All I can say is thank you for understanding we know our own bodies! If more Doctors had less ego and more faith in us there would be less suffering and more hope :)
Thank you for your kind note. Doctors can help patients at a higher level if they listen to their patients and give them options: both natural and medical.
Outstanding story and explanation of IPL and other treatments! I have Ocular Rosacea and MGD and have been educating myself on relief of dry eyes that I have had my entire adult life. I am now 64.
Thank you so much Beverly. I’m glad this helped you. Main thing is you do need to do the home treatments in addition to office treatments. I will be eventually developing a way to do some of the office treatments at home.
I have had ocular rosacea since I was in high school but was not diagnosed until I just started optometry school!! Thank you for posting this, I wish ocular rosacea was discussed more.
Currently fighting my battle with ocular rosacea and dry eye. After seeing 5 eye doctors and doing some research I found one who listened more than the others. I’m taking an oral antibiotic and using artificial tears daily, but I do wish there was a more I could do for a clearer answer and more confident treatment plan. It’s been just over a year and I have had constant styes and 4 chalazions in that time. My vision in one eye regressed to almost legally blind at one time. It’s so frustrating.
I feel for you Jaycee. I have patients fly to Los Angeles to see me from all over the world. I also do telemedicine consultations if you’d like to call my office (323)954-5800
I wish I didn’t live all the way across the country in Atlanta because I’d love to meet you! I had LASIK surgery almost 2 years ago and ever since I’ve had dry eye. About a year ago I was diagnosed with Blepharitis and then I started having flare ups around my eyes. I still have them to this day and it’s truly depressing not having real relief. My eyes consume so much of every single day. I’m self conscious of how they look at all times. They feel tired and they’re always red. I’ve seen a dermatologist, multiple eye doctors, a dry eye specialist and an Allergist. The dry eye specialist started me on restasis and several vitamin supplements. She said the inflammation around the eyes looked like Eczema and referred me to an Allergist. The allergist said it’s not Eczema. It’s beyond frustrating trying to get some relief but this video gives me hope. I will definitely be looking into IPL. Thanks for this video!!!
I’m hoping that by the time you get this message that you have found relief. If not, please consider underlying health issues as well as your lifestyle. Are you on a digital device a lot? Many hours a day? What is the humidity of the room that you are in etc. I wish you the best
Im 14 rn but i started experiencing dry eye problems when i was 12. It didnt start of hurting but they where red and people noticed but i didnt cause they never hurted, it wasnt till covid happened and we had to wear masks that the problems really started kicking in especially when the air u breath in cames back into ur eyes. And rn as i send this comment im still facing it rn.
I am 26 and I think I have that, my eyes are really inflamed and drops every hour are not helping at all, sadly I am not from the US but I am going to get the same tests soon
Yes please do. Once your doctors diagnose they can treat you so that you do not need to suffer anymore. Keep looking for answers. I do televideo consultations if you’re interested.
I barely have any glands left. I was told by one optometrist to "just keep putting eye drops in" I was already doing that and it didn't help. So, I went to a dry eye specialist recently and he scanned my eyes and I found out that I have just a few healthy glands left, which is a complete shock to me. I honestly don't know what to do from here or if there is anything that I can do.
Just turned 18, I've been experiencing dry eye symptoms for the last 5 days. I'm most sure the cause, might be excessive computer usage, usually 5-6 hours per day. What do you think caused your dry eyes?
@@ayush3334 That could be it. I started wearing contacts when I was 13 and I don't think I was mature enough to have them meaning I didn't clean them as regularly as I should. And then the past two years i've been a software engineer so I stare at a computer for at least 40 hours a week
i went to my optometrist and he said that IPL wasn't a good option for me because he was afraid that it can blotch or cause discoloration around my eyes due to my dark skin
Wow happy there is hope. The eye pain from clogged glands make it hard for me to paint. Their doesn’t seem to be any doctors in Ohio who specialize in this. My eye doctor just wants to slice them open and drain them. Surely there is more I can do besides warm compress and having my eyes cut up?
I have had several IPL treatments and I have found that it does not last. It is not covered by insurance so it gets very costly for a short temporary relief.
Was told I have metbonian glans disorder a couple of weeks ago been suffering for months with stinging and dry eyes doing the warm compress and massage have drops to done nothing to be honest infact they feel more uncomfortable really feels disheartening, from being at school remember my eyes was red and a little sore only had one appointment with eye doctor have to wait months for another one feel there's no hope will continue with compress and massage in the meantime 😣
Dr I have really bad dry eye after Lasik and severe MGD I understand this patient I would like more information on getting IPL can you tell me where are you located ?
I have severe MGD. I have no glads visible on the photos my eye Dr took. She wants me to do the laser therapy as well as heat mask therapy and lid massage at home. My question is, if the glands are gone, what will these therapies accomplish?
Oh no, I have been investigating and if the glands are gone these treatments can't really do much, try some drops with oils added I guess that can help, but yeah I am going to get the images soon too but I am really afraid that I also lost all my glands and the tears with oils are not sold in my country, hang in there my friend and let me know how are you doing
👏 good doctor. It’s sad my doctor never offered to drain it. But admitted they were super oily. Gave me eye steroid for a week and told me to warm compresses.
