This is interesting. So , i had dry eye for a long time, including inflammation, red eyes, the whole thing. I used lipiflow for like 5 times already and it does help but it effects last for about a month or 2 max. (It just helps, doesn’t cure anything), then i mixed LIPIFLOW and IPL , and it does help even a bit more, the effects feels better, but again DOESNT CURE ANYTHING. Oh one thing about the video, my insurance did over all these procedures , every time. So I didn’t need to pay anything. BUT, here is the big thing, i have the same question as all of you guys, “why do i have dry eye so severe that seems nothing helps”, for years ophthalmologists just told me that’s life, we can treat the symptoms blah blah. And i understand that may be the case for a few, but why doesn’t anybody ever try to think WHY am i getting this now. So after long time finally came across a few seasoned few specialists that they themselves wanted to find out why. Turns out i got some immune issues, very rare ones, hard to find and pinpoint cuz apparently this body inflammation come and goes, till today im still trying to find out why i have this immune problem, but they did a test, trying to control some sitokines in my body, and my eyes went white and no inflammation within one day of this test. Without any eye drops or machines or anything. So proving the DRY EYE is a symptom of it. NOW, im not saying this will be for everyone , but this was my issue, and i got a good insurance so it allowed me to do as many tests and consultations as i wanted, so that’s why i took this path. My point with this is, your dry eye may only be the symptom of another issue, could be issues with muscle inflammation, could be infection of nerves, could be you need to see endocrinologists, could be arthritis , could be so many things behind of it, and the only way you going to confirm this, is if you find a doctor who is willing to ask “why” and want to find out the answer same as you want to. Cheers and good luck
My brother, I was hit in the head. Three days later, I developed dry eyes. I went to a doctor and he told me it was because of the computer. Do you think the blow I suffered could be the cause of my dry eyes?
Hi all, I have tried it and it didn't work for me. In fact sorry to say it made my eyes dry even further and had to go through a lot more treatments and it didn't improve after that. I followed up with my dr. and found out others didn't have a positive effect too. It was an expensive treatment that could have paid for more eye drops for a normal treatment. They should reduce the price for this treatment as its to early to predict a positive outcome from trials. I am a very positive person and like to try everything that's new but I also learned to not believe everything I hear or see. So good luck everyone and see both sides of the coin.
For me yes. For 3 years good, then needed it done again. It’s not a permanent fix. Also not better immediately after the Lipiflow procedure. The eyes get better over the next 2-3 months after the procedure. So be patient.
Thanks for the video! I have diagnosed ocular rosacea and have gotten Lipiflow already and am considering IPL next. Also have pretty strong ocular allergies so double whammy 🙄
I had the Lipiflow treatment 3 months ago with no results, I feel like I threw $1100 down the drain. Very disappointing. I do appreciate all your videos, you can't get this comprehensive dry eye treatment information from other eye doctors.
I am so sorry to hear this, but thank you for sharing your experience. It's hard to make these types of videos, and sometimes I feel conflicted because I know this won't work for everybody... in fact there may be a significant number of people that it doesn't work for. But I still want people to know about it. I'll keep making the videos as long as I can. Thank you again for watching. I'll try not to let you down. 👍
I too payed a lot and got basically no benefit. My home treatments help much more. I felt the treatment was too time limited to really express much oil and there was no objective evidence that it expressed any clogged glands whatsoever.
Thank you for this video. It was very informative. I have a severe back injury. I cannot lay flat in any way. I sleep sitting up in my recliner. I watched the video to see the position during the treatment. Oh well!
IMPORTANT! We can recreate this at home by putting hot pressured water over our closed eyelids (from a shower head) for a few minutes. I have severe dry eyes and before doing what I mentioned, I would use eye drops every 10 minutes or an ointment every 20 minutes. I do this every 24 hours. I need to use drops once every few hours. Alhamdulillah (All praise is to God).
I have severe anxiety about things being close to my eye and I was able to tolerate the lipiflow procedure. What I was not able to deal with, which me and my doctor had to take breaks was the eye lid cleaning. I almost passed out twice, but that’s my anxiety with stuff being so close to my eye. The lipiflow was a breeze compared. It did feel weird but it wasn’t bad. This is my first year dealing with MGD, my Hashimoto’s might have something to do with too. I have also been prescribed steroid to help with the inflammation. I have a follow up next week, which I’m hoping will be a positive one.
Thanks for the video. My question is why does one have to keep continuing with the routine of cleaning, warm compress etc? What is the use of the treatment in that case? What I’m trying to figure is does the treatment not take the redness and inflammation caused due to dry eyes? Do we still have to depend on eye drops after this? Thanks.
My doctor explain that this is just something that now I have to keep an eye on, kinda like someone having more dental issues than normal, especially with an autoimmune disorder, So continued maintenance with cleaning the eye lid, and the warm compress is a must. depending on my progress, my home maintenance an annual lipiflow treatment might be needed. It could be longer the in between lipiflow visits.
Very informative video with good demonstration . I got this treatment done and follow the eyelid scrub and warm compress pretty religiously but still… within 2 months my glands are over secreting and I don’t know why. Could this be due to pre menopausal hormonal imbalance? what else should I try?
When you say torn what do you mean? Are you meaning the actual oil glands being torn? The lipid layer is an oil layer, and if it's disrupted, the goal is to try to increase the oil to help repair the oil layer.
This is a great question, and it really depends on the person. Most of my patients it has taken a few weeks. We usually do a 2 month follow up after lipiflow and a lot of my patients usually notice a lot of improvement by then.
@@DrEyeGuy Thank you Doctor for answering my question, just a few days ago I did the Lipiflow treatment I hoped to have good results in this treatment because I already had the IPL treatment but I did not have any improvement. My eyes are very dry because my glands are blocked and others are already dead I have tried various kinds of drops and nothing helps me my eyes burn and hurt a lot all day it feels like I have sand in my eyes they scratch me it is difficult to be like that, I hope to God that the lipiflow treatment gives me good results, thank you doctor for your videos.
