Unfortunately, unless the glands become more functional, the situation never gets better. So the best treatment for this situation is the faithful and consistent application of heat packs which help the oils get moving. We are not talking a warm washcloth, that gets cold quickly, rather a heat pack that applies constant heat for at least 3-5 minutes at a time. If this does not provide good relief, your doc may consider an antibiotic like doxicycline, tetracycline or minocycline for 6-8 weeks or longer. These help the glands drain better. Also, use lubricant drops a few times a day, Refresh Celluvisc is a wonderful one to try. This regimen will help you make more stable tears and reduce the surface irritation and help make your eyes feel better, and in time the symptons will improve. Take care and let me know if there is any more questions or concerns.
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