I have problems by my eyes aswell, if i drive or watching tv or computer my eyes turns red and burnfull the full day, i already tried eye tiers warm compress, a glasses for screens, taking breaks doing the 20-20-20 rule
It’s important to take the guess work out by doing meibiography to evaluate the health of your tear making glands. You can schedule an appointment with me if you were in Los Angeles, if you’re not then call eye 👁 doctors to see who has the ability to physically see inside your tear making glands. Once they have evaluated your glands and tears, a treatment plan can be made.
@@HollywoodEyesBrisco i also said to my eye doctors, if they can place plugs but they said you dont need that, but my feeling is saying i need plugs cause they are good for dry and burning eyes
I have same as him. And for me it’s worse because my eyelid always double volume due to the accumulation of oil. So at the end of the day, my eyes are very puffy
my eye doctor says that i have meibonin gland dysfunction, but my eyes never feel dry, i do get excess thick, stringy eye mucus and it does blur my vision but never dry.
Hello Dr. I have been dealing with the same problem literally having optometrist and ophthalmologist misdiagnose my problem I am 23 years old and neeeedd help please.
These little bumps on the edge of my eyelid right up against the eyeball are driving me up the wall. This only started happening for me last year but I have them all the time now on any spot along the edge of my eyelids and a lot of the time it bothers me the whole day.
Hey Doctor I been dealing with with this issues for over a year now and feel like just like Piero!, I’m from Los Angeles and seen 3 optometrists and 2 ophthalmologists already, they barely diagnosed me with MGD I’m on a 90 day warm compresses, Doxycycline, Refresh, Xxidria and eyelid spray cleaning treatment plan. If this doesn’t work out how can I set up an appointment because I really feel I’m in time to heavily impact MGD.
I have the same issue and am saving up for the ipl treatment now. Can you please explain what causes the atrophy as well as are there any treatments that will restore the glands back to normal size. Thank you so much.
Iam nafseek From kerala india I have been suffered in eye feel tiredness , burning in last 11 years . Nowadays it’s very irritating since 2 to 3 years. My schirmer test is 0 mm . Doctor said it’s several condition. I can’t go any work even can’t go out from home last year. I have 2 child & family. Iam mentally weak now. Because my past life was i am very smart & energetic & socially attached person. Now it’s totally changed . I met lot of doctors during this time . But i dont get my issue solve. Pls guide me for treatment. Pls Faithfully Nafseek
@@unafseek I am suffering since last 2 years now ,i can understand what must you are feeling,tired and retired from all the activities we used to do when we had no dry eyes issue.God bless us
Is it normal to have no results after first treatment? I had my first IPL for clogged glands and inflammation and redness - no changes. I have 2 more sessions scheduled with more strength but I’m feeling discouraged especially aft hearing this story...🙁
I’ve got dry eye ever since my PRK treatment and my surgeon has written me off but not knowing how to fix me. Went to an optometrist and she mentioned many of the same things in this video and recommends IPL among other topical treatments. What are the side effects of IPL short and long term?
Long term side benefits are mainly cosmetic: decreased fine lines, increased collagen production and skin rejuvenation. Short term side FX for very few patients are skin sensitivity, similar to being out in the sun for too long. Follow me on Instagram for daily wellness tips @HollywoodEyes
What do you mean with „over the lid shield“? It’s at around 7:25. I have the same simptoms and guess it‘s also because of inflamation. Have you done the IPL sessions different as „normal“? Maybe more close to the eyelid? How is this done for the upper lid? I just want to make sure to tell what you have done here to my therapist (live near Munich in Germany so can‘t really come to you ;)
There are two types of shields. One of them sets on top of the eyelids when they’re closed. The other one sits underneath the eyelids were on the cornea. It’s like a big contact lens. This allows me to get closer to the Meibomian glands for more effective treatment.
Do you need more support if you are spending many hours in front of that screen. Working on a digital screen, decreases your plane, crate so that the chairs are not being spread over the eyes to moisturize them as you stare at the screen. When the oil heaters are not being blinked away the second and end up, clogging that your plans, which eventually leads to MGD.
Dr. Brisco, for long term maintenance treatment of ocular rosacea, is it normal to be on low dose steroid (.2%) eye drops indefinitely? I'm concerned about skin thinning and the chronic problems that can come with it.
I like IPL because it is a drug free and more natural way to treat ocular rosacea and dry eyes as well as meibomianglanddysfunction. We use light to treat instead of pharmaceuticals.
what is the homeopathic treatment for aq. deficiency? I am a new OD grad 2020, I am getting involved in Dry Eye , however would love to have some extra tips and tricks besides for punctal plugs, use of Restasis/Xiidra.... Thanks
Congrats Dr. Sher! There are a number of different homeopathic remedies for dry eyes, meibomian gland dysfunction, red eyes, tired eyes etc. Because there are several thousand different homeopathic remedies, you have to match it with the patient’s history, their personality, and how they have responded treatments in the past. There is no one treatment that works for everyone.
