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#117: How to Express your Meibomian Glands

Jul 20, 2021
 

My patients and some of my students in my Alleviate Dry Eye course often ask me about how to express their meibomian glands.  You may have been told to do this by your own doctor.  Or, maybe you have read about it or heard about it from a friend.  A lot of folks are still confused as to how to do it.  

If you've been following my blog for a while, then you know I talk about doing four simple steps to take care of our dry eyes daily.  To review, the first step is hydrate, so using an artificial tear. The second step is to cleanse your lids and lashes. The third step is to heat your lashes, and right after that heating you often want to express those meibomian glands, so we're going to talk about that. The fourth step is to take a dry eye supplement. I always recommend HydroEye to my patien...

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#107: Can I Wear Eyelash Extensions when I have Dry Eyes?

Apr 27, 2021
 

Women want to have beautiful eyelashes.  Sometimes, they even want to wear eyelash extensions to have a more glamorous look.  My patients ask me a lot of questions about wearing eyelash extensions.

Often, my patient's eyelashes aren't as long and glamorous as they used to be. Dry eye occurs when the meibomian glands, which are the oil gland in our lids, aren't working properly. The glands aren't producing the oil that coats the tear film.  The oils also condition the eyelashes and makes them stronger. 

Since many of my patient's lashes are short and tend to be brittle, they are always asking me about wearing extensions.  At this time, there is only one eyelash extension I can say yes to. 

The problem is that a lot of the lash extensions on the market these days will do harm to your dry ...

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Stye Prevention and At-Home Treatment

Jul 08, 2020
 

What do you do if you have a stye? On last week's blog, we talked about what a stye is, and why they were so much more common during our time of self-quarantine during the COVID-19 shutdown.  Eye doctors across the country commented on multiple panels and blogs that that is the infection that they noticed the most from patients during self-quarantine.  If you missed that blog don't worry, you can go back here to review what a stye is.

Now, if you have a stye, what can you do to treat it? There are a number of things you can try at home to get it to heal before going to your doctor's office.  Here is a list of the best practices:

KEEP YOUR HANDS OFF

Avoid touching your face or eyes as much as possible.  Avoid touching the stye itself.  In the long run, you will just irritate it more.   I...

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The Bedtime Routine to Alleviate Dry Eye Symptoms

Jan 21, 2020
 
Setting up a bedtime routine is important not only for school-age children but for us adults as well.  A routine lets your body know that you are winding down, and it will help you to fall asleep faster.
 
I go into all of the steps to ensure a good night's sleep in my book, Alleviate Dry Eye, in Chapter 4.  If you haven't gotten your copy yet, you can get it on Amazon.  Or, if you would just like to read the chapter on sleep, please download a free copy of this chapter here.
 
Just like we talked about last week with the morning routine, I feel the best way to develop an eye care routine that will become a habit is to couple with your already established bedtime routine.  It's a process called habit stacking.  You brush your teeth, then you use the mouth wash.  It gets to the point wh...
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My Top 3 Eye Indulgences

Dec 10, 2019
 

It's the Christmas season as I write this.  We are all running around trying to find the perfect gift for everyone on our list.  We want to make sure the gift is personal and not gonna end up in the re-gifting bin. 

I have a friend that loves candles.  She has them lit all over her house.  It always smells like a bakery at her house.  When you go from room to room there is a different cookie or food scented candle in each one.  There is usually apple, sugar cookie, and gingerbread.  No wonder, I'm always hungry when I'm over there. 

The week of Thanksgiving, I made a list of the ultimate gift-giving guide for 2019.  I put on it some of the best eye care products I've come across.  I feel like I have tried them all of the eye treatment products at this point.  I have listed over a half do...

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2019 Ultimate Gift Giving Guide

Nov 26, 2019
 

The holidays are upon us.  For some of us, this news feels us with happiness and joy.  For others, it fills us with stress and anxiety.   I hate to admit to you that I am definitely the latter of these two types of people.  It is not that I don't like Christmas.  I love the decorations, parties, food, and gatherings.  I just have stress about the gift-giving.  #truth

Let's face it, there are some people in our lives that are hard to give to.  And, I'm sure you have more people on your list each year.  The growth of my list always seems exponential.  How does that happen?

Let me present to you the 2019 Gift Giving Guide.  You will find something on it for everyone.  Even if you don't think that your friends and family have dry eyes, we all need to take care of our eyes.  Take care of your...

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4 Simple Steps to Alleviate Dry Eyes

Oct 16, 2019
 

Several years ago, I began to struggle with dry eyes.  This was at a time when I lived in a very dry climate, and I wore contact lenses most of the time. My eyes would get dry towards the end of my workday, and I couldn’t wait to take them off when I finally got home.   

Most days a couldn't stand to wear eye makeup.  I knew there must be a better way to live.  I couldn't go on with the feeling of wanting to claw the contact lenses from my eyes before 5 pm. 

I began to research how to keep moisture in my eyes longer.  I played around and tried every contact lens and contact lens cleaning solution on the market.  I definitely have my favorites from that experiment, but there was still something missing.   

Since then, I’ve read articles, attended lectures, and even written a book on the...

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Which doctor is best to treatment my dry eyes?

Sep 18, 2019
 
Who is the better doctor for treating your dry eye symptoms? Would it be an ophthalmologist or an optometrist?  I’m sure at this stage you are curious to know who in your community is would be the best at treating dry eyes.  And, maybe you are confused about the difference between an optometrist and an ophthalmologist.  Aren't they both eye doctors?  Is there really a difference?
 
Yes, there is a difference. Optometrists (OD) are doctors to have a significant portion of their training in studying vision.  They are the experts when you want to improve your eyesight with glasses or contacts lenses.  They also prescribe medications to treat diseases and do some medical procedures.
 
Ophthalmologists (MD) have had a significant portion of their training in treating eye diseases with medic...
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The 3 Worst Things you do with your Mascara

Sep 04, 2019
 
As an eye doctor, I get up close and personal with women's eye makeup every day.  I routinely use a microscope to examine the eye.  This can make the eyelashes about 20 times bigger than the way you see them in a regular mirror.
 
The horrors I see on people's eyelids are incredible.  Makeup caked up into the lashes and in the corner of the eye is only the tip of the iceberg.  That built-up gunk leads to inflammation, irritation, and infection over time.
 
Here are the three biggest beauty blunders I see women committing with their mascara:

1. Sleeping with it

Not removing your eye makeup at the end of the day is one of the worst things you can do for your sensitive eyes.  After all, you wouldn't go to bed without brushing your teeth, right?  The same risk of cavities applies to the ...
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3 Tips I learned from an Oculoplastic Surgeon

Aug 13, 2019
 
Recently, I had the honor of visiting with a friend of mine in his office.  Dr. Bryan Vekovius is an oculoplastic surgeon in Shreveport, Louisiana.  Here are three of the tips he taught me about dry eyes.
 

Tip 1: Dry Eye Treatment should include  Eye Lid Treatment

 
Dry eye is not a lack of water disease.  As an eyelid specialist, Dr. Vekovius explained that dry eye is caused mostly from dysfunction in our eyelids.  The oils produced inside the lids should be excreted into the tear film upon blinking.  When the oil gland is not producing enough oil, or the oil not being released from the lids, the end result is dry eyes.
 
That is why in my four-step process for treating dry eye two of the steps deal with the eyelids.  It is important to cleanse the lids daily. We do not want to use...
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