously I wash my face normally but I don't really fret about perfect lid hygiene! But that's just me!

    I also don't know the root cause of my dysfunction, but I did suffer from adult acne until very recently and have oily skin generally. I also wore contact lenses to death until I could no longer wear them (so uncomfortable), and my job as a proofreader staring at screens for far too long are, I think, my "multifaceted" reasons it's happened to me. I'm 34 and have zero other health problems so I don't believe it's a biological thing, or a systemic thing. I just thing I've abused my eyes for too long unfortunately. However, I am now feeling much much better after IPL and not wearing makeup for 6 months thanks to covid and working from home.


    Fun fact that weirdly made me feel a lot better, Jennifer Aniston suffers from chronic dry eye! There's a few articles out there where she talks about it quite a bit.

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  • gilles
    replied
    Originally posted by KittyCat View Post
    gilles I use something called 'Vital Baby Aquaint' as recommended by another UK user, as it's available on Amazon UK and pretty cheap! It's just Hypochloric Acid and I just spray it on my finger and rub it onto my eyes in the morning, just to get rid of any sleep crustiness and to moisten my eyelids. That's all I do as far as eyelid hygiene goes as I don't have any bleph! It's nice and refreshing. Sometimes I'll do it during the day if my eyes are feeling a bit dry and I don't want to use a lot of drops, but that's a rare day! For eyedrops I use Hyco San Dual and I use those anywhere between twice a day and maybe 6 times a day max.

    Cat
    I don't know the cause of the dysfunctioning of my glands, so to rule out the bacterial part I try to clean my eyelids. Maybe it is of no use and will only exacerbate the inflammation. I guess eyelid hygiene is only useful if having flaky and itchy eyelids with lots of dirt, bacteria and dandruff; which I don't have.

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  • KittyCat
    replied
    gilles I use something called 'Vital Baby Aquaint' as recommended by another UK user, as it's available on Amazon UK and pretty cheap! It's just Hypochloric Acid and I just spray it on my finger and rub it onto my eyes in the morning, just to get rid of any sleep crustiness and to moisten my eyelids. That's all I do as far as eyelid hygiene goes as I don't have any bleph! It's nice and refreshing. Sometimes I'll do it during the day if my eyes are feeling a bit dry and I don't want to use a lot of drops, but that's a rare day! For eyedrops I use Hyco San Dual and I use those anywhere between twice a day and maybe 6 times a day max.

    Cat

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  • gilles
    replied
    KittyCat, you said your routine now is warm compresses twice a day and blink exercises. Do you include eyelid hygiene (lid debriment, eyelid scrubs, etc.)?

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  • KittyCat
    replied
    Originally posted by benja5290 View Post

    Eyelid inflammation is blepharitis. So all the symptoms associated with blepharitis - puffy eyelids, potential scaling of the surface, flaky skin, blocked glands (even), crusting, lashes missing, demodex, etc.
    My understanding is that IPL works by reducing the gland inflammation. In some cases glands become blocked due to the glands being inflamed (many reasons - s dermatitis, bacteria, etc).
    Aaaah, so benja5290 and gilles in that case I have no inflammation that I know of. I'm lucky enough to have no signs of bleph, and my doctor has never told me I have any active inflammation.
    .

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  • KittyCat
    replied
    Originally posted by lipino View Post
    Awesome! Did they do the IPL directly on your eyelids with a corneal shield, or just around your face?

    The unfortunate thing about IPL is it can't be done on darker skin, the melanin is like natural sunscreen and absorbs too much energy.

    But it's not just the manual expression, there is good data that the IPL itself helps stop the inflammation. I've had warming and manual expression done and I didn't notice much difference, the glands just get clogged up again.
    Hey lipino,

    I wore eye shields and had 5 pulses each eye, nose to ear on my lower eyelid!

    Cat

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  • gilles
    replied
    Originally posted by LindaDawn View Post
    I had my 1st IPL 2 weeks ago. The doctor used a metal tool to express glands both upper and lower lids. It really hurt. She said my oils were a stage 1.
    So your oil is of good quality, being as it is 'only' stage 1?
    Did they mention a hypothesis of the cause of your dry eyes, knowing the oil is quite good (and no blockages; as I would imagine it'd probably be junk coming out)?
    Was there a meibography taken of the glands, to exclude gland atrophy?

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  • LindaDawn
    replied
    I had my 1st IPL 2 weeks ago. The doctor used a metal tool to express glands both upper and lower lids. It really hurt. She said my oils were a stage 1.

    Leave a comment:


  • gilles
    replied
    Originally posted by KittyCat View Post

    5 pulses on each lower eye lid!
    And nothing to the upper eyelid? How is the upper eyelid treated then (against inflammation)?
    This could, again, prove that the manual expression part is the most important part. And maybe IPL should be done separately from a warm compress with manual expression, but in one session; in order to have melted the meibum or plug with the compress rather than the IPL.

    Leave a comment:


  • gilles
    replied
    Originally posted by KittyCat View Post
    Hi gilles the term "eyelid inflammation" is something I see a lot, but I don't actually know what that physically looks like! How do I check this?