@@HollywoodEyesBrisco Thank You!! Thanks so much for the quick response. Would it be possible to list 1-2 homeopathic remedies, just to guide me in one direction, i will do research from there onwards. I am about to start practicing in Toronto, Canada. I have so many dry eye questions... such a cool field to be in. I have been seeing so much demodex lately, been doing tea tree oil blephex, but they come back.... need to figure out which IPL/LLLT to get and learn how to do it. Is there a way for me to contact you directly, maybe one day to ask you questions. If not, no worries at all. ( i could leave my email on a message and then maybe delete it , either way, thanks so much for your quick response)
Hi I'm from india I visited multiple doctors for dry eyes They always prescribed lubricant eyedrops and gel, and it is almost a year still I'm not feeling better Also behind my right eyebrow hurts constantly i have no idea how treat this
I have a similar issue, dry eyes, repetitive chalezions and styes, infections, and inflammation. My doctor has put me on Doxycycline HYC to control the inflammation. Is this a good treatment option compared to your IPL treatment? Or should I mention this treatment to my doctor, and/or find a doctor that offers this treatment ? Thanks
I love lectures but case examples even better. I’m doing everything I can to halt and reverse my dry eye conditions because I’ve had the condition for almost 25 years. I now realize from this video not to let inflammation become chronic and do even more damage over time. Thank you for that. I’ve found improvements using MSM eye drops. Also eliminated all seed oils from my diet because MD is in my future. I believe Dr Chris Knobby is correct about seed oils being root cause of diseases. And it’s easy to remove from my diet. Thanks again,
@@kamilekapel - Go to that giant online retailer and read the reviews for a broader firsthand usage. MSM drops helped my eyes heal from uveitis on the surface of my eyes, but I did get diminishing returns after while. I am grateful for the healing and continue to use it. I have recently gotten over a ringworm infection which is a yeast infection, and I am once again seeing improvement. Eye disease can be related to inflammation. I also use other eye drops and gels such as by Simlasan. And I use Astaxanthin, Zena xanthan, lutein and other vitamins because I don’t absorb nutrients well. Good luck and keep searching for answers,
What’s the difference between MGD and Ocular Rosacea? My doctor diagnosed me with MGD but I’m suspecting ocular rosacea as well... Another question; would you advice to do Lipiflow or IPL if meibomium glands are blocked and inflamed?
My booming land dysfunction is a constellation of issues which can include ocular rosacea. Ocular rosacea are the tiny blood vessels called telangiectasia which feed the inflammation. This can also lead to facial rosacea. Both treatments are effective. You would have to ask the Doctor Who physically examines you what is recommended in your particular case.
Thanks for this video. Like Piero I was a teenager and diagnosed with "the worst case of blepharitis and dry eye" the opthamolagist had seen. I still use cotton swabs and baby shampoo to clean my eyelids daily as they develop crust if I don't do this. It is difficult to do it consistently as well. I will research into IPL and what it entails. I have recently started to develop meibomoid cysts possibly? Which is the hard lump on the top eyelid and I am concerned this will develop into something worse
Ask your optometrist about other products that are more effective and safer for your eyes than baby shampoo. I personally like lid hygiene products by Zocular and Eyes Are the Story
Hi Dr, I am experiencing the same symptoms as Piero and I plan on doing the ipl treatment for the first time next week. My ophthalmologist said that I have blepharitis and clogged meibomian glands. Do you think this is the right treatment for me? I have a history with keratitis and gpc aswell.
Ask your ophthalmologist about the treatment options that I discussed in this video. I also just did a new video about dry eye treatment options. Unfortunately without physically examining you, I am unable to tell you whether or not this is the correct treatment for you.
If your oil layer of tear is blocked or your oil/lipid quality in tears is not proper ,it is detected by schimers test ,doctor performed my schimers test and it read 25 and above in 3 mins .he told you have enough tears no need to chech for oil/lipid is he correct?,does these defect causes you to wear spectacles or your vision gets poor?.pls reply
The Schirmers test measures the aqueous layer of tears rather than the oily or moisturizing layer. Vision can fluctuate when the oily layer of tears breaks up.
Hi, his story sounds just like mine! I've just had 2nd IPL treatment & my doc conducts a gland expression after each one. What is the homoeopathic medicine you gave Pietro? I have similar issues with tears.
I’m glad you are getting treatment! There are several options depending on the patient. Even with Piero I changed the homeopathic medicine during his treatment as his lid disease changed.
I have the same issue , my doctor told my I lost 60% of my tear glands ): my eyes have been hurting for easily 3 years ... Is there any recommendations you have DR
Ask your doctor what your options are. Unfortunately since I did not examine you, I cannot give you medical advice on this channel. I do wish you the best
pls answer me 1) there are 2 machine for dry eye that i know--lipi flow & another is IPL__my question is--for whom these are used?? & 2) if i use these-then can i get relief from using eye drop permanently? i have suffering from little dry eye from the age of 20 now age is 26
Most patients need to both melt to unclog the blocked tear glands, then use IPL to treat the inflammation. Treatments need to be repeated annually for maintenance like having your teeth cleaned. Yes! It works! I’ve helped thousands of patients
I did ipl treatment for dry eyes 3 times I got relief to some extent as i using hyne eyedrop and lotepred eye drop. i am also warming eyes everyday by using warm cloth on eyes. But when i did schimmer test to check if any tear production increased but i surprised by knowing that tear production has not increased i.e at 5mm on schmer test strip. I did that because my eye drop using frequency not decrease i.e 7 to 8 times a day even after ipl 3 times. Please what to do Is any best treatment available?
@@HollywoodEyesBrisco plz tell me What ipl do Whether it improve quality of tears or quantity if tears. I did schimmer test and found that quantity of tears has not improved. But i am feeling better than previous after ipl. What to do to improve the quanity of tears in eyes
I’m happy to do a telemedicine consultation to see if I can help you, or make recommendations to lead you towards feeling better. Just call my office to schedule (323)954-5800
The drops in medications that PRL had used, or were prescribed by previous doctors did not bring him significant relief. The first time he had IPL treatment was with me.