@@DrEyeGuy honestly, I don't think you could've used a more fitting analogy! Maybe because I breastfed my kid it really helped visualise what you meant😆 I actually only found you yesterday and subbed cause I like how your brain works😋
You are not alone. Lipiflow is one of the most expensive dry eye treatments out there... unfortunately. I think it will continue to come down, or cheaper options will become available. There are already other treatment options to look into: IPL and LLLT (low level light therapy) are a couple of options that are cheaper... still expensive, but cheaper then lipiflow. Depends on who you talk to if they are just as effective.
I have very dry eyes due to mgd. The tear production etc. Are all healthy. The only thing that helped me thus far is IPL. But after 1/2 months the effect is gone. Also my dry eyes are better but not gone after IPL. My question is. You think lipiflow results will last longer. And is it possible that my symptoms will be completely gone? Thanks for this video!
Excellent questions! Hard to say. I go back and forth between lipiflow and IPL being more beneficial. I think it depends on the person. I think its possible to control dry eyes, and control symptoms. I usually shy away from saying the symptoms will go away.
I had Lipiflow about 2 weeks ago for my MGD. The doctor did not photograph my glands or clean them before the procedure. Cost alot and no improvement in my symptoms. Now my tears are like acid and are burning my lids. I'm suffering.
@DrEyeGuy Absolutely not. She and her team were very unprofessional. Today I went back to my original Opthamolagist, that didn't offer Lipiflow. She has prescribed a combo steroid and antibiotic ointment to heal my ravaged lids.Having to pause warm compresses, what else can I do to stimulate my meibomian glands to produce oil? Already taking an excellent Omega 3 oil.
@aquarius11 If you go to a good practice that performs the procedure properly, you'll probably have a better outcome. If you can find an ophthalmologist to just heat and express your glands, that would work too. I've healed and use a antihistamine gel on my tear duct to help. Dry eye is a lot!
I have a question. I have mgd and I’m considering lipiflow because the warm compresses haven’t helped my eye dry symptoms. Can warm compresses put too much pressure in your eye and mess with your corneas? If so, should we avoid them? Thanks!
Excellent Question! In fact you are going to like one of my upcoming videos. There is a worry with the heat and the pressure from the warm compresses can mess with the corneal shape. People with keratoconus (or family history of keratoconus) and glaucoma should be careful. Same thing with doing lid massages. The heat and the pressure can effect the eyes if done repeatedly. I do think there is a way to do it with still getting the benefit and not the risks though.
Maybe I should have used a different analogy, rather then "milking the eyelids"... haha! It is not painful, most people that have it actually like it and say that is feels good.
I can help to hopefully prevent further styes, but not necessarily get rid of current styes. I tend to lean towards IPL as a helpful treatment for styes.
Not necessarily, unless you have a combined form of dry eye issues. If you have MGD with your sjogrens, then it could help with the MGD portion possibly improve dry eye symptoms that way.
Are RPR tear drops made of your own blood good for dry eyes? My Dr. has recommended i get this procedure done biw that i had lipiflow,says it will work for my rosacea too.What do you think?
I have a blepharitis problem. My eyes are red, burning and stinging. There is dryness. What do you recommend me to do? Help me. I've been living like this for 2 years. I'm very bad.
So my eye doctor is recommending me 3 treatments.. but my insurance don’t cover .. each treatment is $1,500.. so expensive I can’t afford it .. but the pain is no joke also
I don't think there is a "perfect" treatment for severe dry eye disease. Some treatments will work better then others depending on the person. Both IPL and Lipiflow are great and effective.
Thanks for this video! I was curious to know what you think about TearCare in comparison to LipiFlow.... It seems like TearCare is better from some articles I've been reading but my doctor and the doctor my friend works under both directed me to lipiflow. Although the research I've done says TearCare yields better results and is a lot less expensive, I haven't found anything specfically mentioning more sever cases like mine... In the last 6-7 months, I've had two chalazion removals in the same eye lid (about 5 months apart) and I was on 2 month's worth of Doxcy. It was only after the Doxy treatment that my doctor recomended LipiFlow... I also formed my second stye/Chalazion on my third week of the two month doxy treamtment, which hopefully expresses how bad my case is. Do you think TearCare is a route I should explore or is Lipiflow a more preferable route when it comes to more severe cases (like mine)?
I personally prefer lipiflow over tearcare, mainly because lipiflow can apply heat to the inner side of the meibomian glands. You can always look into IPL. That has been shown to be great with MGD and a recurring chalazion.
@@DrEyeGuy Thanks for this! I’ll definitely look into IPL now. I’m not sure what constitutes a case as “severe” but I feel like I fit that criteria. I’ll see what my doctor says and hopefully their office or a near by office provides it. It seems like ipl might be cheaper which is another bonus for me
Thank you for your videos. After the lipiflow, how often do you recomend to do the cleaning with warm compresses, eyelid massage and the cleaning products?
@@DrEyeGuy Thank you for your answer. The Dr. who treated me with Lipiflow told me that 10 weeks after Lipiflow I can do the warm compresses and the eyelid massage twice a week, but the cleaning every day. Besides, after watching your videos I am afraid of reshaping the cornea.
@@julieprieto2209 Great Question! MGD is considered a chronic condition, but there are some things you can do to hopefully prevent atrophy and more gland dysfunction. Omega 3 supplements, warm compresses, lid massages, diet to reduce inflammation, lipiflow or other gland treatments like IPL and Ilux. Also trying to use the 20/20/20 rule if using computer/screens during the day. Blinking your eyes to try and help those glands keep functioning is a big one.
hi doctor I've been suffering from dry eye for more than 2 years. im 25 now nd i am not able to study not even for 10 min.. i used to study online for more than 10 hours everyday i consulted with ophthalmologist, psychiatric (coz of my headpain tension type head ache nd also lot of stress coz of eyes) i dont know where should i go wht should i do. im too much confused please dr.. tell me what should i do
@@DrEyeGuy he said lipid layer is damaged only 55nm and 39nm is there and mebomiam gland was blocked he used puntum plug in my eyes and ipl therapy and gave heat massage mask suggested me to come again for ipl after 1 month
Hi Doctor, I was identified with severe dry eyes due to which my eyes are always bloodshot after every sleep and during day time also my eyes get irritated and are always red. Will lipiflow or IPL treatments help to cure my red eye problem? Which one do you recommend for my bloodshot eye problem? Please reply.
