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Inflammation
Systemic inflammation leads to local inflammation in the eyes. This ocular inflammation causes permanent damage to the oil and water glands, worsening dry eye symptoms and reducing the effectiveness of treatment. Therefore, it is crucial to treat ocular inflammation early and aggressively while also addressing systemic sources of inflammation.
Meibomian Gland Disease (MGD)
Meibomian Gland Disease (MGD) initially occurs when the oil (meibum) produced is semi-solid instead of liquid, largely influenced by diet and systemic inflammation levels. Over time, the glands become clogged and stop excreting oil into the tear film. This process is often accelerated in individuals who spend long hours on devices, as they tend not to fully close their lids when blinking. Full blinks help “milk” these oil glands. Once the glands are clogged and the oil can no longer move out, they begin to “dry up” and permanently shut down. It’s crucial to treat clogged glands aggressively to prevent further loss and limited outcomes. By liquefying the oil, it can be excreted into the tear film with every blink, slowing down tear evaporation and preventing burning and blurriness between blinks. Increasing the oil content in the tears not only soothes dry eye symptoms but also helps protect and nourish the ocular surface.
Bacteria
Overproliferation of bacteria and/or mites leads to inflammation of the lid margin, releasing toxins into the tear film that irritate the eye and cause redness and inflammation on the ocular surface. We use topical cleansers, antibiotics, and mechanical exfoliators to eliminate this issue.
Lid Function
Proper lid function is crucial for protecting and hydrating the ocular surface. Some issues can be addressed with blink exercises and special masks, while others may require a surgical referral.
Aqueous Deficient Dry Eye (ADDE)
Inflammation can cause permanent damage to the lacrimal gland, with or without Sjogren’s Disease. To address this, we emphasize hydration and may use pharmaceuticals and/or punctal occlusion when necessary.