My left eyelid has been hurting for more than 6 months now, my eyelid is a bit inflamed and I have irritation in my left eye, I have not seen a doctor I am wondering what would be a good treatment to try myself before visiting a doctor?
Sounds like you would be a good candidate for the treatments in this video, but you need to be physically evaluated by an eye doctor to determine a treatment plan. Come see me if you’re in Southern California!
Hi! I dont speak english Very well so I dont know If you said It on the video, but how many sessions would the IPL be done at First and what period of time during the intervals? And then, How can we do the maintenance? Once a year? In my country the sessions are Just TOO expensive and I'm afraid of It Just doesnt work. My problem is the same as Pietro, since I was a Kid! Many surgerys yet. Heeeeelp
Dry Eyes, MGD, blepharitis, and other lid diseases are very common especially when people are stressed or are heavy computer users such as for telecommuting or distance learning.
I couldn't understand the scrub treatment he is doing at home (due to masks). I have Ocular Rosacea, Blepharitis Meibomitis, Disorder of lacrimal glands,Squamous blepharitis, Collarettes. Having 3rd IPL next week. Improvement seems temporary each treatment to date. I was wanting to add BlephEX scrub office treatment. I am very uncomfortable at times, please any suggestions? I use TeaTree daily, EyeEco heated gel pads daily too. I take warm Qtips several times a day with TeaTree foam and clean lash line also. Crusty issue is better but still I have inflammation and my right eye is sore most days. I am a redhead fyi. So facial rosacea is present at times. Please any suggestions? I also read Tarsus Pharm is coming out with a "cure" for mites? Is this your understanding?
All I can say is thank you for understanding we know our own bodies! If more Doctors had less ego and more faith in us there would be less suffering and more hope :)
Thank you for your kind note. Doctors can help patients at a higher level if they listen to their patients and give them options: both natural and medical.
Outstanding story and explanation of IPL and other treatments! I have Ocular Rosacea and MGD and have been educating myself on relief of dry eyes that I have had my entire adult life. I am now 64.
Thank you so much Beverly. I’m glad this helped you. Main thing is you do need to do the home treatments in addition to office treatments. I will be eventually developing a way to do some of the office treatments at home.
Tears of joy 😂 I'm happy for Piero!
Thank you - I am so happy to be able to help him
I have had ocular rosacea since I was in high school but was not diagnosed until I just started optometry school!! Thank you for posting this, I wish ocular rosacea was discussed more.
Thankfully ocular rosacea is finally being discussed more in Optometry grad school now. Ask for IPL treatment while in school so you can feel better!
Currently fighting my battle with ocular rosacea and dry eye. After seeing 5 eye doctors and doing some research I found one who listened more than the others. I’m taking an oral antibiotic and using artificial tears daily, but I do wish there was a more I could do for a clearer answer and more confident treatment plan. It’s been just over a year and I have had constant styes and 4 chalazions in that time. My vision in one eye regressed to almost legally blind at one time. It’s so frustrating.
I feel for you Jaycee. I have patients fly to Los Angeles to see me from all over the world. I also do telemedicine consultations if you’d like to call my office (323)954-5800
I wish I didn’t live all the way across the country in Atlanta because I’d love to meet you! I had LASIK surgery almost 2 years ago and ever since I’ve had dry eye. About a year ago I was diagnosed with Blepharitis and then I started having flare ups around my eyes. I still have them to this day and it’s truly depressing not having real relief. My eyes consume so much of every single day. I’m self conscious of how they look at all times. They feel tired and they’re always red. I’ve seen a dermatologist, multiple eye doctors, a dry eye specialist and an Allergist. The dry eye specialist started me on restasis and several vitamin supplements. She said the inflammation around the eyes looked like Eczema and referred me to an Allergist. The allergist said it’s not Eczema. It’s beyond frustrating trying to get some relief but this video gives me hope. I will definitely be looking into IPL. Thanks for this video!!!
I’m hoping that by the time you get this message that you have found relief. If not, please consider underlying health issues as well as your lifestyle. Are you on a digital device a lot? Many hours a day? What is the humidity of the room that you are in etc. I wish you the best
Im 14 rn but i started experiencing dry eye problems when i was 12. It didnt start of hurting but they where red and people noticed but i didnt cause they never hurted, it wasnt till covid happened and we had to wear masks that the problems really started kicking in especially when the air u breath in cames back into ur eyes. And rn as i send this comment im still facing it rn.
How are you now? I'm 17 and suddenly got this dry eye
The warm, dry air that comes up from the mask can exacerbate dry eyes. Now that we are not wearing masks hopefully your symptoms have decreased.
R u ok now please reply 😭😭😭😭😭I m suffering
@@khadijachaudry3329R u ok now please reply 😭😭😭😭😭
This gives me hope
I understand the frustration and no answers
With symptoms
I’m going on 13 years
Maybe this is it
Still you suffering
@@mrinvestor1932 yup
@@talksick508 are you using daily drops
I am 26 and I think I have that, my eyes are really inflamed and drops every hour are not helping at all, sadly I am not from the US but I am going to get the same tests soon
Yes please do. Once your doctors diagnose they can treat you so that you do not need to suffer anymore. Keep looking for answers. I do televideo consultations if you’re interested.
