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Recent studies show that up to 86% of people with dry eye demonstrate signs of Meibomian Gland Dysfunction (MGD). So if you suffer from dry eye, odds are good that you may have MGD.
Meibomian Gland Dysfunction (MGD) is a fairly common cause of dry eye symptoms. However, it is not something most people know much about prior to being diagnosed, and so may be unaware that they have it at first. Below we’ll provide a basic overview of MGD, so you can have a better understanding of your condition.
Take the Dry Eye Quiz to find out if you suffer from dry eyes
Meibomian gland dysfunction is when the meibomian glands are either not secreting enough meibum (an oil which is an important component of tears, and prevents them from evaporating too quickly), or is secreting poor quality oil. In many cases, the opening of the glands become clogged, resulting in less secreted oil, and what does make it out can be granular or otherwise irritating to the eyes.
Patients with meibomian gland dysfunction are often asymptomatic at first, but if the condition isn’t treated in the early stages, it can both cause and exacerbate dry eye symptoms and inflammation of the eyelids, which can become extremely unpleasant.
Symptoms of meibomian gland dysfunction may not appear in its early stages. However, as it progresses and less and less of the proper quality oil is secreted into the tear film, the eyes may start to feel itchy or have a burning sensation, and they may also feel dry and irritated. It might also feel like there is constantly a grain of sand or dust in the eye. Irritated and inflamed eyelids may also be red.
Other symptoms can include the inner rim of the eyelid appearing rough or uneven, and blurry vision which improves upon blinking.
Environmental factors like dry air, and spending a lot of time looking at screens, can exacerbate symptoms.
Meibomian gland dysfunction is one of the most common causes of dry eye syndrome, and it can also lead to eyelid inflammation, also known as blepharitis.
These conditions often overlap, and it’s entirely possible to suffer from all of them at once. Although, experts aren’t entirely certain about the nature of their connection, such as which comes first and causes the other.
Additionally, if you already suffer from entreated MGD, eye surgery can increase the risk of infection and inflammation, possibly leading to cornea disease.
Meibomian gland dysfunction needs to be diagnosed by your eye doctor. To check if you have MGD, there are several tests that can be performed.
You’ll be asked to fill out a symptoms assessment form and a dry eye questionnaire, after which points several types of tests may be performed to determine the nature of your dry eye symptoms and whether you have meibomian gland dysfunction. These tests measure the quantity and quality of tears being produced, and some can specifically check the quality of the meibum (the oil produced by the meibomian glands).
These may include:
Additionally, some specialty clinics may use advanced photography utilizing multifunctional corneal topography and digital imaging instruments to obtain accurate looks at the various parts of the eye which may be affected by dry eye.
Based on the results of these tests, the doctor will be able to determine whether you have MGD.
During the early stages of meibomian gland dysfunction, self-care can be helpful.
Additionally, consult with a doctor about taking omega-3 fatty acid supplements, as they have anti-inflammatory properties and can improve meibum quality.
More advanced MGD requires medical treatment. Steroids (either topical, spray, eye drops or pills), can be prescribed to help decrease inflammation.
In the office, the doctor may use medical devices specially designed to unblock meibomian glands to improve symptoms. Some of these, such as Systane iLux, Tearcare, Lipiflow, and Mibo Thermoflo, emit heat from the devices directly to the target area to melt buildup and allow the glands to be unclogged via expression of the glands. Intense Pulse Light therapy (IPL), works similarly, but utilizes light to generate the necessary heat to melt the obstructions.
Being consistent with whatever treatment is recommended to you is vital to keep your MGD from getting worse, and in-office treatments such as those mentioned above are capable of providing much longer-lasting relief than at-home treatments like warm compresses.
Meibomian gland dysfunction is a very common problem which can cause dry eye. While in its early stages it can be managed at home, if it gets more severe proper medical care is vital to help relieve symptoms and improve your quality of life. If you’re suffering from dry eye symptoms, don’t hesitate to contact us at Amplify EyeCare of Greater Long Beach. Patients with dry eyes visit our clinic from all over California, and we are proud to be a leading provider of dry eye care for patients from Bellflower, Long Beach, Lakewood, and Los Angeles.
I haven't actually used the optometrist side, so my review is limited to the vision therapy offered. This office was recommended by my occupational therapist for the treatment of my double vision following a stroke.
Love this location. I had a brain injury accident from day one one. All the team make you feel you still important and hope in the horizon after when the medical system fell you miserably. Dr. Ikeda very professional and very understanding about your issue. Two tombs up.
My husband and I were immediately impressed with Dr Ikeda. I was hit by a car while cycling which caused broken bones and three brain injuries. The brain injuries caused double vision. Dr. Ikeda examined my eyes and got me started on vision therapy with his occupational therapist who specializes in vision therapy. She (Chris) is absolutely great. I am impressed with the array of tools used to help recover my binocular vision. I am doing things I never thought were possible (balance boards etc). Chris pushes me and keeps me motivated. I really enjoy my sessions with her. The office staff is always friendly and they have a wonderful appointment reminder tool that makes it easy to keep my calendar up to date. I am happy the rehab center at Little Co. of Mary recommended them!!
The Vision Therapy is handled in a separate office through a different door from the shared waiting room. Chris, the vision therapist, has a wide and varied assortment of tools, equipment and resources to best evaluate and treat most vision issues. After just a few visits, my double vision became easier to control, using exercises developed during the therapy process. It was time well-spent.
I have been coming here since I can remember. I love it here. The staff is so amazing and nice. They explain everything they gonna do and never make you feel rushed. Dr. Ikeda has always been my doctor and I would never want another one. He is the doctor for my whole family and is always asking how everyone is doing. I am also so crazy about picking out my frames and have to try so many and each person who helps me take the time and lets me try them all on. I would never want to go anywhere else! I definitely would recommend this office to anyone looking for a great eye doctor.
This is not for the eye exam but for the frames selection portion. I brought my prescription from Kaiser here with my VSP insurance. The reception staff was very polite and professional. Manny helped me to pick out frames and explain my coverage. Very helpful and patient not like the individual at the other place I rated here on Yelp. I was running late and he still helped me and was not bothered at all. I am so glad I came here ..........very pleased.
Very professional staff and pleasant.
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