This is a very good question. You are doing the right thing trying to get down to the core issue causing your red eyes. IF the redness is dryness related to meibomian gland dysfunction the lipiflow and IPL are both great options. Hard to say which one I would recommend. Some people lipiflow works better, and some people IPL works better. Eye redness is usually from multiple issues, so I don't know if I could make that claim the liliflow or IPL would completely get rid of the redness.
@@DrEyeGuy I had a consultation with the dry eye specialist and the doctor said that my eye redness is due to the MGD caused by my lasik eye surgery which I did 10 years ago. Is it too late to get the IPL or lipiflow or sitll have time to get the MGD back to normal again?
@@PremKumar-zy3tk I usually say it's never too late to fight. How do your glands look? Are they all completely gone? If you have some to work with then it's worth it to try and help them out.
😱 Smoley hoaks batman, this is one crazy treatment. 'Almost' desperate enough to try it IF I can find some way for insurance to pay for it or some MAJOR discount
It's not likely to get the glands back... but... some studies have been showing possibly a mild regeneration. So it's possible, but we need more research to know for sure.
@@shubhamgarg2021 This is a good question, and some times can be a tough decision. Ultimately you and your doctor will want to make this decision, just because he has observed your glands. Lipiflow is great for preserving and hopefully improving the glands that you still have, so for that reason it would be worth it. It would be a harder decision if you are hoping that lipiflow will try and bring your glands back, because I wouldn't fully count on that.
Yes. Xiidra is an alternative. Cequa is also an alternative, same medication but different dosage as Restasis. There are also some others like cequa as well.
This is such a great question Max! The biggest pros with Lipiflow is that it heats the oil glands from the inside of the eyelids, it has repeated expressions during the procedure with different pressure settings, and if set up correctly, can express from deep down near the begging of the oil gland. That being said, manual expression pros: you can actually observe the quality of the oil coming out of the glands, you can control your own pressure depending on what is needed. The tricky part with manual expression is how to effectively heat the oil glands for best results, expressing from the base of the oil glands, and there is potential for hurting or damaging the oil glands, especially if doing it frequently. Manual expression can also be painful as well, when lipiflow is not painful. I actually think a combination shows some promise, it's called immediate manual expression. Right after Lipiflow, you have an immediate manual expression to take advantage of the heated oil. You just have to be more careful with manual expression.
Thank you. I learnt a lot from this video. I got my lipi-view taken of my oil glands. Unfortunately, my ophtalmique made little effort to explain. She told me I have thick oil and clogged glands and gave me eye drops. Doctor, could you please tell me What does it mean to have those little dark spots at the top of glands. Right around the eye lips?
Did you eye doctor go over the results with you? It might be tricky to determine because there are many different things that can determine if you would be a good candidate for lipiflow.
I started to develop dry eyes after a lash lift/tint a month ago. The optometrist only imaged my lower lid meibomian glands only (not upper) and I had severe drop out already. Once you get to that stage does lipiflow even work? Would IPL be a better option?
It really depends... there is a certain point of dropout that it becomes difficult to recommend lipiflow because it might not be worth it at that point. I would lean towards IPL at that point. It's for sure a case by case basis.
Very good question! How are your remaining glands functioning? If they are struggling, then I would say it's a good idea to try and keep those remaining glands functioning the best they can.
Doctor . I am suffering from dry eyes . I have done my meibography in which my gland linings look spiral, tilted and like hook shape . Can they reverse to normal (linear) . Which treatment would be most beneficial for me . Plz reply as I am a student and this dry eyes is making my life like hell .
@@DrEyeGuy Gotch ya, mine look similar as yours as it just started for me this winter so I guess I have an idea that mine might be considered mild as well. Have you ever tried OcluMed drops? Looks promising. Also do you do tele health?
I don't understand. why after procedure do we have to continue with daily warm compresses and eyelid massage. I'm doing this right now and it's helping but only momentarily. Seems like a waste of money.
Daily maintenance is there to improve the results, also to hopefully keep you from needing to the repeat the procedure earlier than you need to. It's kind of like getting a teeth cleaning at the dentist, but still need to brush your teeth and floss afterwards.
Hi Dr, just had an exam with my ophthalmologist yesterday. My oil glands aren't functioning at all. Going back in 3 days for additional testing by dry eye expert to see if my glands are savable. Can I still do lipiflow?
Excellent Question. Did they take a picture of your oil glands? I'd you have glands, but they aren't functioning, then yes, Lipiflow would be a great option.
I'm very sick my eyes hurt me i can't use my phone or laptop anymore any divice anymore unfortunately here in Morocco we don'T ve this treatment . I'm done
Hello, I had inflammation on my eyes a month ago due to dry eyes so I am taking Arex (Steroid drop) for almost a month. I just scheduled for lipiflow next Friday. However I read the info about the contraindications " active ocular inflammation or history of chronic, recurrent ocular inflammation within prior 3 months. Should I reschedule later ? Please advice
Excellent Question. Lipiflow can actually cause some inflammation. Sometimes we prescribe a steroid after the procedure. At the same time, inflammation is a big part in dry eye as well. I would try and calm your inflammation down as much as possible before the procedure. Then expect some inflammation after the procedure as well.
Hi, I have current inflammation of my eyelids. I think it is due to blocked glands. I would like to try lipiflow however worried about causing more inflammation long term. Could you send me a link where you read that information please? Doctor, what are your thoughts, could lipiflow cause long term eyelid inflammation? Also to note, is it possible that warm eye compress causes blocked glands and inflammation? I would very much appreciate your thoughts.
Dang, sorry to hear that. Do you know of they ever did gland imagine after you had lipiflow? I'd be curious to know if your glands looked exactly the same. Have you found anything that has helped yet?
