The Most Thorough Dry Eye Examination - Dry Eyes Testing Explained
ฝัง
- เผยแพร่เมื่อ 5 ส.ค. 2024
- What to expect at your dry eye exam! Dr. Allen shares what dry eye tests are done and what they mean for dry eye treatment! Learn more about dry eye treatments here • What Causes Dry Eyes? ...
The dry eye tests explained in this video are part of the comprehensive dry eye evaluation we offer at our clinic. While not every dry eye test that exists is detailed in this video, most testing you may see during a dry eye examination have been featured.
In my opinion and experience, not all of the dry eye testing shown is required for proper dry eye diagnosis and treatment, but certainly helps with finding an ideal dry eye treatment and proper follow up.
Dry eye syndrome or "dry eyes" is in fact a very complex disease with many contributing factors at play. Many people may experience occasional dry eye symptoms throughout life but chronic dryness can eventually lead to eye pain and blurred vision.
Need help finding a dry eye specialist near you? Watch my tutorial
• How To Find a Dry Eye ...
Learn about Severe Dry Eye Treatments here: • Severe Dry Eyes Treatm...
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Learn What Causes Dry Eyes - Watch this • What Causes Dry Eyes? ...
Dry Eye Home Treatment Tips
• Home Remedy for Dry Ey...
For more details on the severe dry eyes treatments
• Severe Dry Eyes Treatm...
Lipiflow: • Lipiflow Treatment Rev...
IPL Treatment: • Lumenis IPL Dry Eye Tr...
Xiidra Vs Restasis • Xiidra Vs Restasis: Wh...
Learn more about Dry Eye Syndrome and Sjogren's Syndrome Here: • What is Sjögren's Synd...
⚡ Dry Eye RESOURCES FOR YOU⚡
My Favorite Warm Eye Compresses
Open Eye Tear Restore Heat Compress bit.ly/TearRestore
MediViz Warm Compress: amzn.to/3vT60jZ
Best at home Device for Blepharitis and MGD:
✅ Recommended playlists:
Dry Eyes and Dry Eye Treatment: • What Causes Dry Eyes? ...
Eyelid Hygiene tips! Clean Eyes = Healthy Eyes: • How to Wash Your Face ...
👉Check out my Dry Eye SOS routine! Save 10% with code DEH10 on MYZE helpmyze.com/collections/doct...
💡 Videos for frequently asked questions:
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How to Clean Your Glasses: • How to Clean Eyeglasse...
How to Treat a Stye : • How to Get Rid of a St...
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DISCLAIMER: All content in this video and description including: information, opinions, content, references and links is for informational purposes only. The Author does not provide any medical advice on the site. Nothing contained in this video or it’s description is intended to establish a physician-patient relationship, to replace the services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately-credentialed health care worker in your community in all matters relating to your health. Also, some of the links in this post may be affiliate links, meaning, at no cost to you, I will earn a small commission if you click through and make a purchase. All non-licensed clips used for fair use commentary, criticism, and educational purposes.
Special Thanks
TFOS
www.tearfilm.org/public/TFOSD...
EyeRounds
eyerounds.org/index.htm
TimeStamps
0:00 Dry Eye Examination
1:30 Eye and Health History
2:12 Dry Eye Questionnaire
2:54 Tear Film Osmolarity
4:30 Meibography
5:30 Tear Lipid Levels
6:40 Partial Blinking
6:56 Inflammadry
8:20 Schirmer’s Testing
9:34 Fluorescein Sodium Staining
10:48 Tear Break Up Time
11:29 Lissamine Green Stain
12:34 Meibomian Gland Dysfunction Assessment
13:12 Eyelid Assessment
13:54 Dry Eye Testing and Diagnosis
15:02 Corneal Sensitivity Testing - แนวปฏิบัติและการใช้ชีวิต
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🔥QOTD: Which part of this video helped you out the most?
All of it. In entirety 😎👍🏻🤓🖖🙏🏻
Sir, Doctor said I have 'Lacrimal gland dysfunction' due to inflammation or covid and have aqueous dryness....
