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Ocular Surface Disease and Dry Eye



Over 30 million Americans have dry eye. And if you include the number of persons who live with or socialize with a person with dry eye, the number of affected Americans easily surpasses 75 million. This is pertinent because significant others must respect the needs of their spouse/friend/relative with dry eye and help create a dry eye friendly environment.


There have been significant advances in the understanding of dry eye and eye surface disorders over the past several years. These advances have increased our ability to successfully diagnose and treat common and rare eye surface disorders. For common eye surface disorders such as dry eye, irritated eye, red eye, as well as contact lens intolerance and eye infections, new medical therapies and approaches to treatment can restore a comfortable, healthy eye with improved vision.


Chronic Dry Eye: A Closer Look


Despite its prevalence, Chronic Dry Eye (known by doctors as keratoconjunctivitis sicca) is among the least understood eye conditions that affect large numbers of people. Many people mistake the dry eye symptoms for allergies, climatic conditions or just "eyestrain". While all of these may aggravate Chronic Dry Eye symptoms, they are not the cause.


Your eyes need a constant layer of tears — called the "tear film"— to maintain and protect the ocular surface. In Chronic Dry Eye, underlying changes to the health of the tear-producing glands can result in a change in the quantity and quality of the tears you make. This results in a tear film that can no longer provide enough nourishment or protection to the surface of your eye. This can lead to damage of your eye’s surface, which, in turn, can lead to the symptoms of Chronic Dry Eye.

The symptoms of dry eye vary


Different patients describe their dry eye symptoms in different ways: itching, irritation, light sensitivity, blurred vision and even too much tear production. Coping with any, or some of these symptoms is a challenge to millions of Americans. While many sufferers believe it is a condition that they must simply “learn to live with,” the truth is that untreated, Chronic Dry Eye can lead to more serious vision problems.



Intraductal Meibomian Gland Probing


Intraductal Meibomian Gland Probing Relieves Symptoms Of Obstructive Meibomian Gland Dysfunction. Meibomian Gland Disease is arguably the most common cause of dry eye and has certainly been the most challenging to treat. Traditional therapies have failed to consistently provide effective results leading to ongoing suffering and frustration for patients and physicians alike.



Intraductal fibrotic and neovascular changes may explain the persistence of obstructive mgd despite exhaustive therapies directed at the lid margin and orifice and the inconsistent effect of warm compresses and lid massage. Intraductal meibomian gland probing appears highly effective in quickly relieving inflammatory symptoms of obstructive MGD.