I am medical student and got this mgd due to online classes during lockdown ...well I already tried everything, the thing which helps me is warm compress but I think we don't have to daily otherwise too much heat may cause atrophy of meibobian glands
@@lovepreetsingh4709 this actually peaked my attention. One of my next videos will be about doing warm compresses safely and effectively. I'm curious about what you said about too much heat causing atrophy. Do you know where I can find any info on that topic?
I got it done today because I’m getting LASIK here in a couple of weeks and it didn’t hurt at all! It felt really nice tbh, like a comfy eye massage haha! I was terrified as well but when it started it really wasn’t what I expected. Its also very warm and my eyes felt better afterwards. I highly recommend it!
@@aravindram1480 "cured" is the wrong word. But about 7 out of 10 usually show significant improvement in signs and symptoms. We have gotten better and finding the best candidates for lipiflow as well. There are some patients that don't notice an improvement, and some patients that we don't recommend lipiflow.
This is interesting. So , i had dry eye for a long time, including inflammation, red eyes, the whole thing. I used lipiflow for like 5 times already and it does help but it effects last for about a month or 2 max. (It just helps, doesn’t cure anything), then i mixed LIPIFLOW and IPL , and it does help even a bit more, the effects feels better, but again DOESNT CURE ANYTHING. Oh one thing about the video, my insurance did over all these procedures , every time. So I didn’t need to pay anything. BUT, here is the big thing, i have the same question as all of you guys, “why do i have dry eye so severe that seems nothing helps”, for years ophthalmologists just told me that’s life, we can treat the symptoms blah blah. And i understand that may be the case for a few, but why doesn’t anybody ever try to think WHY am i getting this now. So after long time finally came across a few seasoned few specialists that they themselves wanted to find out why. Turns out i got some immune issues, very rare ones, hard to find and pinpoint cuz apparently this body inflammation come and goes, till today im still trying to find out why i have this immune problem, but they did a test, trying to control some sitokines in my body, and my eyes went white and no inflammation within one day of this test. Without any eye drops or machines or anything. So proving the DRY EYE is a symptom of it. NOW, im not saying this will be for everyone , but this was my issue, and i got a good insurance so it allowed me to do as many tests and consultations as i wanted, so that’s why i took this path. My point with this is, your dry eye may only be the symptom of another issue, could be issues with muscle inflammation, could be infection of nerves, could be you need to see endocrinologists, could be arthritis , could be so many things behind of it, and the only way you going to confirm this, is if you find a doctor who is willing to ask “why” and want to find out the answer same as you want to. Cheers and good luck
My brother, I was hit in the head. Three days later, I developed dry eyes. I went to a doctor and he told me it was because of the computer. Do you think the blow I suffered could be the cause of my dry eyes?
What kind of insurance do you have? I paid cash to get lipiflow done,I bed ipl but can't afford it.
What kind of insurance do you have?. I have to pay a $1,000 out of my pocket for every treatment. I have had 4 already and I can't afford anymore.
Would like to know what test they did for you.I suffer from 3 different Autoimmune
@@alkontf1640Are you still suffering from dry eyes? At which part of head you got the hit? Any treatment after that have you taken ?
Lipiflow has been great to offer to our patients! Thanks!
Lipiflow worked modestly for me for a couple months. Trying IPL now.
Hi all, I have tried it and it didn't work for me.
In fact sorry to say it made my eyes dry even further and had to go through a lot more treatments and it didn't improve after that.
I followed up with my dr. and found out others didn't have a positive effect too.
It was an expensive treatment that could have paid for more eye drops for a normal treatment. They should reduce the price for this treatment as its to early to predict a positive outcome from trials.
I am a very positive person and like to try everything that's new but I also learned to not believe everything I hear or see.
So good luck everyone and see both sides of the coin.
Thanks for sharing your experience... sorry to hear it didn't help.
Same for me :(
It didn't work for me either,I paid $900 both eyes,my eyes still dry.
Wow, never knew about this. Thanks for the great information and all of the details
Thank you for checking out my videos!
@@DrEyeGuy All of your videos are really excellent. Thanks for giving of yourself to educate us
very good explanation of the issue and treatment - thank you
Thank you! And thanks for commenting!
You are so underrated! Love your content
Wow! Thank you so much! I needed to see this today. Thank you!
For me yes. For 3 years good, then needed it done again. It’s not a permanent fix.
Also not better immediately after the Lipiflow procedure. The eyes get better over the next 2-3 months after the procedure. So be patient.
Thanks for giving your feedback and experience. Glad to hear it helped you.
Where did you took your treatment
@@aravindram1480 i live in UK. It was at Classic Eyes based in city of Poole.
Thanks for the video! I have diagnosed ocular rosacea and have gotten Lipiflow already and am considering IPL next. Also have pretty strong ocular allergies so double whammy 🙄
Thanks for commenting on my videos. You will have to let me know how IPL works out if you have it done. We are looking to add that next to our office.
I'm considering IPL next too. I've been looking at OptiLight. Have tou done it yet? Results?
@@lechatnoirstewart1717 I have not gotten it yet.
@@KyleGutschowhow did lipiflow go for you? I have ocular roseacia as well. I’m not sure what will help ipl or lipiflow
I had the Lipiflow treatment 3 months ago with no results, I feel like I threw $1100 down the drain. Very disappointing. I do appreciate all your videos, you can't get this comprehensive dry eye treatment information from other eye doctors.
I am so sorry to hear this, but thank you for sharing your experience. It's hard to make these types of videos, and sometimes I feel conflicted because I know this won't work for everybody... in fact there may be a significant number of people that it doesn't work for. But I still want people to know about it. I'll keep making the videos as long as I can. Thank you again for watching. I'll try not to let you down. 👍
I too payed a lot and got basically no benefit. My home treatments help much more. I felt the treatment was too time limited to really express much oil and there was no objective evidence that it expressed any clogged glands whatsoever.
@@shauna996 are you cured now?
Thank you for this video. It was very informative. I have a severe back injury. I cannot lay flat in any way. I sleep sitting up in my recliner. I watched the video to see the position during the treatment. Oh well!