I barely have any glands left. I was told by one optometrist to "just keep putting eye drops in"
I was already doing that and it didn't help. So, I went to a dry eye specialist recently and he scanned my eyes and I found out that I have just a few healthy glands left, which is a complete shock to me. I honestly don't know what to do from here or if there is anything that I can do.
How old are you?
@@ayush3334 26!! I'm pretty screwed haha
Just turned 18, I've been experiencing dry eye symptoms for the last 5 days. I'm most sure the cause, might be excessive computer usage, usually 5-6 hours per day. What do you think caused your dry eyes?
@@ayush3334 That could be it. I started wearing contacts when I was 13 and I don't think I was mature enough to have them meaning I didn't clean them as regularly as I should. And then the past two years i've been a software engineer so I stare at a computer for at least 40 hours a week
I'm going into my first in mechanical engineering. How do you deal with the burning sensation when using a computer?
i went to my optometrist and he said that IPL wasn't a good option for me because he was afraid that it can blotch or cause discoloration around my eyes due to my dark skin
We do a skin and medical assessment to determine if patients are candidates for IPL. Each treatment is customized for our patient’s needs.
i'm having dry issues too. I wish I could see this doctor.
I do telemedicine consultations on video calls. Let me know if you’d like to meet.
@@HollywoodEyesBrisco
I would! I’ve had extremely dry eyes ever since I took accutane about 3 years ago
Wow happy there is hope. The eye pain from clogged glands make it hard for me to paint. Their doesn’t seem to be any doctors in Ohio who specialize in this. My eye doctor just wants to slice them open and drain them. Surely there is more I can do besides warm compress and having my eyes cut up?
Still your suffering from this
@@helenhabel1773 still your suffering ?
I have had several IPL treatments and I have found that it does not last. It is not covered by insurance so it gets very costly for a short temporary relief.
At what age you get this mgd
Can you please replay me🥺
I was in my late 60’s when I had the treatment.
I am of just 17 should I go for it
Look at underlying health issues as well as lifestyle, such as how many hours you are a digital device, are you blinking enough etc.
Was told I have metbonian glans disorder a couple of weeks ago been suffering for months with stinging and dry eyes doing the warm compress and massage have drops to done nothing to be honest infact they feel more uncomfortable really feels disheartening, from being at school remember my eyes was red and a little sore only had one appointment with eye doctor have to wait months for another one feel there's no hope will continue with compress and massage in the meantime 😣
Same how old are u
@@khadijachaudry3329 I'm 45 x
@@maisyjane100R u ok now please reply 😭😭😭😭
I m suffering
Dr I have really bad dry eye after Lasik and severe MGD I understand this patient I would like more information on getting IPL can you tell me where are you located ?
My office is in Los Angeles California
R u ok now please reply😭😭😭😭😭
@@Priyan0000 im doing better, on serum tears daily, plus Low dose Naltrexone and fish oil
Any possibility that you can show us his glands after the sessions with IPL?
This is HIPAA protected, but he is doing much much better
I have severe MGD. I have no glads visible on the photos my eye Dr took. She wants me to do the laser therapy as well as heat mask therapy and lid massage at home. My question is, if the glands are gone, what will these therapies accomplish?
Oh no, I have been investigating and if the glands are gone these treatments can't really do much, try some drops with oils added I guess that can help, but yeah I am going to get the images soon too but I am really afraid that I also lost all my glands and the tears with oils are not sold in my country, hang in there my friend and let me know how are you doing
If you have any glands left, this will create a healthier environment by decreasing the inflammation in your meibomian glands.
👏 good doctor. It’s sad my doctor never offered to drain it. But admitted they were super oily. Gave me eye steroid for a week and told me to warm compresses.
I have problems by my eyes aswell, if i drive or watching tv or computer my eyes turns red and burnfull the full day, i already tried eye tiers warm compress, a glasses for screens, taking breaks doing the 20-20-20 rule
It’s important to take the guess work out by doing meibiography to evaluate the health of your tear making glands. You can schedule an appointment with me if you were in Los Angeles, if you’re not then call eye 👁 doctors to see who has the ability to physically see inside your tear making glands. Once they have evaluated your glands and tears, a treatment plan can be made.
@@HollywoodEyesBrisco i live in the netherlands, but i will call the eye docter and ask to them, cause i'am getting so tierd of my eyes
@@HollywoodEyesBrisco i also said to my eye doctors, if they can place plugs but they said you dont need that, but my feeling is saying i need plugs cause they are good for dry and burning eyes
What is The 20 20 20 rule?
@@bonniebaker6516 after 20 min look 20 feet away for 20sec
How is piero now? Is he still experiencing the same benefits?
Also what is the long term effectiveness of this treatment
He’s great! As with any condition, maintenance care is key. Follow me on Instagram for more info @hollywoodeyes
@@HollywoodEyesBrisco what do you mean with "maintenance care"? Piero need more IPL threatments during a year?
I have same as him. And for me it’s worse because my eyelid always double volume due to the accumulation of oil. So at the end of the day, my eyes are very puffy
Please have help. There is treatment available like what I did for Piero
my eye doctor says that i have meibonin gland dysfunction, but my eyes never feel dry, i do get excess thick, stringy eye mucus and it does blur my vision but never dry.
Dry eye symptoms can vary from tired, red, burning, scratchy, itchy, intermittent blur, etc.