Is it possible that Lacrimal gland works properly again or I have to rely on drops ?
Found Osmilarity extremely interesting 🤯
ALL of it as always in all ways . . . . fabulous video coverage doc.
I found all of this useful, would all opticians in the US have all the equipment you have to test for these? I have been diagnosed with blepharitis and recently MGD but apart from slip line and blue dye added to eye, none of the equipment in your video was used for any of my tests in the UK. Thanks again, regards , Graham from England
Well done, excellent presentation. I am a dry eye specialist optometrist in Belfast N Ireland and mirror your eval. It’s such a pity that the optometric and wider medical communities either ignore dry eye or give it scant attention. Keep it coming!
God if any of my eye doctors did even half of these tests I might know what the heck's been going on with my dry eye for the past 12 years. This gives me hope that maybe I should seek out a good specialist
It is worth checking it out with a specialist!
I agree 💯
I try to tell people about this but it falls on deaf years.
My aunt only got the care she needed after years of treatment with the wrong doctors.
Sadly finding a good doctor involves lots of money and trying.
@@JonatasAdoM Yeah, real scientists test until they fully understand. Most doctors treat without full understanding.
True
Your channel is a oasis of knowledge.
You explain what ophthalmologists often don't. I even remember one telling me that astigmatism was just tired eyes and that treatment was aimed at resting the eyes.
This was extremely thorough! I’ve had all of these tests except for the green stain and the last one. This is on of the top questions on the dry eye FB groups and this has already been shared there!
What an eye opening video! Such insightful information, I can definitely see where you're coming from with needing all the lifestyle information so you're not blindsided down the road. Learned a lot!
I have had Sjogrens for more than 25 years and have had many of these tests, also including a lip biopsy. No one has ever explained things as well as you have. Thank you! ❤
Me too. About 50 years.
What is happening with your lip? Is it a saliva test? My lips peel even the wet inside. I also have a raised white blotch where i used to get cold sores
I really liked this new style of video. Looking forward to seeing more! Maybe one about how to determine proper treatment of common ocular diseases…
Thank you so much for the practical as well as detailed information. The more informed the better (though some in the profession might not be too happy with someone in the know - speaking from experience).
And luckily my specialist today, was as cool as you. I hope you get many more patients because you seem like you really care abd want to help!
Great review on a growing and often disregarded as "minor" ocular condition. A thourough clinical history is still a major piece of the diagnostic workup
I really needed this 2 years ago and didn't get it because I didn't have a high quality ophthalmologist.
Every topic you’ve covered in this video was informative an valuable to me-Thank you. My last eye exam was 2018 when I was diagnosed having bletharitis, and astigmatism of the right eye causing double vision that worsen with more distant objects. I am naturally inquisitive so ask lots of question during my eye exams, but doctors are reticent about taking time to answer my question during an exam that feels like an “assembly line operation.” I suspect this is partially due to insurance company imposed time constraints for their coded procedures and doctor offices trying to operate financially in the black. Not meaning to reflect my opinion specifically on you or your practice; Generally speaking, I’m 62 and have observed over the years how insurance companies have gone from covers medical treatments to dictating how medicine is performed-it’s despicable.
Your entire video is very informative, thank you ❤
Dry interesting and informative……I learn so much watching your Channel. I’m hoping to review many of them before I see my ophthalmologist.
My clinic does most of these tests, typically when I've gone in for LipiFlow or just a dry eye check-up eval, so while I already knew about basically all of this, this video is definitely well-organized and should be very informative to those who are unfamiliar with this.
I will hop on a plane from NY just to get a comprehensive eye exam from you! You are an amazing dr and we need more like you!💙
The information you provide is humbling, the eye is extremely complex, thank you.
Yes it is! Thanks for watching. Much appreciated.