I have eye anxiety and would freak about someone sticking something in my eye uggg but I need it
IMPORTANT! We can recreate this at home by putting hot pressured water over our closed eyelids (from a shower head) for a few minutes.
I have severe dry eyes and before doing what I mentioned, I would use eye drops every 10 minutes or an ointment every 20 minutes.
I do this every 24 hours. I need to use drops once every few hours.
Alhamdulillah (All praise is to God).
I have severe anxiety about things being close to my eye and I was able to tolerate the lipiflow procedure. What I was not able to deal with, which me and my doctor had to take breaks was the eye lid cleaning. I almost passed out twice, but that’s my anxiety with stuff being so close to my eye. The lipiflow was a breeze compared. It did feel weird but it wasn’t bad. This is my first year dealing with MGD, my Hashimoto’s might have something to do with too. I have also been prescribed steroid to help with the inflammation. I have a follow up next week, which I’m hoping will be a positive one.
Thanks for the video. My question is why does one have to keep continuing with the routine of cleaning, warm compress etc? What is the use of the treatment in that case? What I’m trying to figure is does the treatment not take the redness and inflammation caused due to dry eyes? Do we still have to depend on eye drops after this? Thanks.
My doctor explain that this is just something that now I have to keep an eye on, kinda like someone having more dental issues than normal, especially with an autoimmune disorder, So continued maintenance with cleaning the eye lid, and the warm compress is a must. depending on my progress, my home maintenance an annual lipiflow treatment might be needed. It could be longer the in between lipiflow visits.
Very informative video with good demonstration . I got this treatment done and follow the eyelid scrub and warm compress pretty religiously but still… within 2 months my glands are over secreting and I don’t know why. Could this be due to pre menopausal hormonal imbalance? what else should I try?
This video made me really want to have someone massage my eyelids.
It's pretty much a Spa Treatment for your eyelids. 😄
What happens when lipid layer is torn? Will it heal itself or what happens if it doesn’t heal? What should one do when it is torn?
When you say torn what do you mean? Are you meaning the actual oil glands being torn? The lipid layer is an oil layer, and if it's disrupted, the goal is to try to increase the oil to help repair the oil layer.
@@DrEyeGuy Thank you for your reply. What product would you recommend over the counter.
July 2023 called around in my area. Still running $1,000
hello doctor, after finishing the treatment until when do you feel the results? takes weeks to see results?
This is a great question, and it really depends on the person. Most of my patients it has taken a few weeks. We usually do a 2 month follow up after lipiflow and a lot of my patients usually notice a lot of improvement by then.
@@DrEyeGuy Thank you Doctor for answering my question, just a few days ago I did the Lipiflow treatment I hoped to have good results in this treatment because I already had the IPL treatment but I did not have any improvement. My eyes are very dry because my glands are blocked and others are already dead I have tried various kinds of drops and nothing helps me my eyes burn and hurt a lot all day it feels like I have sand in my eyes they scratch me it is difficult to be like that, I hope to God that the lipiflow treatment gives me good results, thank you doctor for your videos.
@@ernestinachavez4744 I hope it helps too, sorry to hear the difficult time you have had with your dry eyes.
@@DrEyeGuy Thank you Doctor.
Also, sidenote. Watched Brightburn yesterday and now I want Dr Eye Guy to do an analysis of the scene where the lady gets glass in her eye.
Yeah.... hard to watch. Here is my analysis: she blind
Very well explained thank you
Thank you! Glad it could help.
Will it be helpful getting rid of chakazion?
It's possible, but the biggest thing would be that it could help prevent it from happening in the future.
Did not think I'd wake up this morning longing for someone to milk my eyes but here we are🙃
Thanks Dr EyeGuy 😅
Haha! Looking back, maybe I should have used a different analogy. 😄
@@DrEyeGuy honestly, I don't think you could've used a more fitting analogy! Maybe because I breastfed my kid it really helped visualise what you meant😆
I actually only found you yesterday and subbed cause I like how your brain works😋
@@whocares269 Haha! Awesome, Thanks! I never thought talking about milking glands would earn me sub... haha!
I really want to try this treatment
Can’t wait till price go down
😩😩😩
You are not alone. Lipiflow is one of the most expensive dry eye treatments out there... unfortunately. I think it will continue to come down, or cheaper options will become available. There are already other treatment options to look into: IPL and LLLT (low level light therapy) are a couple of options that are cheaper... still expensive, but cheaper then lipiflow. Depends on who you talk to if they are just as effective.
@@DrEyeGuy
Thanks you so much for the recommendation ,
I will check it out what is IPL or LLLT,
@@DrEyeGuy
If the prices not that’s much different…
Is lipid low or LLT which one getting better results?
Thanks dc
@@shortclips9623 you tried did it work??
Hi sir. Is the eyelid at 1:10 a healthy one or are they clogged ?
I have very dry eyes due to mgd. The tear production etc. Are all healthy. The only thing that helped me thus far is IPL. But after 1/2 months the effect is gone. Also my dry eyes are better but not gone after IPL.
My question is. You think lipiflow results will last longer. And is it possible that my symptoms will be completely gone?
Thanks for this video!
Excellent questions! Hard to say. I go back and forth between lipiflow and IPL being more beneficial. I think it depends on the person. I think its possible to control dry eyes, and control symptoms. I usually shy away from saying the symptoms will go away.
Jasper Papenborg_ for me Lipiflow worked for up to 3 years. It’s not permanent but it did work.
@@KJ-pu8dw no symptoms at all?
@@jpsittt you took lipiflow treatment?
@@aravindram1480 sir are you still suffering from dryeye
I had Lipiflow about 2 weeks ago for my MGD. The doctor did not photograph my glands or clean them before the procedure. Cost alot and no improvement in my symptoms. Now my tears are like acid and are burning my lids. I'm suffering.
Wow, I am sorry to hear this! Will you be going back in for a follow up visit with your doctor?