Hello Dr. I have been dealing with the same problem literally having optometrist and ophthalmologist misdiagnose my problem I am 23 years old and neeeedd help please.
Please call my office to schedule a dry eye consultation or telemedicine consultation (323)954-5800
How can you tell which treatment to have, Lipiflow vs BlephEX vs IPL? It's confusing!
Any doctor would need more information to help you. You could email me at hollywood_vision@yahoo.com
These little bumps on the edge of my eyelid right up against the eyeball are driving me up the wall. This only started happening for me last year but I have them all the time now on any spot along the edge of my eyelids and a lot of the time it bothers me the whole day.
Please go see your optometrist or ophthalmologist to diagnose the bumps. There are many possibilities on what it could be.
Hey Doctor I been dealing with with this issues for over a year now and feel like just like Piero!, I’m from Los Angeles and seen 3 optometrists and 2 ophthalmologists already, they barely diagnosed me with MGD I’m on a 90 day warm compresses, Doxycycline, Refresh, Xxidria and eyelid spray cleaning treatment plan. If this doesn’t work out how can I set up an appointment because I really feel I’m in time to heavily impact MGD.
It’s important to have the underlying issue treated. If you do have MGDIPL is a great way to treat the inflammation.
I have the same issue and am saving up for the ipl treatment now. Can you please explain what causes the atrophy as well as are there any treatments that will restore the glands back to normal size. Thank you so much.
Atrophy can be a result of prolonged inflammation when the glands are clogged for so long. I cannot give you medical advice on this channel.
Iam nafseek
From kerala india
I have been suffered in eye feel tiredness , burning in last 11 years . Nowadays it’s very irritating since 2 to 3 years. My schirmer test is 0 mm . Doctor said it’s several condition. I can’t go any work even can’t go out from home last year. I have 2 child & family. Iam mentally weak now. Because my past life was i am very smart & energetic & socially attached person. Now it’s totally changed . I met lot of doctors during this time . But i dont get my issue solve. Pls guide me for treatment. Pls Faithfully
Nafseek
Bro I'm from Bangalore. how abt u now ??
Same . Not good yet bro .
@@unafseek I am suffering since last 2 years now ,i can understand what must you are feeling,tired and retired from all the activities we used to do when we had no dry eyes issue.God bless us
Stay strong bro. Give a try to chamber eye glasses. The truth is we cant completely avoid dry eyes. But can manage the symptoms.
@@How_Toooo_ I am trying at my best ,are you also facing same issue ?
My man piero's got a perfect hairline
Is it normal to have no results after first treatment? I had my first IPL for clogged glands and inflammation and redness - no changes. I have 2 more sessions scheduled with more strength but I’m feeling discouraged especially aft hearing this story...🙁
Meibomian Gland dysfnction takes a while to develop, and take several treatments as well. It’s not an overnight treatment
How are you feeling now John? Did you have any positive results?
R u ok now please reply 😭😭😭😭😭😭
I m suffering😭😭
I’ve got dry eye ever since my PRK treatment and my surgeon has written me off but not knowing how to fix me. Went to an optometrist and she mentioned many of the same things in this video and recommends IPL among other topical treatments. What are the side effects of IPL short and long term?
Long term side benefits are mainly cosmetic: decreased fine lines, increased collagen production and skin rejuvenation. Short term side FX for very few patients are skin sensitivity, similar to being out in the sun for too long. Follow me on Instagram for daily wellness tips @HollywoodEyes
What do you mean with „over the lid shield“? It’s at around 7:25.
I have the same simptoms and guess it‘s also because of inflamation. Have you done the IPL sessions different as „normal“? Maybe more close to the eyelid? How is this done for the upper lid? I just want to make sure to tell what you have done here to my therapist (live near Munich in Germany so can‘t really come to you ;)
There are two types of shields. One of them sets on top of the eyelids when they’re closed. The other one sits underneath the eyelids were on the cornea. It’s like a big contact lens. This allows me to get closer to the Meibomian glands for more effective treatment.
Hello doctor. I wanted to understand can a person with MGD can work on the screen.
Do you need more support if you are spending many hours in front of that screen. Working on a digital screen, decreases your plane, crate so that the chairs are not being spread over the eyes to moisturize them as you stare at the screen. When the oil heaters are not being blinked away the second and end up, clogging that your plans, which eventually leads to MGD.
Dr. Brisco, for long term maintenance treatment of ocular rosacea, is it normal to be on low dose steroid (.2%) eye drops indefinitely? I'm concerned about skin thinning and the chronic problems that can come with it.
I like IPL because it is a drug free and more natural way to treat ocular rosacea and dry eyes as well as meibomianglanddysfunction. We use light to treat instead of pharmaceuticals.
Thank yoi for sharing your story
Thank you for watching. Please share this with someone that can benefit from this information.
what is the homeopathic treatment for aq. deficiency? I am a new OD grad 2020, I am getting involved in Dry Eye , however would love to have some extra tips and tricks besides for punctal plugs, use of Restasis/Xiidra.... Thanks
Congrats Dr. Sher! There are a number of different homeopathic remedies for dry eyes, meibomian gland dysfunction, red eyes, tired eyes etc. Because there are several thousand different homeopathic remedies, you have to match it with the patient’s history, their personality, and how they have responded treatments in the past. There is no one treatment that works for everyone.
