Friday, December 6, 2013

Patient Testimonial #3 and #4

Patient M.V., a 65 year old female presented to us with constant dry eye, her left eye worse then her right.  She found that after many hours on the computer, she would have dry, gritty red eyes, and it made driving home after work difficult.

LipiView tear evaluation revealed a  poor tear film, and that more then 50% of her blinks were partial blinks.  Meibomian gland evaluation revealed that approximately 50% of her glands had atrophied (died) in her right eye, and 70% in her left eye.  The glands that were still patent (alive) were not producing a good quality oil.  It was thick and pasty, similar to toothpaste or candle wax.  We informed her that the procedure would most likely benefit what glands remained.  We were more optimistic about the right eye, but due to the amount of gland atrophy in the left eye, the procedure would be performed essentially to prevent further gland loss, rather then provide significant relief.  M.V. understood and elected to have the procedure.  After the 12 minute procedure, she noticed immediate relief.  We started her on a good triglyceride fish oil twice daily, as well as blinking exercises to improve her blinking patterns.

M.V. returned to us 4 weeks later with a smile on her face.  She noticed less watering throughout the day, especially in her right eye.  She also noticed a decreased amount of the "crusties" in her eyes in the morning.  She did not use as many artificial tears throughout the day, and her eyes felt better at the end of the work day.  She was glad she had done the procedure.

Patient A. W., a 66 year old male, complained of constantly watering eyes.  Throughout the day, his computer vision would blur because he was constantly wiping at his eyes with a tissue to get rid of the water. By evening, it was even worse, and his eyes felt quite fatigued.

LipiView tear evaluation revealed a poor tear film, but his blinks were normal (normal blinking means that each blink is a full blink, where the upper lid completely covers the eye and makes contact with the lower lid).  Meibomian gland evaluation revealed only 25% atrophy both eyes, but the glands were clogged, and oil was not expressed with pressure.  We informed A.W. that we were optimistic, as his blinks were normal, and glands still patent.  The procedure would be beneficial in removing the thick, dried oils, and help promote a healthier, more liquefied oil.  A.W. elected to have the procedure.

A.W. returned 4 weeks later, noting a decrease in watering throughout the day.  He still had some watering upon waking, but this improved significantly throughout the day.  He was able to work more efficiently on the computer with reduced watering, and he was very happy about this.  We had made working on the computer enjoyable again.



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