Well done DR as all ways excellent good job
This whole video has been so helpful thank you. Wish I could find somewhere to do testing like this in Florida. Been to almost 20 doctor's over the span of 4+ years and nothing this extensive
Brilliantly explained doctor
Great helpful video 💯
This was a very comprehensive video. I went to a dry eye specialist who did none of these tests, not even the Schirmer tear test. He just looked at my eyes with the slit lamp and said I have stage 2 meibomian gland dysfunction. Ugh...
Wow! So much information!! I loved the whole thing! I’m new to your channel. Where are you located? I like all of the different tests available. It gives me hope!!
I learned why my partner (who suffers with dry eye most of the time) keeps getting prescriptions for steroid drops-thanks for such a comprehensive video!!
Thanks for this video. Very informative. I am learning though i am do not have medical background. Thanks for this from Philippines.
Thank you so much. Never had any test like that done. Didn’t know you could go to a dry eye specialist. The video is very much appreciated. I now know what to say to my eye doc
Glad it was helpful! I hope you can find the help you need!
Fantastic video - very thorough and informative. I suffer dry eye and experience inflammation often I'm in Sydney tested by Professor Coroneo who has conducted most of these tests on me as well as surgeries which has extended my vision time
Thanks for putting this together and delivering it with such enthusiasm!
Hey thanks, John! I appreciate it! Hope weather in Sydney is beautiful!
Very informative... Going next week, so this is very helpful on what to expect
Excellent!!! That makes me happy to hear!
I live in CA and will research a Dry Eye Specialist. Thank you so much for all of the Information on testing for dry eyes. I have been diagnosed with this by my eye Dr and are on Xiidra. It is helping.
That's great to hear! Xiidra has been great for a lot of my patients too
You should consider to go into academics; your talent to share knowledge is extraordinary!
I learned that when my eye Dr. Told me I have dry eye, the condition should be monitored and I don’t think is happening. I have eye drops as treatment, but in my last visit was not even mentioned. Thank you, I ‘ll be my own advocate.
I just had a dry eye test today on 7-7-23.... thanks for sharing this video 💯
I need cataract surgery & consulted 2 drs. The 1st said my eyes are dry but 2nd said he’s seen eyes like mine only in people with Sjogren’s. So I’m taking cyclosporine & the other drops & cleanser for 3 weeks prior. I wish other eye drs had told me-they said if my eyes didn’t bother me I didn’t need treatment. But I’m 63 & can see other issues over my life that were probably related to Sjogren’s but misdiagnosed.
Now I’m terrified of cataract surgery when before I thought it would be as most people say-quick & easy recovery with great results.
Thank you for the wratten filter tip!
You bet!
Thank you doc..whole video is informative 👌👌
So nice of you! Thank you for watching and commenting!
Thank you! 🙏
Yeah! Thank you for watching and commenting!
All my life i had perfext vision and no eye issues.
I woke up one day a few months back, and my eyes were irritated.
It got worse as the days passed.
After about a month, i went and had an eye exam, they said i may have GLAUCOMA, and they daid my left eye vision was a little off.
They gave me glasses, and sent me out the door.
After another month, getting used to glasses, which i never did lol it was horrible feeling. My eyes were getting more irritated.
I went to the e.r , they did another IOP check on me, and they told me my iop was high normal. Told me to relax , but said "you seem to have open angle glaucoma in your left eye' i was freaked out so bad.
So they sent me to see a specialist , took me a couple weeks.
Dueing all this, i lost weight, ti stressed and scared to eat. Depression, anxiety, couldnt work in front if a computer anymore. Had to stop due to burning eyes and dry.
I started to see double vision a little bit , halos around lights ..i really Started to freak.
Finally i made it to a specialist TODAY. They did all these test on me , diablated my pupils , iop tests, put some telescope things on my eyes lol and by the ed if the day..
I DO NOT HAVE GLAUCOMA!!!! In fact , they told me to throw my glasses to the side.
And said "you have severe dry eye" thats it.
Showed me the nirves in my eyes on the computer, it was crazy to look at
Lol
So after all these months of agony, scared to death...today i am a relief man.
Depression, anxiety, everything left immediately.
Told me to do warm compresses, and a chekup in 6 months.
