I'm guessing the manual expression wasn't effective then?
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Originally posted by dominorose View PostYes I had a meibography. Didn't tried Lipiflow no. Tried cyclosporine and manual expression, but that's all...
What is the usual scenario for clinics?
I'd have rathered they dispense with their fanciness, in favor of some genuine testing other-than just Schirmer & Tear Lab, or whatever they did with the lights & the strips.
Originally posted by DCRdryeye View PostHere are a few pictures of my eyes after the Probing. What? The "Insert image" feature didn't work on this. If anyone knows specifically how it works please let me know.
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Hope it works!Last edited by Minni; 15-Feb-2015, 17:43.CHEERIO! HELIO! Dry Eye Minni
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Here's my probing and post-probing story in a nutshell. After years of severe MGD that fluctuated between not too bad and really miserable, I was probed about seven weeks ago in a clinical trial at Massachusetts Eye and Ear Infirmary in Boston. The trial is led by Dr. Pedram Hamrah, whom I've seen for a few years and is very knowledgeable and resourceful, always stressing that it's a chronic disease you have to fight on many fronts.
Despite two lidocaine injections in my upper eyelid - which hurt like hell, frankly - the procedure was more painful than I ever imagined it would be. A LOT more painful. He probed the glands once with a smaller probe and repeated with a longer probe. Took about 30 minutes, my eyes streaming with tears but I survived. As part of the trial, I was prescribed blephamide 2x/day for two weeks and 1x/day for two weeks.
RESULTS - Increasing improvement for about a month to the point I felt this was a huge breakthrough. Very comfortable, only occasionally using Refresh nighttime gel (the only eyedrop that has ever really helped). But after I stopped the blephamide - as I had feared -- the inflammation returned and even though post-probing imaging showed the glands were much less blocked, I lost most of the benefit. Dr. Hamrah thinks the canals are swelling from the inflammation. So he prescribed me .03 percent testosterone drops from Leiter's compounding pharmacy in California (mentioned in several other threads.) It is supposed to dampen the inflammation. So far, after a week or more of 3-4 applications a day, I do think it is helping. As always, time will tell. The bottom line: I think probing is worth trying for anyone with severe MGD who isn't helped by anything else. Would I do it again? If I can keep the inflammation at bay, and if the probing holds up for, say a year, I would probably do it again, depending on the cost. (It was free for me in the clinical trial, though I had a 30 percent chance of being randomized to a sham control procedure - which I most definitely wasn't!)
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I had probing last month, upper lids only, and it made a huge difference. The first week was rough, maybe even a little worse, but then it started getting better and after three weeks, my eyes were comfortable, maybe still a little sandy. Yes, it was painful but not as bad as it was for others, and well worth it. I'm now going to do the bottom lids. I was part of the NIH study at Mass Eye and Ear that bostoneye mentioned a few months ago, directed by Dr. Pedram Hamrah, and they are still recruiting, so if you're interested the info is here...
https://clinicaltrials.gov/ct2/show/NCT02256969
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I had probing a long time ago but felt no difference, yeah the pain was very bad.
And my doctor wants to do it again but for the whole eye, first hge wants to do Meiboflow and then the probing.
Is it safe though? I mean I just can't imagine a procedure so invasive and extremely painful that it wouldn't leave any scar tissue behind, or damage the glands..
Does anyone know here if it's dangerous to do it? Or leave any sort irreparable damage to the tissue?
I mean if you want your glands to be open, and it ends up forming scar tissue in it, wouldn't that block the canals? Maybe I'm overthinking it but It just makes you think..
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