How to do Meibomian Gland Expression | Is it good to express meibomian glands? Is it painful?

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How to do Meibomian Gland Expression | Is it good to express meibomian glands? Is it painful?

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Күн бұрын

In-office expression of the meibomian glands can provide significant relief because the backed-up glands can be painful. Meibomian gland expression is both an easy and highly effective procedure for reducing symptoms and improving signs in MGD. Because MGD represents a significant portion of dry eye disease, proper management and treatment are essential for improving a patient's ocular health.
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⏱️ Timecodes:
00:00 Intro
01:00 Why Do the Meibomian Glands Get Blocked?
06:52 How Do You Reactivate a Meibomian Gland?
11:30 How to Massage the Eyelid for a Meibomian Gland Expression
12:42 Does Meibomian Gland Expression Work?
15:20 What To Expect
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What causes meibomian glands to block?
There’s no one easy answer to meibomian gland dysfunction. There can be several contributing factors from aging and environmental stress to wearing contacts lenses or using certain systemic and topical medications, a variety of factors can play a role in the development of this condition. While it is something that can affect anyone, some people are more prone to it than others.
#dryeyedisease #dryeyes #dryeyesyndrome #dryeyestreatment #dryeyetreatment #dryeye #dryeyes #dryeyedoc
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🏡 We are Salisbury Eyecare and Eyewear - a cold start optometry practice and optical shop that is owned and operated by Dr. Melanie Denton Dombrowski in downtown Salisbury, NC. Our office operates out of a darling Victorian home where we provide medical and routine eye care and Dr. Denton specializes in dry eye treatment and management of various ocular diseases. Dr. Denton is a member of the Bausch and Lomb Speakers Bureau, a former member of the Alcon Contact Lens Speakers Bureau, a current Alcon consultant, a member of the Allergan Advisory Board, a member of the Valeant Advisory Board, a TearCare consultant, a Lumenis consultant, and a member of the North Carolina Board of Examiners for the North Carolina Optometric Board. We started this channel to provide patient education and eye-related product reviews, as well as to share our experiences in the office and at community events. None of our videos are directly sponsored. We hope you enjoy our videos! Make sure to leave comments and suggestions about what you’d like to see next!
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optometrist, posterior blepharitis meibomian gland dysfunction, mgd, lipiflow, ipl for dry eye, ilux dry eye treatment, dry eyes

Пікірлер: 45

@KGB0217 5 ай бұрын

Thank you so much for this video - it was very helpful. It was originally mentioned last year that there was concern for very mild MGD based on expression & was given tips on diet/supplements/etc. I moved & was recently diagnosed with mild MGD with imaging. The provider told me that there was nothing that I could do - that everything is ineffective except lipiflow. I've continued my supplements, using a warm compress, & will use your demonstration of massage.

@coreymihailiuk5189 Жыл бұрын

That was the most detailed and comprehensive overview of what could possibly be influencing or causing meibomian gland dysfunction. Thanks for sharing!!

@bambilynn7231 Жыл бұрын

That was the best info! I have been dealing with MGD for years.

@goodrich06 Жыл бұрын

If MGD is a serious eye disease, why does insurance not cover the treatments?

@janineypants Жыл бұрын

SERIOUSLY

@jakenewcomer2209 11 ай бұрын

Because there’s more money to be made

@caseyisabell2911 Жыл бұрын

Thank you for this video!!! So informative!!! THANK YOU FOR EXPLAINING HOW TO MASSAGE your eyes at HOME!!!!!! I have been wondering how to do this at home after warm compress. I'm going for my first IPL treatment next week. Looking forward to the start if relief!!! 🥰

@neilmartin99 4 ай бұрын

Did IPL work?

@graveart1105 Жыл бұрын

I put the Bruder mask in the microwave for 40 seconds. Then I set my timer for 8 minutes. By the time I get in my chair and set my Calm app to crackling fireplace the mask has cooled. If it’s still too warm I fold a tissue in quarters and put it between my eyelids and the mask. As soon as the timer goes off I wash my face and my eyelids to remove any plugs of oil. Once a day is all I need. If I don’t do this routine then by 6pm my eyes are watering so badly I can’t see.

@barbnativenewyorker Жыл бұрын

Jason's Tea Tree oil Shampoo lid washing in morning and before bed

@jbmanifestor5016 Жыл бұрын

I think my long term wear of soft contacts was causing it and was really set it off was wearing heavy eyeliner, especially on my lower lids. Poor little glands. Getting them treated with Ilux on the 20th 😊

@SJHD Жыл бұрын

You are beautiful, my dry eyes is literally ruining my life and eye help in the UK is terrible

@ibrarmfaiz Жыл бұрын

I feel you. Got dry eyes a few months ago. I literally got told its just dry eyes, to being told to use systane balance (with preservatives), to being told its mgd, all the time i cant use warm compresses cos they make my skin worse.... since my skin around my eyes is inflamed too. UK sucks at this!

@graveart1105 Жыл бұрын

You can buy a Bruder eye mask on Amazon. Use it once a day. Heat it in the microwave for 10-20 seconds. Relax with the mask over your eyes for 5-10 minutes. Then gently wash your eyelids. Use lubricating eye drops 3-4 times a day. It’s life changing. I’m 75 and have been doing this routine for 5 years.