@DrEyeGuy Absolutely not. She and her team were very unprofessional. Today I went back to my original Opthamolagist, that didn't offer Lipiflow. She has prescribed a combo steroid and antibiotic ointment to heal my ravaged lids.Having to pause warm compresses, what else can I do to stimulate my meibomian glands to produce oil? Already taking an excellent Omega 3 oil.
oh my thats bad my dr offer me puntual plug but im still considering lipiflow or puntual plug..but hearing to yr story its made me scared
@aquarius11 If you go to a good practice that performs the procedure properly, you'll probably have a better outcome. If you can find an ophthalmologist to just heat and express your glands, that would work too. I've healed and use a antihistamine gel on my tear duct to help. Dry eye is a lot!
@@lechatnoirstewart1717good u found something that help with yr dry eyes
I have a question. I have mgd and I’m considering lipiflow because the warm compresses haven’t helped my eye dry symptoms. Can warm compresses put too much pressure in your eye and mess with your corneas? If so, should we avoid them? Thanks!
Excellent Question! In fact you are going to like one of my upcoming videos. There is a worry with the heat and the pressure from the warm compresses can mess with the corneal shape. People with keratoconus (or family history of keratoconus) and glaucoma should be careful. Same thing with doing lid massages. The heat and the pressure can effect the eyes if done repeatedly. I do think there is a way to do it with still getting the benefit and not the risks though.
@@DrEyeGuy thanks! Also do you think the mask for Tear Restore would avoid this extra pressure? I’m considering getting it as well
I actually have a tear restore mask right now, and yes, it's awesome for not putting that pressure on the cornea.
@@DrEyeGuy thank you so much!!!
Warm compresses don't work for me either. It actually makes it worse.
Having someone "milk my eyelids" doesn't particularly sound fun. Is it painful?
Maybe I should have used a different analogy, rather then "milking the eyelids"... haha! It is not painful, most people that have it actually like it and say that is feels good.
I've had it done twice and it doesn't hurt one bit
Boyd Guymon_it does not hurt. The eye drops to numb the eye before the procedure sting for about 10 seconds. But Lipiflow feels fine.
In India lipiflow cost approx INR 22,000 for both eyes
Bhaii ap karba liya kya ...
Haan karwa kiya.
@@sumit6190p Bhai apka Dryness cure hua hain.??
Haan ab pehle se theek hai. Par kabhi kabhi eye drops lene padh jate hai.
@@sumit6190p apko kaise or kabse hua hain..?
I have 2 styles that will not go away
They've been landed by nothing g
Dr recommended lipiflow
Will it work to prevent further stye? HELP. PLEASE
I can help to hopefully prevent further styes, but not necessarily get rid of current styes. I tend to lean towards IPL as a helpful treatment for styes.
Hello Doctor, do you recommend IPL-treatment for dry eyes?
Hi, yes I do. IPL is also great and effective for treating meibomian gland dysfunction.
What is Ipl pls
Does this or even Ipl work for sjorgens or Sicca related dry eye?
Not necessarily, unless you have a combined form of dry eye issues. If you have MGD with your sjogrens, then it could help with the MGD portion possibly improve dry eye symptoms that way.
I was told that if you don’t do probing too it’s worthless.
Are RPR tear drops made of your own blood good for dry eyes? My Dr. has recommended i get this procedure done biw that i had lipiflow,says it will work for my rosacea too.What do you think?
I have a blepharitis problem. My eyes are red, burning and stinging. There is dryness. What do you recommend me to do? Help me. I've been living like this for 2 years. I'm very bad.
Would this help with a chalazion?
Possibly, but the main benefit would be to help not get a future chalazion.
Hey Doc! Have you ever heard of miboflo before and if so what are your thoughts?
Yes I have! Also a great meibomian gland treatment. I like lipiflow and ILux better, but miboflow is also good.
So my eye doctor is recommending me 3 treatments.. but my insurance don’t cover .. each treatment is $1,500.. so expensive I can’t afford it .. but the pain is no joke also
Sir lipiflow n ipl laser treatment which is perfect treatment severe dry eye case??
I don't think there is a "perfect" treatment for severe dry eye disease. Some treatments will work better then others depending on the person. Both IPL and Lipiflow are great and effective.
Heloo do lipoflow is available in nepal
I paid 1k for lipiflow treatment which didn’t help at all. I still suffer from MGD with no improvement.
hi may i know which is more effective lipiflow or puntual plug?as I've dry eyes
Thanks l do have an appointment for lipoflow treatment.
Awesome! Let me know how it goes.
Hey. Hi. How did you felt after the treatment.
Great it really works, l do not need to do home remedies that took a long time and did not work.
I was fine no problem
@@leonoroliver8735 how bad was ur dry eye?
Thanks for this video! I was curious to know what you think about TearCare in comparison to LipiFlow.... It seems like TearCare is better from some articles I've been reading but my doctor and the doctor my friend works under both directed me to lipiflow.
Although the research I've done says TearCare yields better results and is a lot less expensive, I haven't found anything specfically mentioning more sever cases like mine... In the last 6-7 months, I've had two chalazion removals in the same eye lid (about 5 months apart) and I was on 2 month's worth of Doxcy. It was only after the Doxy treatment that my doctor recomended LipiFlow... I also formed my second stye/Chalazion on my third week of the two month doxy treamtment, which hopefully expresses how bad my case is. Do you think TearCare is a route I should explore or is Lipiflow a more preferable route when it comes to more severe cases (like mine)?
I personally prefer lipiflow over tearcare, mainly because lipiflow can apply heat to the inner side of the meibomian glands. You can always look into IPL. That has been shown to be great with MGD and a recurring chalazion.
@@DrEyeGuy Thanks for this! I’ll definitely look into IPL now. I’m not sure what constitutes a case as “severe” but I feel like I fit that criteria. I’ll see what my doctor says and hopefully their office or a near by office provides it. It seems like ipl might be cheaper which is another bonus for me
Thank you for your videos. After the lipiflow, how often do you recomend to do the cleaning with warm compresses, eyelid massage and the cleaning products?
I would keep doing it as often as you were before, as long as you aren't causing inflammation too much from the warm compresses.
