I wish there would be a real solution to this problem.. what makes it even harder is that most people and insurances don’t acknowledge what you‘re going through at all, which can leave one extremely lonely and feeling worthless
I stopped listening with “autolagous serum.” I’d been using it for years, 40% 15X a day or more. It felt soothing for all of one minute. I recently stopped AS and switched to PRP drops. They are far superior! I’m using 4X/day and they have healing properties, not just moisture that quickly evaporates away. I recently added inexpensive and super helpful do-at-home remedies. I started wearing a sleep mask as well as Stoggles moisture-chamber safety-glasses. They both are an immense help in retaining moisture by preventing evaporation. I don’t know if this video will get to it-I won’t bother since it opens with AS-but amniotic membranes (expensive and reimbursable by Medicare) worked *wonders!* after 5 days the cracks in my eyes were all healed and just a few dry spots remained. I followed the amniotic membranes with my first IPL and manual expression. Next week IPL #2. So far I have a very high level of symptomatic relief. I have a list but these top my list. Good luck all you dry eye sufferers out there.
I have an appointment for an IPL session due tomorrow, so I didn´t know whether or not to watch this video. What a relief to know that you consider said treatment to be worthy. Greetings from Argentina.
I get Lipflow yearly and tried IPL prior to Lipiflow this year. Had good results. Lipiflow has always been my gold standard treatment. Prokera was great. The ring on the Prokera lens caused a small erosion on my cornea because my eye surface is so irregular from severe astigmatism. I am still a fan of Prokera as it was effective in my eye with less astigmatism. Experiencing a severe flair of ocular rosacea now with giant papilla after COVID. Using Azithromycin oral and Eysuvis drops with good results. However, had recurrence as soon as I weaned off meds. I think I should try autologous drops next. Thanks for your comprehensive videos.
I have done IPL and IPL maintenance, Eye Luxe with expression and also Blephx treatments. I find they help but will need maintenance treatments. Love your videos!
I have to ask why its so incredibly expensive for the IPL or other treatments that merely heat up your eyelids to enable a mechanical expression of your meibomian glands, which by the way is quite simple and can even can be done by the patient at home. I bought the tool myself and I easily and effectively express my own glands at home. It takes just a few moments and can be learned in minutes.
There's a lot to this answer. The IPL machine itself is incredibly expensive for doctors to bring into their practice. While it's a light therapy and not a laser, its still very powerful and takes training and experience. I don't believe Meibomian gland expression is really that simple. The heat prior to expression needs to be well controlled in order to adequately heat the meibum to a temperature level where it can be expressed. The devices on the market that do this have a high cost to the doctor and have disposable costs for every treatment done. My expressions are tailored to each individual patient, with their MG imaging in mind. I apply varied levels of pressure and use a microscope to make sure I have expressed all possible meibum. I'm not saying you can't express at home or learn the technique but there is a big difference in the expression I'm able to provide and that's because of tools available to me as well as experience. Many of my patients have such severe gland inspissation and keratinization that a specialized approach is warranted. For early, mild MG problems....yes, I can see where it may be fine to express at home but even then, you may be doing a cold expression which could harm the gland function. Just some of my thoughts.
With IPL, by Lumenix, it is just the 4 sessions, correct? Or is there maintenance work involved afterwards? And if there is maintenance, what exactly is that? Just trying to figure out the cost - thought it was just the 4 sessions?
I have searched your videos and see that you don't use Lipaflow treatment. I am scheduled for a $700 Lipaflow treatment in a couple of weeks. It will be my second one in about 2 years. What do you think about the Lipaflow treatment?
would the autologous serum drops be affective for aqueous deficiency? I'm concerned about there not really being any data for long-term use of Xiidra..
have been suffering from dry eyes, red eyes and a pinguecula for years now. do you have any recommendations and tips for dealing with a pinguecula besides the usual treatments for dry eyes? thanks.
@@dianestahr4421 also i sometimes use eye drops (whenever it starts hurting) and thats it. I’ve had dry eyes for over a year now and nothing helps, not even the doc
Fitz 5 is borderline which is why you'll get both answers. I would say probably yes, but would decrease the fluence and probably do a test spot first to be sure of your skin reaction. Practice caution for sure. Hope that helps!
I don't have personal experience with RF, I don't have it in my clinic. I do hear great results from colleagues who use it. My concern is around peri-orbital fat loss, that's why I haven't brought it into my clinic yet. Still gathering info on that one.