Guess what, i started warm compresses today..my eyes already feel so relaxed and relieved.
Nomore glasses , i can see perfectly fine again.
Still a LITTLE irritating, but thats it.
Still a little bit of double vision reading white letters..weirdly only ehite letting.
Love your videos!!
Im the happiest man a live today.
Im looking at ALL remedies to stop this stuff :)
Im a a point where im closing my eyes walking outside daily. I pray this helps me more than the doctors telling me to do warm compresses and use eye drops
Extremely helpful. I had no clue how many test maybe available. I want to get this done! Perhaps you could get a traveling van as a a mobile clinic. LOL
First of all, I appreciate these kinds of videos that help arm the patient with more information BEFORE they seek treatment. Thank you for that! Second, I found the entire video helpful as I've started my own search for dry eye treatment. Which brings me to a question/suggestion for a future video. While researching dry eye and where to go for it in my area, I came across an office offering both Lasik and another corrective surgery called SMILE. Do you have a video on the differences, pros/cons, etc. of the two? If not, would you be willing to add that to your list of video topics to consider? Thank you! :)
Sorry I am just getting to this comment now, but I did in fact make a video about SMILE! : th-cam.com/video/acowAvor738/w-d-xo.html
Hope you like it!
Thank you doc for the very interesting video! 🥸
It's unimaginable how advanced your technology, we don't have most of this. Anyway thank you 😊 so much A doctor from srilanka.
yes, but I have worked in clinics that don't have anything but fluorescein stain and I still felt I did a good job detecting dry eye. I think all the toys are great and help, but a doctor who listens to their patient and cares is what matters most. ✌
Thankyou sooo much for this vid 😊😇
Welcome!! Thank you for watching!
Hi Doc, amazing video! How do you test with both Lissamine Green and Fluorescein on the same day? Do you do them in a specific order? Do you have to rinse the eye with saline in between?
My Schirmer test was just under 1. He had to peal the paper off of my eye lid, it was really stuck, and dry. I was dx'd with Sjogren's Syndrome shortly thereafter (and SLE).
It's sad doctors around my area who say they are dry eye doctors don't offer extensive test/exams like what you've mentioned. I need help and relief and no one seems to have the knowledge behind it
Absolutely loved this video. For people in Australia like myself we find it so hard to find dry eye specialists and the ones are very basic in treatment options. For us who are prepared to travel to Minnesota to see you what would these tests costs as a patient? I think most of us would be prepared to get on a plane and travel to get the help you offer.
There’s a website called dry eye directory with a list. But in any case the dry eye speciality here seems to be very underdeveloped, unfortunately.
Excellent and crear explanation! I suffer dry eye since 1994.
Hey thank you! I’m glad you found some value in the video
@@DoctorEyeHealth kind regards from Mexico!
Thankyou 👍👍👍👍
Full video is helpful.Nice video with good background pink pink.
Hey thanks!
@@DoctorEyeHealth welcome doctor.Im big fan of u.🥀
I found out that lipid layer scan is done during meobian gland scan . I also have come to conclusion that maybe my dry eye is mixed , not only meobian but also lacrimal glands , because you said that Shirmer's test shows the work of the last one , but luckily both will get a great relief thanks to Omega-3
Awesome video 👍 I’m trying to build up a dry eye clinic at my practice. Does the dry eye work up cost the patient a lot out of pocket? Or is this covered medically?
Extremely informative video Dr. Allen! Like you said, I don't think my eye care center did all those tests for my dry eyes. I have tried all the treatments without any improvement so now I have just started wearing scleral lens. I am having fogging issues with my left eye so when I went back for a follow up the doctor used the flourscein sodium I think to help with changing the fit of a new lens. The scleral lenses have made me eyes feel a lot better when before they would be irritated and red with blurry vision. I am wondering now that since the scleral lenses are not treating my dry eyes, will my MGD get worse? I have stopped using the eye drop and nasal spray treatments since receiving the scleral lenses.
