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Woman with Meibomian Gland Dysfunction

Everything You Need to Know About Meibomian Gland Dysfunction

If your eyes itch, burn, sting, look red, or you have a constant feeling of something being lodged in your eye, you may have a condition called Meibomian ("my-BOH-mee-an") Gland Dysfunction, or MGD. This condition is the leading cause of Dry Eye Syndrome.

Patients from throughout the Pensacola area suffering from Meibomian Gland Dysfunction. If you suffer from any of these symptoms or think you might have MGD, contact the The Dry Eye Center At Coastal Family Eyecare. Dr. Leonard can help you with the long-term relief you need.

What is Meibomian Gland Dysfunction?

Our tears are made up of three components: the lipid (oil) layer, aqueous (water) layer, and the mucus (sticky) layer. These components work in unison to lubricate and coat the eyes, keeping them moist and comfortable.

Your meibomian glands control the lipids in the eye (meibum) which combine with water and mucus in the eye area to create a thin film that consistently lubricates your eyes. Meibum is an essential part of your eye’s makeup as it prevents the evaporation of the eye's tear film.

Meibomian Gland Dysfunction occurs when the meibomian glands fail to provide enough meibum. This can be triggered by various factors and causes the tear film to evaporate at a quicker rate, leading the eyes to feel dry and uncomfortable.

What Are the Symptoms of Meibomian Gland Dysfunction?

Depending on your specific case, your symptoms may be mild or severe, quick or long-lasting.

The most common symptoms of MGD include:

  • Blurry vision
  • Burning and dry sensation
  • Difficulty wearing contact lenses
  • Watery eyes
  • Red, sore and gritty eyes
  • Crusty or sticky or eyelids

The increased use of air conditioning or heating systems in the summer and winter months may intensify symptoms. Humid climates, extreme temperatures, and dusty and windy conditions may aggravate eye dryness and itchiness as well.

What are the Causes of Meibomian Gland Dysfunction? 

  • Age: MGD tends to manifest in older people, particularly in women during and after menopause
  • Taking certain medications: particularly retinoic acid (acne treatment), HRT (hormone replacement therapy for menopausal women), antidepressants, antihistamines, anti-androgen medication (used to treat prostatic hypertrophy).
  • Endocrine disorders
  • Pregnancy
  • Wearing contact lenses for an extended period of time.
  • Immune system disorders: atopic rosacea, psoriasis, rheumatoid arthritis and Sjogren’s syndrome.

Excessive screen time has also been linked to the development of MGD. Staring at a screen on your TV, smartphone, computer or tablet, causes you to blink less frequently. Blinking naturally moisturizes your eyes, and by doing so, clears any small particles that may have accidentally lodged in your eye. Less frequent blinking results in dryer eyes, which can harm the long-term ability of your meibomian glands to function properly.

What are the Solutions for Meibomian Gland Dysfunction?

Treatments for Meibomian Gland Dysfunction range from self-administered or practitioner-administered treatments and typically involve a few methods, such as artificial tears, heat application, and manual gland expression. Dr. Leonard usually suggests applying warm compresses over your eyelids as a first course of action. This gently opens the clogged glands and loosens the oil that may have accumulated. Warm compresses can provide temporary relief.

Further therapies used to manage MGD include omega-3 supplementation, topical antibiotics, oral tetracyclines to reduce the level of pro-inflammatory cytokines, corticosteroids, or topical cyclosporine.

People with MGD commonly purchase over-the-counter eye drops to lubricate their eyes. Unfortunately, these drops tend to provide only transient relief, because, without an adequate layer of Meibomian Gland oil, the liquid from the drops simply evaporate off of the eye.  Dr. Leonard at The Dry Eye Center At Coastal Family Eyecare can recommend the appropriate eye drops or treatment for your dry eye case to improve your eye comfort levels.

Think You Have MGD? We Can Help

If you are suffering from any of the above symptoms or conditions, then reach out to the The Dry Eye Center At Coastal Family Eyecare. Based on the degree of your condition, symptoms, and lifestyle, Dr. Leonard will recommend the best course of treatment for you.

The Dry Eye Center At Coastal Family Eyecare serves patients from in and around Pensacola, Orange Beach, Tallahassee, and Mobile and throughout FL.

Testimonial:

“I went to the The Dry Eye Center At Coastal Family Eyecare and everyone there was professional and courteous.  Dr. Leonard did a thorough evaluation and treatment. I’m happy to say that my eyes feel comfortable and my vision is back to how it was before the condition began.”

References:

Jennifer P. Craig, Yen-Heng Chen, Philip R. K. Turnbull; Prospective Trial of Intense Pulsed Light for the Treatment of Meibomian Gland Dysfunction. Invest. Ophthalmol. Vis. Sci. 2015;56(3):1965-1970. doi: 10.1167/iovs.14-15764.



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Dear Patients,

As of Tuesday evening, March 17th, the CDC has recommended that all routine eye care be deferred until further notice, in order to slow the transmission of COVID-19 through our community.

Please be assured that we are still available to triage all urgent and emergent calls during this challenging time.

We are officially closing our offices effective at 3:00pm today, March 20 th and tentatively plan to reopen on April 1 st . We are rescheduling all routine visits and are available by phone to triage ocular emergencies.

Our phone lines will be open:

Monday the 23 rd and 30 th : 10:00am to 5:00pm

Tuesday-Friday (24 th -27 th and the 31 st ): 9:00am to 3:00pm

What does this mean?

1) If you are scheduled for an annual eye examination we will tentatively reschedule you starting April 1 st

2) If you are running out of a medication please contact us and we can transmit a refill electronically to your pharmacy.

3) If you have an issue which cannot wait for an office visit, contact us and we will schedule a Telephone appointment with one of our doctors. Medicare has temporarily relaxed its telehealth rules to allow this type of communication during the pandemic crisis. Other insurers may follow suit and allow for reimbursement of virtual care costs. The consultation must be initiated at your request.

4) If you have an ocular emergency we are, as always, available to help you at any time. Call 1-850-455-0120 andwait for instructions at the end of the message.

Dr. Leonard or Dr. Charbonneau will discuss your condition by phone and make the best treatment decision for you on a one on one basis.

5) Please remember that 80% of COVID-19 cases are mild and resolve within a week. However, if you feel your symptoms are worsening, call ahead before visiting your doctor’s office or emergency department and tell them you have or may have COVID-19. This will help the office protect themselves and other patients.

The CDC has many wonderful resources. Arming yourself and your family with clear information will help you avoid undue stress.

https://bit.ly/2WxWYIe and https://bit.ly/33FBlXZ

Together we will weather this storm.

With sincerest wishes for your continued good health we remain at your service,

Dr. Clare L Leonard

Dr. Mary Charbonneau