What Are the Treatment Options for Meibomian Gland Dysfunction?

October 18, 2009

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Patient Letter to the Editor

I have  dry eyes  and  I must use oral doxycycline for my disease:  MGD ( meibomian gland dysfunction).

But  I’m intolerant, because that caused  candidiasis.

Could I cure with altered doxycycline, for example  with Periostat ? Or topical antibiotics?

Can I cure with topical tetracycline or azithromycin?

I need a medicine I can use for months without cause resistance of bacteria.

 

 

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4 Responses to “What Are the Treatment Options for Meibomian Gland Dysfunction?”

  • cristian
    on December 14, 2009 7:46 pm

    vanna.flore, could you tell me where to get azyter ? please send me an email kapocris at gmail.com

  • vanna.fiore
    on October 29, 2009 6:22 pm

    Dear Doctor,

    I will try to cure my MGD with topical Azithromycin .
    BUT In Europe in Europe, where I live, there is no AzaSite ( azithromycin 1%) .
    There is AZYTER( azithromycin 1,5%) , more strong .
    So, Can I use Azyter for long time ? how long and in what dosage?
    ( without causing bacterial resistance.. )

    Where I live (Italy ) I cannot cure well my disease .
    In fact a doctor , for my dry eye e my temporary intolerance of
    artificial tears, closed my lacrimal points with diathermy.
    That unnecessary closing ,stopped clearance of tears and caused continuous
    inflametions end infections , disorder of eyelids , then my disease : MGD.
    My eyelids was injiured by the closing end that made worse for my disease.
    So, to improve the condition of the eyes end glands , have to reopen
    the lacrimal channels surgically ?
    What you Recommend about to use HRT ( hormonal replacement therapy ) to
    improve lacrimal glands o meibomian gland ?
    What do you think of the possibility of using cortisone systemic in combating the inflammation meibomian glands?
    Thanks

  • Dr. Ari Weitzner
    on October 19, 2009 11:23 pm

    i advise restasis and azasite- they are helpful in combating the inflammation and dysfunction of meibomian gland disease, and they are topical, not oral. use steroid drops for brief periods ( like up to a week) for breakout episodes. consider flaxseed oil and omega 3 oils (healthfood stores) on a daily basis to help keep the oil in the meibomian glands smooth and liquidy.