    I didn't have a meibography per se, I had infrared images of my eye lids taken, which showed the shape of my lower eye lid glands. The only thing "wrong" that my doctor could see, is that a couple of them weren't straight but rather starting to twist a bit, possibly making it more difficult for oil to flow freely? I don't know. But then she checked the state of the oil by pressing the glands and seeing what kind of consistency the oil is. So I think the imaging shows the shape and length of the glands (atrophy or non atrophy for example), and then manual expression should be carried out afterwards to see the state of the oil coming out. You need both of these things for a full picture I guess!
    Oh, I thought a infrared image of the glands was automatically a meibography.
    How did they perform manual expression to check the oil? With a squeeze from the fingers in one of the bottom eyelids?
    They should use that tool from Donald Korb (where the pressure = pressure of a blink) as a standard, in order to have consistent pressure and results. And do it at both eyes.

    I remember now that when doctors do it to my glands they sometime say there is nothing coming out, then one does it at the right eye (good eye) and there comes some oil out. And another doctor who said it came out, but very slowly (so meaning it is thick oil).

    Leave a comment:


  • gilles
    replied
    Originally posted by benja5290 View Post

    Eyelid inflammation is blepharitis. So all the symptoms associated with blepharitis - puffy eyelids, potential scaling of the surface, flaky skin, blocked glands (even), crusting, lashes missing, demodex, etc.
    My understanding is that IPL works by reducing the gland inflammation. In some cases glands become blocked due to the glands being inflamed (many reasons - s dermatitis, bacteria, etc).
    For me, it has never been flaky, scaling like. It rather is the at the exterior of the eyelid, where the most lower line of the eyelid (bottom part of the upper eyelid, top part of the bottom eyelid) is a bit swollen en red.

    Leave a comment:


  • benja5290
    replied
    Originally posted by KittyCat View Post
    Hi gilles the term "eyelid inflammation" is something I see a lot, but I don't actually know what that physically looks like! How do I check this?
    Eyelid inflammation is blepharitis. So all the symptoms associated with blepharitis - puffy eyelids, potential scaling of the surface, flaky skin, blocked glands (even), crusting, lashes missing, demodex, etc.
    My understanding is that IPL works by reducing the gland inflammation. In some cases glands become blocked due to the glands being inflamed (many reasons - s dermatitis, bacteria, etc).

    Leave a comment:


  • KittyCat
    replied
    Hi gilles the term "eyelid inflammation" is something I see a lot, but I don't actually know what that physically looks like! How do I check this?

    I didn't have a meibography per se, I had infrared images of my eye lids taken, which showed the shape of my lower eye lid glands. The only thing "wrong" that my doctor could see, is that a couple of them weren't straight but rather starting to twist a bit, possibly making it more difficult for oil to flow freely? I don't know. But then she checked the state of the oil by pressing the glands and seeing what kind of consistency the oil is. So I think the imaging shows the shape and length of the glands (atrophy or non atrophy for example), and then manual expression should be carried out afterwards to see the state of the oil coming out. You need both of these things for a full picture I guess!

    Leave a comment:


  • KittyCat
    replied
    Originally posted by Guest View Post
    Hi Cat
    How many PULSES you have received per session?
    I remember mine was only 10 max. from E-Eye, the IPL you have.
    Thank you.
    5 pulses on each lower eye lid!

    Leave a comment:


  • gilles
    replied
    Originally posted by lipino View Post
    Awesome! Did they do the IPL directly on your eyelids with a corneal shield, or just around your face?

    The unfortunate thing about IPL is it can't be done on darker skin, the melanin is like natural sunscreen and absorbs too much energy.

    But it's not just the manual expression, there is good data that the IPL itself helps stop the inflammation. I've had warming and manual expression done and I didn't notice much difference, the glands just get clogged up again.
    What I would like to know then, is if a meibography shows if the glands are plugged/blocked? Because, for example, myself, I've had my first meibography last week (only lower lid, which seems standard; why that is I don't know. Maybe there is enough correlation between the state of lower and upper that one is enough) and it was very healthy (everything seemed fine because my upper lid was full of that white (I suppose glands with meibum; could be blockages full of junk too) on the image. Does this mean the inflammation of my eyelid (red, swollen line, meaning inflammation) prevents the oil to come free AND/OR my glands are blocked and so nothing comes out when blinking?

    With that background in our mind:
    - Is the purpose of a meibography to show if your glands have atrophied, because it can not show if the glands are blocked, being that the indistinguishable content shown on the image is junk or healthy oil.
    - What would be a good move: IPL for anti-inflammatory effects, so that the glands can properly function or manual expression (because even though the glands look healthy, they might be stuck as hell)? And preferably repeat the IPL/expression, to get the proper gland function.

    To KittyCat, related to this: as IPL and manual expression helped you, did your eyelid look inflamed. If inflamed, how does it look now you've done IPL and manual expression. And how was your meibography?

    Leave a comment:

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