I love scleral lenses! For some people, they are like magic. Lenses do get fogged up from time to time, it could be the fit, it could be the MGD (oils get trapped on the lens), it could also be the lens itself. Glad you are working with some docs who are willing to work with you and solve problems. The scleral lenses do a great job at trapping fluid behind the lens and helping the cornea stay hydrated but since there is a lot going on contributing to dry eye, it may still be beneficial for some people to have other treatments simultaneously.
My dr did the yellow stain. She told me to use pataday and oasis eye drops that are preservative free. I was waking up with syringy eye mucus that would make my vision blurry. Since starting this I stopped waking up and experiencing the mucus. She said mine was mostly allergy with some dry eye.
I might be making an appointment with your office and I live in Massachusetts.
Unfortunately My eye center doesn't have any such eye testing tools. They have only few basic equipment fr all kind of patients. More unfortunate thing is my eye clinic doesn't hv any dr like dr.allen who explain the eye issue so well elaborated...
I have a lot of eye irritation and my Opthamologist said I have very dry eyes.
Drops (not even the good hyaluronic acid kind) seem to relive the gritty, irritated feeling.
I asked if this could be allergies but they said no because my eyes were not itchy. Xiidra irritated my eyes more.
They did none of these tests you mentioned. How do I get them to do these or find someone who will?
Hi dr. what can you tell us about flex vision glasses? thanks for the answer
I have chronic dry eye I'm currently working on correcting naturally with moist heat therapy and massages to the Meibomian glands in order to increase healthier oil production.
I saw the Itears 100, but cannot find any opthalmologists aware of it in my area to prescribe it for me in order for me to also produce more healthy tears.
To make matters worse, I have recurrent erosion in both eyes which begins to generally occur more frequently and more severely around Nov. and throughout the winter months due to dryer winter air in Pennsylvania.
I've purchased two humidifiers to balance our home relative humidity between 55-60%, and while it does help to reduce the severity of the episodes, the recurrent erosion episodes still persist.
In addition to dry winter air causing the recurrent erosion episodes to increase in both frequency and severity, and the humidifiers aiding in reducing the severity of the episodes, could the recurrent erosion episode frequency also be a result of winter barometric pressure being different than that of the warmer months?
All these up to date pre testing equipment. I'm jealous.
Even though i had borderline dry eye test results, my symptoms were almost extreme. I had to treat myself for allergies with Rx drops before dr would give me Punctal plugs. I knew that it was a waste $$ and time. After 7:30 pm, i would use my drops every 10 minutes. He finally understood. I only have itchy eyes in May. It was August when i saw the dr. I got plugs in Oct
Thanks for the video! I now have more questions for my doctor. 😂
hi doctor! If maybe sometime in the future you would accept internships, HAHAH I'm inspired by how and what type of tests you do to certain types of symptoms patients present and I know I can learn a lot from just observing your work here and there
haha thanks for asking! We do have several optometry students a trimester. If you are not in optometry school we are still currently hiring new staff
My grandma damaged her sight (something about the cornea being damaged) due to sewing when she was younger (plus she had an eye infarction at least 15 yrs ago so she's blind from one eye); she has mentioned that her sight decreased in the past few months (from seeing 2 squares away to only 1) and the doctor she went to said it couldn't be fixed with glasses nor surgery (it'd help a very little amount so it wasn't worth to do it until she went almost completely blind), is there really nothing that she could do to fix it??
If a patient is overdue for a comprehensive eye exam, should they schedule that first and a dry eye examination on a later date?
Thank you for the video. I will ask my Dry Eye Specialist about the Corneal Sensitivity Testing. We have been treating my dry eyes for 2 years with only have minor success. Since I have other neurological issues this may give some answers.
Please do! I don't know if you have had LASIK in the past or other eye surgeries, but I see a lot of people who after LASIK, have corneal sensitivity issues.
@@DoctorEyeHealth Yes I had lasik 4 years ago. Thanks.
I wish you were in Michigan : ( Thank you for all your information and help with dry eye.
