Heating and expression of meibomian glands for Dry Eyes

86% of patients who present with symptoms, such as discomfort, redness, tearing, gritty or burning sensations and blurry vision, have Meibomian Gland Disease (MGD).

Take the Dry Eye Quiz to find out if you suffer from dry eyes

The Importance of Eye Care for Dry Eyes

All too often people with symptoms such as discomfort, redness, tearing, gritty or burning sensations and blurry vision will be sent home with eye drops. Eye doctors that specialize in dry eye disease understand the importance of identifying the root cause of the symptoms in order to provide effective treatment. Studies show that over 80% of dry eye sufferers have blockage to their meibomian glands as an underlying cause.

There are a number of available treatments for dry eye, in particular for dry eye caused by Meibomian Gland Dysfunction, which can greatly help patients. If you are suffering from dry eye, look for an eye doctor such as Dr. Ikeda that has one of the advanced technologies below to treat meibomian gland disease.

If you're looking for a reliable optometrist in Bellflower, contact us today at (562) 925-6591. Our team of eye care professionals is ready to assist you and help alleviate the discomfort caused by dry eye and MGD.

What is Meibomian Gland Dysfunction?

Meibomian Gland Dysfunction (MGD) is a common eye problem that is often the root cause of dry eye. The condition is when there is inflammation and clogging of small glands located in the eyelids which produce the oily layer of tears. When these glands are inflamed and clogged, less of this oil makes it into the tear film, causing them to evaporate more quickly. As a result, you experience irritated, burning, watery, gritty, painful, dry eyes. Learn more about meibomian gland dysfunction (MGD) here.

Treatment for Meibomian Gland Dysfunction

A common method for treating MGD is applying warm compresses to and then massaging the eyelids. The objective of this treatment is to unclog the openings of the meibomian glands.

There are simple, at-home methods of treatment such as warm compresses and massaging the eyelids, however, these tend to only provide a small measure of relief.

However, there are other treatment options, often done in an optometry office that specializes in dry eye disease, involving providing heat therapy to the eyelids followed by massaging of the eyelids to get the melted oil out of the glands.

Treatment for Meibomian Gland Dysfunction

In-Office Treatment Options for Dry Eye Caused by Meibomian Gland Dysfunction (MGD)

Systane iLux

The Systane iLux MGD treatment is a portable, hand-held device which utilizes an LED heat source to warm both the inner and outer surfaces of your eyelids. This melts away waxy secretions which can be trapped in the meibomian glands. Once the secretions have been melted, our optometrist will apply compression to your eyelids to express the clogged glands while also observing the process to assess your current condition. This treatment process is typically quick, taking less than ten minutes in the office.

Studies show that this treatment generally results in major improvements in the symptoms of MGD and dry eyes from about two to four weeks after treatment.

Tearcare

TearCare is another treatment for MGD that is done in-office. This system works by using single use adhesive heating patches which are applied to the outside of the eyelids. These patches are in turn connected to a small and reusable heating unit. The heating is applied for 12 minutes, after which our eye doctor will squeeze the lids to open and drain the clogged glands.

A recent study on TearCare showed that it was an effective treatment for both MGD and dry eye, resulting in symptom reductions that lasted at least six months.

LipiFlow

LipiFlow is another in-office medical device for treating MGD. It attaches to the eyelids for 12 minute treatment sessions, and applies heat and pulse pressure to simultaneously melt the waxy deposits in the meibomian glands, and to open and express the glands.

Research has found that a single LipiFlow treatment significantly improves meibomian gland secretions and dry eye symptoms for as long as three years.

Mibo Thermoflo

This device, manufactured by Mibo Medical Group, uses a probe applied to the eyelids to apply heat. To soften and express meibomian material, the probe gently massages the lids with 108 degrees of heat.

EyeXpress

The EyeXpress device from Holbar Medical Products is a heat mask with a soft gel insert attached to a heating element. Using a mask that is applied to the anterior surface of the patient's lids and heated to 110 degrees, the meibomian tissue is softened. Afterward, the clinician expresses material manually from the glands.

Intense pulsed light

Although IPL has been used in dermatology for over a decade, it is a newer approach for eyecare. Dry eye is treated by addressing its multiple causes. The short flashes of light cause the blood vessels in the lids to dilate and the skin temperature to rise. As a result, the meibum will become softer and can be expressed manually by clinicians or naturally by blinking. IPL therapies are usually performed in several sessions spaced over weeks or months. For continued results, patients may require maintenance appointments every six months or annually. Learn more about intense pulsed light therapy here.

Common Questions

What is the heat procedure for dry eyes?

The heat procedure for dry eyes is a treatment primarily aimed at alleviating Meibomian Gland Dysfunction (MGD), which is a leading cause of dry eye syndrome. It involves applying heat to the eyelids to melt the waxy secretions trapped in the meibomian glands. This process could be done manually using warm compresses at home or through advanced procedures at an eye clinic such as the Systane iLux, TearCare, LipiFlow, Mibo Thermoflo, or EyeXpress treatments. These in-office treatments utilize devices that apply consistent, regulated heat to the eyelids, thereby unclogging the glands and restoring their natural function.

Does heat on the eyes help dry eyes?

Yes, heat on the eyes can greatly help with dry eye symptoms, particularly when caused by MGD. The heat helps melt the blocked secretions within the meibomian glands, allowing the natural oil to flow into the tear film on the surface of the eyes. This oil layer plays a vital role in preventing the quick evaporation of tears, thus keeping the eyes lubricated and alleviating dry eye symptoms.

Can heat damage meibomian glands?

Excessively high heat or improper application can potentially cause damage. However, when applied correctly and under the guidance of an eye care professional, heat therapy is safe and effective. Eye care professionals at clinics like Amplify EyeCare of Greater Long Beach ensure that the right amount of heat is applied through advanced devices, which have built-in safeguards to prevent overheating.

What is gland expression therapy for dry eyes?

Gland expression therapy for dry eyes is a procedure that involves applying pressure to the eyelids following heat therapy. This is done to express, or squeeze out, the melted waxy secretions blocking the meibomian glands. The goal is to restore the natural flow of oil into the tear film, which helps to maintain a healthy eye surface and relieve dry eye symptoms. This procedure is usually performed by an eye care professional in a clinic setting.

What is the first line treatment for dry eyes?

The first-line treatment for dry eyes often involves over-the-counter artificial tears, warm compresses, and eyelid hygiene. If these measures aren't effective, an appointment with an eye care professional at a clinic like Amplify EyeCare of Greater Long Beach can help identify the root cause of the symptoms and guide further treatment. This could include prescription eye drops, heat and gland expression therapies, or even surgical options in severe cases.

What is the best treatment for dry eye symptoms?

The best treatment for dry eye symptoms depends on the underlying cause. However, common effective treatments include artificial tears for mild cases and prescription eye drops for inflammation. Heat and gland expression therapies, as performed at clinics such as Amplify EyeCare of Greater Long Beach, can also be very effective for dry eye caused by MGD. In severe cases, surgical options might be considered. It's best to consult with an eye care professional who can guide you towards the most effective treatment for your particular situation.

Summary

Today, there are several effective treatment methods for meibomian gland dysfunction. If you are suffering from dry eye caused by meibomian gland dysfunction, contact us at (562) 925-6591 to schedule a dry eye exam. 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.

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Testimonials

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.

Claire A.

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.

Jim K.

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!!

Teresa S.

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.

Joe M.

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.

Kayla W.

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.