@ibrarmfaiz Жыл бұрын

@@graveart1105 thanks. I have optase mask which is basically the Bruder mask. The issue is my skin around my eyes becomes red and inflamed so I can't use heat compresses soi dont know what to do about that.

@peggyzmudzinski2151 Жыл бұрын

The best remedy for me is warm compresses and expressing the glands immediately after. I have tried everything for the past 18 months and have found this condition to be tolerable with Tyrvaya, warm compresses and Systane gel drops. Also 2-3 times a day I put a light layer of cerevae healing ointment on the eyelid and also under the eye also. Castor oil works as well. I found consistency with everything is the best answer and produces a pretty good result. I have tried Restasis and Xidra and it didn’t help hardly at all. Wishing you relief!

@geoffmcconville5792 Жыл бұрын

Yes, dry eye is largely ill-served in the UK. However there are some of us who specialise. Keep looking!

@krc5210 Жыл бұрын

This was such a good informative video but I am really frightened of any manipulation with my eyes open. I have dry eye and blepharitis so I will discuss and ask questions at my next eye exam. TY!

@tedbaechtold1202 Жыл бұрын

I have had lipiflow without much change. I think IPL is my next treatment option. I have multiple states on my lids ...

@KG-bg1uk Жыл бұрын

It made one of my eyes worse ...too much pressure and too many attempts.... still painful weeks later. Heated eyes then made me pay before expressing as receptionist was leaving so cooled down. Steam hurt my eyes and vision damaged. Would never have it again and I went to a professional.

@philipbarton2056 Жыл бұрын

About a month ago an optometrist did this to me when my eyelid was already slightly inflamed. Ever since then my eyelid has been completely swollen and inflamed. Any ideas on what I can do to fix the damage they caused? Ive tried warm compresses.

@faceofantasy1194 Жыл бұрын

Mine is from wearing eyeliner in HS then going and just reapplying in the AM

@adam29334 Жыл бұрын

Hi, what do you think about testosterone eye drops/gel? In many videos you've mentioned that anti-androgens can effect the glands negatively, so can we counteract the effects of products/medicine (bakuchiol, finasteride) with a topical application of androgens to the eye itself? Thanks!

@jillmoore3073 8 ай бұрын

I have sjogrens and horrible dry eye. All the treatments you talk about are not covered by insurance. So frustrating cuz is super expensive

@aminaben5828 Жыл бұрын

Hi. What about hypersecretory MGD (caused by seborrheic dermatitis). Is the treatement the same?(warm compress and massage)? Thanks you

@lydiaglassman6065 9 ай бұрын

Hi Dr D! Loved this tutorial! Do you think a facial steamer would help open the glands enough before the massage? Thank you!❤

@EyeSchoolwithDrD 9 ай бұрын

in some cases, yes! have used this technique with a few patients. but facial steam can exacerbate rosacea (as can hot compresses!) so with caution...

@nirvonna 27 күн бұрын

Large scale study shows that omega 3 supplements do not particularly help dry eye.

@ratherbfishing455 Жыл бұрын

Can you do this after cataract and cornea transplant. Thanks

@EyeSchoolwithDrD Жыл бұрын

Yes, after cataract surgery. For cornea transplant, only after clearing with your eye doc.

@ratherbfishing455 Жыл бұрын

@@EyeSchoolwithDrD Thank you. I really enjoy your videos, as they are so informative. I've seen so many opthomologists after my BMEK surgery this last year. All have said that I have dry eyes and to do warm compresses and use Refresh Mega 3 eye drops. I also use Refresh PM. One said to wear moister chamber goggles at night. My Dermatologist gave me Doxycycline for Rosacea.

@31muscogee14 Жыл бұрын

my Dr charges $800 for an extraction. Who can afford that? I did it once or twice and it does help me so much but I cannot afford $800 every month or two. Is there an affordable options for me? I have tried expressing at home but its just not as effective. I feel they took advantage of me but I have no recourse and I am still suffering. Please advise.

@lesleewatson4266 Жыл бұрын

Following

@dkroberts1163 Жыл бұрын

From experience, just wanted to stress the importance of clean hands before touching your eye area.

@tapanroy340 Жыл бұрын

Mam mebonian gland dysfunction cure possible

@Priyan0000 10 ай бұрын

R u ok now??? Please reply😭🥺😭😭 I m suffering

@fayjohnstone79 10 ай бұрын

Yes, it is painful ...like simething ouy of the dark ages😢

@MuffinstoMangos 9 ай бұрын

I've def got this. Its awful. No more makeup. Wake with it. Is there a makeup line for dry eye maybe? Even face creams, base for face, or powder base is awful. Eyes still get burning, gritty. I can wear nothing now. I dont like to go in public anymore. Slits for eyes. 😢

@SDWits 5 ай бұрын

I found out today that i have this and i got an in office expression done. I would also like to know if there's any eye makeup that is safer to wear as i have largely cut down on my eye makeup, but i still want to wear it for special events at least. I miss wearing eye liner. Since she doesn't respond (probably for liability reasons) my guess is using products that have safer ingredients per the EWGs Skin Deep website is a least a better bet. Just remember, more natural ingredients isn't a guarantee that the product is less irritating. I wonder, maybe liquid liner is better than pencils, gels, etc bc it's thinner? And non water proof is probably better bc it's washed off easier? These are just my thoughts.