Of course! Happy to help! Well I know Michigan has some fantastic doctors! Even some great schools for eye care!
@@DoctorEyeHealth Sadly they’re behind when it comes to dry eye. I have learned more from you then my own eye doctor.
Got these Bio True eye drops for dry eyes. For my question, is it safe to use when you have your contacts on?
Dear Dr. Allen, I have dry eye symptoms for more than 3 years now and it started after wearing contact lenses for ~ 3 months, though, unfortunately, I also wore them sometimes while sleeping. The symptoms are far more pregnant on my right eye, causing the tear film to rip apart within less than a few seconds, sometimes immediately (left eye can easily go over 10 seconds) - I'm noticing it because then it's like fog going all over the eye and it burns. Raising my head and looking down instead of up helps a lot. I've been to many doctors but none could find the true reason. I've had LipiFlow a few months ago and one week ago when I signed up for a manual gland expression, the doctor told me that the oil is coming out as it should be and none is clogged up. I still got the issues though on my right eye and I have the feeling that not the meibomian oil is the problem, but rather a physical or allergic problem or decreased watery tears since I found out whenever I get reflexive tears to be produced (e.g. wind exposure) it's way better and how it used to be. The doctors did not recommend me plugs because then the inflammation would probably increase since the water could not flow off. Spider veins are present and I had Limbitis as a kid that were treated with Cyclosporin A - due to the heavy itching coming from the bubbles that developed on the eyelids (mainly upper), I just HAD to scratch it. I'm wondering though why there were no symptoms for more than 10 years but after starting wearing contact lenses. I'm also currently testing all sorts of vitamins and other things like Sjögren's syndrome, hormons... Unfortunately I'm not living in the US and I can't easily visit you, but if you could tell me your overall meaning to my situation above from pure reading and knowledge, I'd be really happy!
PS: Great content you do on TH-cam!
My dry eye started after wearing contacts as well. Contacts just never felt right, and were sometimes unbearable, but I do work full time on the computer. I've had dry eye for 12 years since. Xiidra is at least preventing bad flare ups for me most of the time, although it seems my vision has been blurrier... Best of luck in your journey
I had a Lasik 10 years ago and my myopia has come back, I also have dry and sore eyes too often especially in case I lack sleep or I’m overstressed. Dr do you recommend another lasik? Thanks 😊.
I have so many questions. I am from south Africa and the only test they do here is the TBUT. Can you base your diagnosis solely on TBUT only?
I went to 3 different doctors and each have a different diagnosis 🤐
I wish there were actual doctors with this level of expertise in sweden :\
Wat is the best eye drop for glaucoma iopidine is good
Do you do those tests on 92yr old woman - my eyes tear slot & my doc just says dry eye buy good eye drops & do several times a day- but lately use good grade hydrogen peroxide vapor wich helps
hi, can you tell about your attitude to azithromycin drops in the MGD treatment
Hey thanks for asking! That's a higher level question for sure! Studies have found it to be good and comparable to oral medications such as oral doxy. It used to be pretty expensive, but now there are some compounding pharmacies which are making it more affordable. I like the idea of topicals more than orals as oral antibiotics can change the gut flora.
Can you recommend a dry eye clinic like yours in New Hampshire or New York State.I cannot find a clinic like yours
If patient has the fluorescein sodium staining test negative, can this be cured and how ?
That really was comprehensive! Are all those tests done on the same day or are they spread out over multiple visits? How long would you estimate all those tests take to complete in total?
Hey thanks for asking. They are usually all done on the same day. The testing is all done usually within 15 minutes and then myself or another doctor comes in after our technician to do the assessment and discuss treatment options.
Thanks for answering my question! That's fast, I thought it would have taken at least 1 hour to do all those tests.
Got any recommendations for dry eye clinics in central Georgia line Newnan or Warner Robins? Eyes constantly full of eyelash like irritation, sore eyelids (from the constant rubbing) have ptosis affecting vision because I can't stand to open my eyes fully because of the irritation.
I don't have insurance. Can I call for pricing or how does it work to get this done?
