Thank you for the question.I am Dr.A.S.Desai and I look forward to assisting you .
One of the possibilities for dry and red eyes in the mornings is meibomitis. It is the inflammation of the meibomian glands in the lids which are kind of modified sebaceous glands. These glands are required for proper functioning of the lipid layer of the tear film
. Thus its inflammation can cause dry eyes. Apart from this it can cause puffy eyelids too. Treatment is in the form of sikple remedies which are slow to show improvement but very effective.
Many appropriate systems of eyelid hygiene exist, and all include variations of 3 essential steps. First, application of heat to warm the eyelid gland secretions and to promote evacuation and cleansing of the secretory passages is essential. Individuals are directed to use soaked warm compresses and to apply them to the lids repeatedly. Warm water in a washcloth, soaked gauze pads, or microwaved, soaked cloths can be used. However extreme heat should be avoided. •Second, the eyelid margin is scrubbed mechanically to remove adherent material, such as crusting, and to clean the gland orifices. This can be completed with a warm washcloth or with gauze pads. Water often is used, although some clinicians prefer that a few drops of baby shampoo be mixed in one bottle cap full of warm water to form a cleaning solution. Attention must be directed to gentle mechanical jostling or scrubbing of the eyelid margin itself, not the skin of the lids or of the bulbar conjunctival surface. Vigorous scrubbing should be avoided as it may be harmful. •Third, an antibiotic ointment is applied to the eyelid margin after it has been soaked and scrubbed. Antibiotic-corticosteroid ointment combinations can be used for short courses, although their use is less appropriate for long-term management and should be used strictly on the advise of the ophthalmologist
You can also use OTC lubricating eye droos duch as Refresh tears, 1 drop 4 times a day for a month.
If you need more help, please use the reply tab to continue our conversation. If you do not require further assistance, kindly rate my service.Thank you and best wishes.It was a pleasure to have answered this question.Views expressed are for information purpose only and cannot substitute a visit to an ophthalmologist