@@HollywoodEyesBrisco Thank You!! Thanks so much for the quick response. Would it be possible to list 1-2 homeopathic remedies, just to guide me in one direction, i will do research from there onwards. I am about to start practicing in Toronto, Canada. I have so many dry eye questions... such a cool field to be in. I have been seeing so much demodex lately, been doing tea tree oil blephex, but they come back.... need to figure out which IPL/LLLT to get and learn how to do it. Is there a way for me to contact you directly, maybe one day to ask you questions. If not, no worries at all. ( i could leave my email on a message and then maybe delete it , either way, thanks so much for your quick response)
Hi! question for Dr: do you do gland expression with forceps after IPL or no expression?
Yes I express
Hi I'm from india
I visited multiple doctors for dry eyes
They always prescribed lubricant eyedrops and gel, and it is almost a year still I'm not feeling better
Also behind my right eyebrow hurts constantly i have no idea how treat this
Unfortunately Drops and gels usually do not address the root of the problem. Ask them about Meibomian Gland Dysfunction
Still your suffering
@@HollywoodEyesBrisco Dr my son have MGD what we need to do for relief the symptoms thanks.
R u ok now please reply 😭😭😭
I m suffering
I have a similar issue, dry eyes, repetitive chalezions and styes, infections, and inflammation. My doctor has put me on Doxycycline HYC to control the inflammation. Is this a good treatment option compared to your IPL treatment? Or should I mention this treatment to my doctor, and/or find a doctor that offers this treatment ? Thanks
Ask your doctor about ways to control inflammation without having to keep taking antibiotics. IPL is drug free
I love lectures but case examples even better.
I’m doing everything I can to halt and reverse my dry eye conditions because I’ve had the condition for almost 25 years. I now realize from this video not to let inflammation become chronic and do even more damage over time. Thank you for that.
I’ve found improvements using MSM eye drops. Also eliminated all seed oils from my diet because MD is in my future.
I believe Dr Chris Knobby is correct about seed oils being root cause of diseases. And it’s easy to remove from my diet.
Thanks again,
It’s my pleasure. I’m glad that you have found some improvement. Keep seeking solutions if you are still uncomfortable. I do televideo consults
Can you tell us more about MSM drops?
@@kamilekapel -
Go to that giant online retailer and read the reviews for a broader firsthand usage.
MSM drops helped my eyes heal from uveitis on the surface of my eyes, but I did get diminishing returns after while. I am grateful for the healing and continue to use it. I have recently gotten over a ringworm infection which is a yeast infection, and I am once again seeing improvement. Eye disease can be related to inflammation.
I also use other eye drops and gels such as by Simlasan. And I use Astaxanthin, Zena xanthan, lutein and other vitamins because I don’t absorb nutrients well.
Good luck and keep searching for answers,
What’s the difference between MGD and Ocular Rosacea? My doctor diagnosed me with MGD but I’m suspecting ocular rosacea as well... Another question; would you advice to do Lipiflow or IPL if meibomium glands are blocked and inflamed?
My booming land dysfunction is a constellation of issues which can include ocular rosacea. Ocular rosacea are the tiny blood vessels called telangiectasia which feed the inflammation. This can also lead to facial rosacea. Both treatments are effective. You would have to ask the Doctor Who physically examines you what is recommended in your particular case.
You spelled meibomian gland dysfunction very different
Thanks for this video. Like Piero I was a teenager and diagnosed with "the worst case of blepharitis and dry eye" the opthamolagist had seen. I still use cotton swabs and baby shampoo to clean my eyelids daily as they develop crust if I don't do this. It is difficult to do it consistently as well. I will research into IPL and what it entails. I have recently started to develop meibomoid cysts possibly? Which is the hard lump on the top eyelid and I am concerned this will develop into something worse
Ask your optometrist about other products that are more effective and safer for your eyes than baby shampoo.
I personally like lid hygiene products by Zocular and Eyes Are the Story
Are the IPL & Forma treatments painful and do they need to be manually excreeted?
It’s not painful at all. We express after Mibo Thermaflow when oily bacterial plugs have been softened.
IpL is cost prohibitive. Can’t afford 900.00 every week
Hi Dr, I am experiencing the same symptoms as Piero and I plan on doing the ipl treatment for the first time next week. My ophthalmologist said that I have blepharitis and clogged meibomian glands. Do you think this is the right treatment for me? I have a history with keratitis and gpc aswell.
Ask your ophthalmologist about the treatment options that I discussed in this video. I also just did a new video about dry eye treatment options. Unfortunately without physically examining you, I am unable to tell you whether or not this is the correct treatment for you.
If your oil layer of tear is blocked or your oil/lipid quality in tears is not proper ,it is detected by schimers test ,doctor performed my schimers test and it read 25 and above in 3 mins .he told you have enough tears no need to chech for oil/lipid is he correct?,does these defect causes you to wear spectacles or your vision gets poor?.pls reply
The Schirmers test measures the aqueous layer of tears rather than the oily or moisturizing layer. Vision can fluctuate when the oily layer of tears breaks up.
Hi, his story sounds just like mine! I've just had 2nd IPL treatment & my doc conducts a gland expression after each one. What is the homoeopathic medicine you gave Pietro? I have similar issues with tears.
I’m glad you are getting treatment! There are several options depending on the patient. Even with Piero I changed the homeopathic medicine during his treatment as his lid disease changed.
I would like to know this too.
how are you feelin after a year now ?
