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Dr. Susan
Dr. Susan, Ophthalmologist
Category: Eye
Satisfied Customers: 218
Experience:  Board Certified & Fellowship trained eye surgeon.
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treatment for excessive dry eyes, blepharitis, and clogged oil glands which have caused mi

Resolved Question:

treatment for excessive dry eyes, blepharitis, and clogged oil glands which have caused mis-directed eyelashes that have been cauterized three times?
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. Susan replied 2 years ago.

Dr. Susan :

Hello and welcome to JustAnswer! I am currently online and able to help answer your questions. Are you available to chat?

Dr. Susan :

I am sorry to hear that you have had such an ordeal.

Customer:

Yes, I can chat. I thought another doctor with a phd was going to answer...

Dr. Susan :

Unfortunately, blepharitis is a chronic condition and it waxes and wanes. The goal is get you to a point that you are comfortable.

Customer:

what can I do and must I keep doing the hot compresses daily and how many; it is a pain in the butt.

Dr. Susan :

The doctors whom are online rotate and although you see the profiles for all- they may not be online at the time you post your question. I am an ophthalmologist specializing in the anterior segment and see this problem EVERY day. I would be more than happy to help you.

Dr. Susan :

YES- unfortunately, the warm compress and daily lid scrubs are KEY.

Customer:

I would like to know if somethng permanantly can be done for the clogged oil glands.

Dr. Susan :

As good as the tobradex ointment and azasite are, they can not be used chronically.

Dr. Susan :

no

Customer:

My doc told me he doesn't have the machine or type of thing that can unclog the oil glands because it cost $1000. That is why I asked about the permanent solution.

Dr. Susan :

the clogging can be relieved, temporarily

Customer:

He also thinks I have rosacia. Is there a condition like that of the eyes that will require that I must stay on Minocycline forever?

Dr. Susan :

The machine he is talking about is new and there heve been some good results but I have not seen how patients respond long term.

Dr. Susan :

I have many patients that I keep on low dose minocycline for years.

Dr. Susan :

Have you had problems with it?

Dr. Susan :

Have you seen a dermatologist for the rosacea?

Customer:

I also asked him what I can use as frar as a moisturizer around my eyes or face since the daily scrubs of twice or more each day of the eyelids is causing such dryness. what do you suggest?

Customer:

I have never had roscia to my knowledge; I was using a new moisturizer with some acid in it when he saw me.

Dr. Susan :

tell me what else you are using- are you just on the washes and warm compress? any topical medications at this point?

Dr. Susan :

are you on any other new medications for other medical problems?

Customer:

No, I have not had problems with it, but am wondering if I will eventually turn blue. And, I do have dry mouth at night. I went off of my blood pressure med which I thought might be causing it. They can't seem to find one to agree with me. I have bad reactions to generic and I am poor, now.

Dr. Susan :

the minocycline is getting expensive?

Customer:

He did not give me any topical meds. I had to ask for the last anti-biotic eye drop. I thought this was reoccuring with painful, condition, and bloodshot eyes.

Customer:

The minocycline is about $36. I have a Pacenet card for poor in PA.

Dr. Susan :

right but everything together adds up!

Customer:

i have lower lid that is red in one spot and keep wondering if I need something more; it can come and go...

Customer:

I feel better with the Azasite and it is expensive, too. About the same.

Dr. Susan :

I would recommend the warm compresses 2-3x per day, then wash your lids with a wash called STERILID. You can get it at CVS.

Customer:

But, it is almost gone; I began it a week ago last Monday.

Dr. Susan :

Azasite is good but too expensive and runs out quickly

Dr. Susan :

The sterilid isgood for the dry skin too.

Customer:

I have been using baby shampoo on the lids am and pm and once in awhile if I put makeup on or try an eye makeup--I wash it again when I come home. Is this caused by bacteria, uncleanliness, or the microscopic bugs on our eyelashes?

Dr. Susan :

Then I would keep you on doxycycline/minocycline 100mg two times a day when things are bad and then when you calm down take it to 50mg per day if you are petite woman and 100mg if a larger woman.

Dr. Susan :

It is multifactorial- it is not uncleanliness though.

Dr. Susan :

The glands can hypersecrete (produce too much oils) then it becames a nice medium for more bacteria to grow on. We all have bacteria that naturally lives on our lids.

Dr. Susan :

For you, it is probably your complexion, your other medications (for other medical problems), hormonal, seasonal!

Customer:

If glands are clogged, which may have caused my dry eyes for years and I used Refresh for years---how is it that over production of oil can be causing blepharitis?

Dr. Susan :

it is clogging the pores and not allowing them to be secreted into your tear film.

Customer:

I weigh 172, am about 5'4" have ostepenic condition, take only natural things have gone off BP and cholesterol meds for now, take calcium and Vd, and B w/C and extra Vit B 12

Dr. Susan :

Ok good! so you are healthy. Another suggestion that I have for you is to start omega 3 fatty acids daily. Omega fatty acids have been found to help with this condition

Customer:

Dr says he could put plugs in, would that help me? and are there different plugs for different type of glands?

Customer:

I am wondering if my red eyelids, inside, mean there is something else that is wrong?

Dr. Susan :

Yes- plugs are great for dry eyes. the little tear that are on your eyes will stay there longer and help to lubricate your eyes.

Customer:

Yes, I do take Omega 3's via Schiff Mega Red and eat them, too.

Dr. Susan :

well the redness is a sign of inflammation which is what the blepharitis is. The antibiotics by mouth help to settle this inflammation.

Customer:

Since having treatment, my eyes are not as dry and that is a blessing. Guess I just hate that I now have this chronic condition and that a previous doctor saw it about 3 years ago and didn't help me with it.

Dr. Susan :

that is unfortunate! But you are not alone, a lot pf people suffer from this condition. It will get better. You just need to go through a series of different medications until you figure out the correct regimine for you.

Customer:

Sorry that I have been so long on this. Is there any way that I can print out what all you did tell me. It was helpful. I didn't kow that the inflamation was from the bleph.

Dr. Susan :

I will email our converstation to the moderator and have them email you a script.

Customer:

Are the hot compresses to relieve the clogged oil glands?

Dr. Susan :

yes: warm compresses to unclog; washes to clear the debris; antibiotics to decrease the inflammation; artificial tears/plugs to lubricate the surface

Customer:

Thank you very much, Susan.

Dr. Susan :

You are welcome!


I am glad that you have found this helpful. Please press the green ACCEPT button so that I can get credit for my efforts. Any positive feedback is MUCH appreciated!

Dr. Susan :

Good luck!

Customer:

Susan, one more thing what exactly causes the eyelashes to grow wrong?

Dr. Susan :

chronic inflammation- the architecture of the glands and lash roots change with scarring and they don't grow back how they were intented to grow.

Customer:

You have been more helpful than my doc Thanks!

Dr. Susan, Ophthalmologist
Category: Eye
Satisfied Customers: 218
Experience: Board Certified & Fellowship trained eye surgeon.
Dr. Susan and 2 other Eye Specialists are ready to help you

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