Can exercise around eye can reverse wrinkles?
can dry eye make a slight turned eye symptoms worse?
Hello…if I do warm compresses for my dry eye and it’s blurry after the recommended 10-15 minutes of compress time, is this a good thing? Does this mean that I am still producing oil in my existing meibomian glands?
Dr Allen am I right to assume that these tests probably take an hour an a half to carry out?
Hey dr. Allen! Will it be okay to let curettage be delayed for 1 to 2 years only if not troublesome then? or it could even cause eye cancer or anything which is harmful for eyes?
Hey thanks for commenting! And for watching! by curettage, I imagine you mean for a chalazion right? In the case of a stye, surgery is always optional unless a doctor is suspicious for basal cell carcinoma, otherwise if a chalazion is not bothersome, it is fine to leave it alone. There is a possibility it will resolve on it's own over time.
The autoimmune informationn. I don't know if you have heard of Complex Regional Pain Syndrome? It is when the sympathetic nervous system has an abnormal response to pain. You're in pain 24/7 which causes inflamation in the whole body. I doubt my doctor even knows this. I need to bring this up because i don't know if i have dry eye disesse or if i have dry eye from CRPS? I wish i found this video sooner. But glad I did non the less.
Doctor my eye going dry a year ago , after cataract lazik surgery and intracular lens Alcon vivity IQ UV toric ,special right eye and light pain , My vision is amazing open range day or night but my eye are now very sensitive to the light for out I used the best sunglasses I tried Maui Jim Peahi Grey ,blue , bronze HLC all are excellent , I need to used drop every 4 to 6 hour thera tear extra dry the best I tried or systene
Questions: 1. For someone with 30+ years of dry eye condition, what is the likelihood that their Meibomian glands are permanently damaged? 2. Does it help to know from tech imaging how bad one's dry eye condition is? -- thx
Does the glycocalix/ mucin layer heal? Conjuntiva healing is not in any reading online.
09:28 The inevitable unavoidable diffuser boink 😂
How about shingles around the eye, possibly In it ?! 👀🥺
What should the tbut be?
My corneas have zero sensation. I can literally tap my corneas with my fingers and feel nothing. cochet bonnet don’t even register. All due to smile refractive eye surgery three years ago. My a schirmers are also close to zero as is my quality of life. The surgeon told me I was a great candidate and dryness always goes away. His lie ruined my life.
Wow, my eye doctor did next to none of these tests! The pain and blindness have made me feel suicidal. Looking for new doctor!
If I have mild SPK, does that mean I can’t get lasik or prk anymore in the future? I’m 20
what about the yellow like stain around the eyeball?
Is there a way to get rid of inflammation naturally? Like with cold compresses?
Optic nerve pain?
Thank you for the info doc, I'm really sad that we don't have most the these tests in my area, I've been suffering from dry eye for over a year and I saw 4 different doctors and I still don't know what type of dry eye I have or how to treat it.
I don't produce tears at all, which makes me think that I have aqueous deficiency, I tried buying some product abroad after watching your videos like eyeeco moisture chamber glasses and lastly the iTear100 device but nothing worked for me. I still can't produce tears especially in my left eye and my vision is degrading day by day which really scares me.
I hope you can help me with anything doctor, I'm out of options.
Hey thanks so much for leaving this comment. In cases where people are not producing any tears, I think it is important to rule out systemic causes, such as autoimmune conditions.
Speaking in general, when someone has aqueous deficinecy, medications such as cyclosporine can be used, punctal plugs can help, and even scleral lenses can help. Some of my patients who have Sjogrens syndrome, I have prescribed them oral secretogogues - which can help you produce more saliva but sometimes also helps with dry eye. otherwise, frequent use of lubricating drops and moisture chambers have been used as well.
I have been researching some published studies on vitamins and supplements which may help improve tear production (hopefully some videos on that soon).
Wish I could offer more help
many blessings.
@@DoctorEyeHealth Thank you!
@@DoctorEyeHealth How nice of you to reply!
Eye pain pressure why