dry eye

Comparison of IPL versus a certified Ultrasound Probe in Expression of Meibomian Gland Oil for Patients with Eye Pain, Dry Eye, and Meibomian Gland Dysfunction

We have received IRB (Investigational Review Board) approval to study total amounts of meibum expression of IPL (Intense Pulse Light) compared to a certified Ultrasound Probe for Patients with Eye Pain, Dry Eye, and Meibomian Gland Dysfunction. We have a control arm of patients who do not have the above as well. The Ultrasound Probe we […]

Comparison of IPL versus a certified Ultrasound Probe in Expression of Meibomian Gland Oil for Patients with Eye Pain, Dry Eye, and Meibomian Gland Dysfunction Read More »

Meibography Looks Better After Lipiflow: is it true improvement?

I have seen now 8 patients whose meibography looks better after Lipflow. Meibography does a pretty good job of trying to objectively demonstrate and follow meibomian gland atrophy. There are inherent errors with many imaging technologies, and meibography is not perfect.  Depending on how the technician pulls down the eyelid and even flips the upper

Meibography Looks Better After Lipiflow: is it true improvement? Read More »

How to Regrow Meibomian Glands and How High Carbohydrate and Sugar Intake and Diabetes May be Toxic to Meibomian Glands

A favorite patients of mine has been so kind to continue to do research on how to save meibomian glands. We are trying to figure out if we can inject IGF-1 (Insulin Growth Factor 1) into the meibomian glands to make them grow back better than Platelet Rich Plasma. Some key points: 1. IFG-1 can

How to Regrow Meibomian Glands and How High Carbohydrate and Sugar Intake and Diabetes May be Toxic to Meibomian Glands Read More »

Nerve Growth Factor helps with Corneal Neuropathy and Neuropathy from Trigeminal Neuralgia

Exciting newly released study in the Journal of Ophthalmology, one of the top 3 journals in eye surgery: A group from Italy showed positive results in using Nerve Growth Factor (NGF) in patients with neurotrophic keratopathy or corneal neuropathy. NK is thought to occur from trigeminal nerve damage 9ie, trigeminal neuralgia[TGN]) and loss of corneal

Nerve Growth Factor helps with Corneal Neuropathy and Neuropathy from Trigeminal Neuralgia Read More »

Positive Result After First Case Using Cord Blood Serum For Neuropathic Pain Likely From Trigeminal Neuralgia

Our first patient to have Cord Blood Serum for corneal neuropathy and trigeminal neuralgia reported a significant improvement in pain scores from 9/10 pain to 2/10 pain in the one eye the patient is using the CBS. We are very excited about her initial pain scores. This patient will be returning for formal testing of

Positive Result After First Case Using Cord Blood Serum For Neuropathic Pain Likely From Trigeminal Neuralgia Read More »

Squamous Papilloma Excised in 16 year old but it may have destroyed upper lid meibomian glands before we were able to remove it.

My theory is that any growth in the eye, which could be the result of: 1. Trauma: ie, trauma, chronic contact lens use, chronic rubbing of the eye, etc. 2. Sun exposure: excessive sun exposure without eye protection can lead to pingueculas or pterygia which I have now seen begin to destroy meibomian glands. I

Squamous Papilloma Excised in 16 year old but it may have destroyed upper lid meibomian glands before we were able to remove it. Read More »

Which is the Best Punctal Plug?

Introduction Dry eye is a common condition that occurs when the eye either does not have enough oil lubrication from the meibomian glands (called Meibomian Gland Dysfunction) and/or the eye’s lacrimal gland does not produce enough tears to keep the eye moist, comfortable, pain-free, and give crisp vision.  When relief from dry eye is not

Which is the Best Punctal Plug? Read More »

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