@@DrEyeGuy Thank you for your answer. The Dr. who treated me with Lipiflow told me that 10 weeks after Lipiflow I can do the warm compresses and the eyelid massage twice a week, but the cleaning every day. Besides, after watching your videos I am afraid of reshaping the cornea.
@@julieprieto2209 gotcha. I'm guessing your doc is worried about causing top much inflammation from the warm compresses.
@@DrEyeGuy Thank you Dr.! I have another question. Can people prevent MGD? I would like to know because from my experience it just happened to me.
@@julieprieto2209 Great Question! MGD is considered a chronic condition, but there are some things you can do to hopefully prevent atrophy and more gland dysfunction. Omega 3 supplements, warm compresses, lid massages, diet to reduce inflammation, lipiflow or other gland treatments like IPL and Ilux. Also trying to use the 20/20/20 rule if using computer/screens during the day. Blinking your eyes to try and help those glands keep functioning is a big one.
hi doctor
I've been suffering from dry eye for more than 2 years.
im 25 now nd i am not able to study not even for 10 min..
i used to study online for more than 10 hours everyday
i consulted with ophthalmologist, psychiatric (coz of my headpain tension type head ache nd also lot of stress coz of eyes)
i dont know where should i go wht should i do.
im too much confused please dr.. tell me what should i do
Did your ophthalmologist give you any treatments for it?
@@DrEyeGuy he said lipid layer is damaged only 55nm and 39nm is there and mebomiam gland was blocked
he used puntum plug in my eyes and ipl therapy and gave heat massage mask
suggested me to come again for ipl after 1 month
@@VishalSharma-nu4fx IPL can be a great therapy. Did you already have your first session?
@@DrEyeGuy yes dr 2nd will be in the end of this month
@@VishalSharma-nu4fx Have you noticed any difference yet?
Hi Doctor, I was identified with severe dry eyes due to which my eyes are always bloodshot after every sleep and during day time also my eyes get irritated and are always red. Will lipiflow or IPL treatments help to cure my red eye problem? Which one do you recommend for my bloodshot eye problem? Please reply.
This is a very good question. You are doing the right thing trying to get down to the core issue causing your red eyes. IF the redness is dryness related to meibomian gland dysfunction the lipiflow and IPL are both great options. Hard to say which one I would recommend. Some people lipiflow works better, and some people IPL works better. Eye redness is usually from multiple issues, so I don't know if I could make that claim the liliflow or IPL would completely get rid of the redness.
@@DrEyeGuy I had a consultation with the dry eye specialist and the doctor said that my eye redness is due to the MGD caused by my lasik eye surgery which I did 10 years ago. Is it too late to get the IPL or lipiflow or sitll have time to get the MGD back to normal again?
@@PremKumar-zy3tk I usually say it's never too late to fight. How do your glands look? Are they all completely gone? If you have some to work with then it's worth it to try and help them out.
😱 Smoley hoaks batman, this is one crazy treatment. 'Almost' desperate enough to try it IF I can find some way for insurance to pay for it or some MAJOR discount
I am on third stage.. Mostly glands are gone.. Dr. also told me that it is due to rosacea.. Is it possible to recover the gone glands in any way..
It's not likely to get the glands back... but... some studies have been showing possibly a mild regeneration. So it's possible, but we need more research to know for sure.
@@DrEyeGuy is it worth for me to opt Lipiflow Treatment while having damaged glands?
@@shubhamgarg2021 This is a good question, and some times can be a tough decision. Ultimately you and your doctor will want to make this decision, just because he has observed your glands. Lipiflow is great for preserving and hopefully improving the glands that you still have, so for that reason it would be worth it. It would be a harder decision if you are hoping that lipiflow will try and bring your glands back, because I wouldn't fully count on that.
@Shubham Garg I'm also in same condition.What should I have to please tell me bro
@@shubhamgarg2021 Please answer bro
Is their an alternative to restasis
Yes. Xiidra is an alternative. Cequa is also an alternative, same medication but different dosage as Restasis. There are also some others like cequa as well.
@@DrEyeGuy thank you so much. I can’t pay what they are asking for the restasis so I will look into that. Thank you!
Sir is it painful?
No, not at all. Kind of weird though.
Is Lipiflow better than manual expression (performed by the doctor; maybe with heating before)?
This is such a great question Max! The biggest pros with Lipiflow is that it heats the oil glands from the inside of the eyelids, it has repeated expressions during the procedure with different pressure settings, and if set up correctly, can express from deep down near the begging of the oil gland. That being said, manual expression pros: you can actually observe the quality of the oil coming out of the glands, you can control your own pressure depending on what is needed. The tricky part with manual expression is how to effectively heat the oil glands for best results, expressing from the base of the oil glands, and there is potential for hurting or damaging the oil glands, especially if doing it frequently. Manual expression can also be painful as well, when lipiflow is not painful. I actually think a combination shows some promise, it's called immediate manual expression. Right after Lipiflow, you have an immediate manual expression to take advantage of the heated oil. You just have to be more careful with manual expression.
@@DrEyeGuy Thank you for the detailed answer! :-)
@@maxmeier787 Thanks for the great question, I should have put that in the video.
I'm feeling tired itchy and something like in my eyes burning and double and blurred vision do iam suffering with dry eyes
Thank you. I learnt a lot from this video.
I got my lipi-view taken of my oil glands. Unfortunately, my ophtalmique made little effort to explain. She told me I have thick oil and clogged glands and gave me eye drops.
Doctor, could you please tell me What does it mean to have those little dark spots at the top of glands. Right around the eye lips?
Are you asking about the dark spots on the lipiview picture? If so, it could be hardened thick oil, if that's what you are talking about.
Is it reasobable to ask your doctor for a debridement scaling pre lipiflow? If so what would be the best technique? To use lissamine green ?
I think it's reasonable to ask your doctor about it. Best method would probably depend on the condition of your eyelids.
Hi I have my reports if it is ok I will mail you can you please suggest me to take lipiflow or not
Did you eye doctor go over the results with you? It might be tricky to determine because there are many different things that can determine if you would be a good candidate for lipiflow.