Does this help in treating a stye. I have one for almost 10 months now
Yes it can.
I’m scheduled to get this done. Can someone please tell me if it’s painful??
It is not painful. You will feel a little bit of heat, a mild snapping sensation like a rubber band, and that’s it.
I went through multiple sessions of ipl and it did nothing; there’s long term risks as well; these doctors are just guessing
I have the same issue , my doctor told my I lost 60% of my tear glands ): my eyes have been hurting for easily 3 years ... Is there any recommendations you have DR
Ask your doctor what your options are. Unfortunately since I did not examine you, I cannot give you medical advice on this channel. I do wish you the best
pls answer me 1) there are 2 machine for dry eye that i know--lipi flow & another is IPL__my question is--for whom these are used?? & 2) if i use these-then can i get relief from using eye drop permanently? i have suffering from little dry eye from the age of 20 now age is 26
Most patients need to both melt to unclog the blocked tear glands, then use IPL to treat the inflammation. Treatments need to be repeated annually for maintenance like having your teeth cleaned. Yes! It works! I’ve helped thousands of patients
@@HollywoodEyesBrisco i want to get rid of using eye drops--i am 26years-if i take ipl--then can i get solution forever ??
@@minhazulsani6375 still your suffering
My daughter who is 6 years old , is having a chalazion from the last 2 months. What should I do?
I can do a telemedicine consultation with you to learn more about your daughter. It’s not enough info with what you typed
I m having dry eyes too .
So sorry - hope the info on this video helps.
Still you suffer
R u ok now please reply
I did ipl treatment for dry eyes 3 times
I got relief to some extent as i using hyne eyedrop and lotepred eye drop. i am also warming eyes everyday by using warm cloth on eyes.
But when i did schimmer test to check if any tear production increased but i surprised by knowing that tear production has not increased i.e at 5mm on schmer test strip.
I did that because my eye drop using frequency not decrease i.e 7 to 8 times a day even after ipl 3 times.
Please what to do
Is any best treatment available?
Please consult with an eye Doctor Who specializes in dry eyes or call my office to schedule a telemedicine consult
@@HollywoodEyesBrisco plz tell me
What ipl do
Whether it improve quality of tears or quantity if tears.
I did schimmer test and found that quantity of tears has not improved.
But i am feeling better than previous after ipl.
What to do to improve the quanity of tears in eyes
@Pranav Lawhale can you please tell me from which hospital in India you have done IPL treatment...as m also looking for the same in India.
@@bedabrataghose2327 still you are suffering
wow I feel just like this dude
I’m happy to do a telemedicine consultation to see if I can help you, or make recommendations to lead you towards feeling better. Just call my office to schedule (323)954-5800
Great video and Thanks for explaining meibomian glands image
Thank you so much. I’m glad that you enjoyed the video and hope that helps. Please share with anyone else who could benefit from this information.
What was the name of the homeopathic medicine?
I prescribe different medications depending on the patient, the type of stye, and the stage that it is up. Homeopathic medicine is very personalized
self medication by this boy or ipl treatment give him relief?
The drops in medications that PRL had used, or were prescribed by previous doctors did not bring him significant relief. The first time he had IPL treatment was with me.
dr loss meibomian gland recover again?
My left eyelid has been hurting for more than 6 months now, my eyelid is a bit inflamed and I have irritation in my left eye, I have not seen a doctor I am wondering what would be a good treatment to try myself before visiting a doctor?
Sounds like you would be a good candidate for the treatments in this video, but you need to be physically evaluated by an eye doctor to determine a treatment plan. Come see me if you’re in Southern California!
Hi! I dont speak english Very well so I dont know If you said It on the video, but how many sessions would the IPL be done at First and what period of time during the intervals? And then, How can we do the maintenance? Once a year? In my country the sessions are Just TOO expensive and I'm afraid of It Just doesnt work. My problem is the same as Pietro, since I was a Kid! Many surgerys yet. Heeeeelp
The treatment depends on the type and level of your condition. I can tell you that you need 2-4 weeks between IPL treatments.
Mam i am from india......has ipl any sideeffect?......i have dry eyes since feb 2020
IPL is using intense pulses of light safely
@@mrinvestor1932 check his video on Eye7 care Yt channel he has much relief now
@@kshitijjagdale575 hi sir you have this dry eye problems
What is the process of an IPL?
We use intense pulses of light to treat inflammation in the meibomian glands.
Where is your hospital and which country from you
My office is in Los Angeles, California
Not in Pakistan?
Awesome
Dry Eyes, MGD, blepharitis, and other lid diseases are very common especially when people are stressed or are heavy computer users such as for telecommuting or distance learning.
I couldn't understand the scrub treatment he is doing at home (due to masks). I have Ocular Rosacea, Blepharitis Meibomitis, Disorder of lacrimal glands,Squamous blepharitis, Collarettes. Having 3rd IPL next week. Improvement seems temporary each treatment to date. I was wanting to add BlephEX scrub office treatment. I am very uncomfortable at times, please any suggestions? I use TeaTree daily, EyeEco heated gel pads daily too. I take warm Qtips several times a day with TeaTree foam and clean lash line also. Crusty issue is better but still I have inflammation and my right eye is sore most days. I am a redhead fyi. So facial rosacea is present at times. Please any suggestions? I also read Tarsus Pharm is coming out with a "cure" for mites? Is this your understanding?