Thank you to everyone that has sent me personal notes. If you want to share a thank you or a success story, please post it on my blog. If you want to ask me a question about your condition, treatment, what you should do etc. I have an answer for you. Please excuse the frankness of my message. I am writing this to help you... my answer is below.
Every case of dry eye is a little different and so I cannot diagnose your condition or tell you what you should do over email. I am not a doctor so it is inappropriate for me to attempt any kind of diagnosis so please don't ask me. There IS a common theme to treating this condition. So here it is...
1) There is no miracle cure (yet). This condition is treated with a diligent routine, expensive medicines (Xiidra, Avenova) and experimental treatments (not covered by insurance) administered by a qualified doctor. I update my regimen regularly (last updated 9/2018). Please check there to see what I do personally. It may work for you... it may not. 2) The rose hip extract, freeze dried aloe vera b.s. and all of the other supplements are not helping. Stop wasting your money. These products are not regulated by the FDA and so they can make a lot of claims without backing them up. I tried them all. I do take fish oil and really question the efficacy, but my doctor insists so I do. 3) All doctors are not created equal. There are very few doctors that actually know what they are doing in this area. I have dealt with two: Dr. Jensen in Renton, Washington and Dr. Knauff in Atlanta, GA. I recommend them highly. I have not dealt with others. So I cannot recommend others all though I have heard that Dr. Dieter in Minnesota is excellent and Dr. Korb in Boston, MA (from other dry eye patients). View more info on docs here. 4) Treating this is going to be expensive and probably not covered by insurance. I'm sorry it sucks. Accept it and move forward. Don't want to pay the money or travel to see a good doctor? Consider that I spent 10K on absolutely nothing helpful until I found my current doctor. I really wish someone had told me what doctor to see and to stop wasting my money on stuff that doesn't work. =) 5) Lipiflow is really helpful if you have MGD (blocked glands). I would not be able to survive without it. If your glands are blocked... all the other stuff is just a band aid. This is by far, the most important part of my treatment. My glands were dying off and this treatment saved them and restored my life to normal. It is not covered by insurance and it is costly. According to my doctor (and this is also my personal experience) it is not a one-time deal. I have to do it yearly. All of the other things I do for my regimen would be useless without doing this treatment first. Your glands will die if they are blocked. There is no way to revive your Meibomian glands if they die. Don't let them die. Act now.
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I hope this helps you. Matthew
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