@@DrEyeGuyI asked my doctor about eye masaze he didnt even say it can make the change he just gave me drops
That's discouraging. I'm sorry about that. Keep hope, there is always hope.
Thank you
I started to develop dry eyes after a lash lift/tint a month ago. The optometrist only imaged my lower lid meibomian glands only (not upper) and I had severe drop out already. Once you get to that stage does lipiflow even work? Would IPL be a better option?
It really depends... there is a certain point of dropout that it becomes difficult to recommend lipiflow because it might not be worth it at that point. I would lean towards IPL at that point. It's for sure a case by case basis.
My opthamologist is the top doctor in Toronto and he said it's an overpriced hot eye compress and not to bother with it.
Good to know!
Thanks for watching!
I have 35-40% glands gone. Is lipoflow worth for me?
Very good question! How are your remaining glands functioning? If they are struggling, then I would say it's a good idea to try and keep those remaining glands functioning the best they can.
Can anyone with dry eye do this or only those with mgd?
Yes, anybody can get it, but it treats your oil glands, not anything else that might be causing dry eye.
Doctor . I am suffering from dry eyes . I have done my meibography in which my gland linings look spiral, tilted and like hook shape . Can they reverse to normal (linear) . Which treatment would be most beneficial for me .
Plz reply as I am a student and this dry eyes is making my life like hell .
Bro you cured now?
Were those your red eyes in the beginning of the video? Do you yourself suffer from eye redness/dryness if you don’t mind answering..
Hi! Yes I do. I'm more on the mild side, moderate sometimes if it flares up.
@@DrEyeGuy Gotch ya, mine look similar as yours as it just started for me this winter so I guess I have an idea that mine might be considered mild as well. Have you ever tried OcluMed drops? Looks promising. Also do you do tele health?
I haven't tried oclumed yet. I'll have to put it on the list of things I want to try. I don't do tele health.. at least not yet.
I have had MGD after having cataract surgery. Lipiflow did absolutely nothing. Waste of money and time. Next step - Tear Care.
Very good
I don't understand. why after procedure do we have to continue with daily warm compresses and eyelid massage. I'm doing this right now and it's helping but only momentarily. Seems like a waste of money.
Daily maintenance is there to improve the results, also to hopefully keep you from needing to the repeat the procedure earlier than you need to. It's kind of like getting a teeth cleaning at the dentist, but still need to brush your teeth and floss afterwards.
Hi Dr, just had an exam with my ophthalmologist yesterday. My oil glands aren't functioning at all. Going back in 3 days for additional testing by dry eye expert to see if my glands are savable. Can I still do lipiflow?
Excellent Question. Did they take a picture of your oil glands? I'd you have glands, but they aren't functioning, then yes, Lipiflow would be a great option.
I'm very sick my eyes hurt me i can't use my phone or laptop anymore any divice anymore unfortunately here in Morocco we don'T ve this treatment . I'm done
I'm sorry to hear this. Have you tried other dry eye treatment yet that you do have access to?
how are you now
Hello, I had inflammation on my eyes a month ago due to dry eyes so I am taking Arex (Steroid drop) for almost a month.
I just scheduled for lipiflow next Friday. However I read the info about the contraindications " active ocular inflammation or history of chronic, recurrent ocular inflammation within prior 3 months.
Should I reschedule later ?
Please advice
Excellent Question. Lipiflow can actually cause some inflammation. Sometimes we prescribe a steroid after the procedure. At the same time, inflammation is a big part in dry eye as well. I would try and calm your inflammation down as much as possible before the procedure. Then expect some inflammation after the procedure as well.
@@DrEyeGuy Thank you for your answer!!!
Hi, I have current inflammation of my eyelids. I think it is due to blocked glands. I would like to try lipiflow however worried about causing more inflammation long term.
Could you send me a link where you read that information please?
Doctor, what are your thoughts, could lipiflow cause long term eyelid inflammation?
Also to note, is it possible that warm eye compress causes blocked glands and inflammation?
I would very much appreciate your thoughts.
Well l tried lipiflow and its just help me in very low amount which is near to nothing
Dang, sorry to hear that. Do you know of they ever did gland imagine after you had lipiflow? I'd be curious to know if your glands looked exactly the same. Have you found anything that has helped yet?
@@DrEyeGuy actually they give me time and ask for follow up after a month so I am going back to them day after tomorrow
Last time my lipid thickness is 35nm for both eyes
I am medical student and got this mgd due to online classes during lockdown ...well I already tried everything, the thing which helps me is warm compress but I think we don't have to daily otherwise too much heat may cause atrophy of meibobian glands
@@lovepreetsingh4709 this actually peaked my attention. One of my next videos will be about doing warm compresses safely and effectively. I'm curious about what you said about too much heat causing atrophy. Do you know where I can find any info on that topic?
This would be a great way to use your extra flex plan money. 🤓
Excellent idea!
I’m scared it will scratch my eyes that’s why I’m hesitant of doing it
I got it done today because I’m getting LASIK here in a couple of weeks and it didn’t hurt at all! It felt really nice tbh, like a comfy eye massage haha! I was terrified as well but when it started it really wasn’t what I expected. Its also very warm and my eyes felt better afterwards. I highly recommend it!
Doesn’t work, waisted 650 dollars…
Ohhh.. so sorry to hear this. That's my worst nightmare... that a patient won't have any improvement at all after doing it.
👁️👁️👁️
How are you so fast to comment? It's amazing!
Doesnt work its a scam
I take it didn't work for you? Sorry to hear that.
@@DrEyeGuy doctor how Many of your patiened cured with lipiflow. Succes rate of people out of 10
@@aravindram1480 "cured" is the wrong word. But about 7 out of 10 usually show significant improvement in signs and symptoms. We have gotten better and finding the best candidates for lipiflow as well. There are some patients that don't notice an improvement, and some patients that we don't recommend lipiflow.
@@DrEyeGuy Is it true that patients who have still lot of inflammation are not good canditates for Lipiflow ?
@@Alix777. it depends really, but in general I like to decrease the inflammation as much as possible before lipiflow.