Kuivad silmad? Mida teha? Kuiva silma sündroomi ravi.

Dry eyes? What to do?

Do you feel like there is a grain of sand in your eye?

Are your eyes constantly irritated, itchy and red?

Do your eyes get tired in front of the TV or screen and the picture gets blurry?

The reason may be that your eyes are dry and it could be dry eye syndrome.

Eye moisturizing drops can temporarily relieve the situation, but do not cure it.

What to do?

The dysfunction of the meibomian glands of the eyelids is the cause of 70-80% of cases of dry eye syndrome.

The tear film consists of three layers.

The layer closest to the eye is the mucin layer, which provides the eye with "lubrication."

The middle layer is almost like water, and the outermost layer is the oil layer, which prevents the liquid from evaporating from the surface of the eye and is produced by the meibomian glands located along the eyelids.

There are 25-40 sebaceous glands in the upper eyelid, and 20-30 in the lower eyelid. Dysfunction of the eyelid sebaceous glands is caused by gland blockage or other disorders that prevent secretion release.

Without the oil and liquid, tears evaporate too quickly, causing dryness of the surface of the eye.

In addition to moisturizing, tears also protect the eye from all kinds of infections.

If the composition of the tear film is disrupted, the eye is also more susceptible to inflammation, which is why eye inflammation is also a symptom of dry eye.

MSD hazards

There are several possible causes of dysfunction in the eyelid meibomian glands. The risk of MGD is higher among those over 40 years old due to age-related factors, but it can also occur in younger individuals.

One of the most common risk factors is modern computer technology. When staring at a screen for a long time, blinking becomes less frequent. The surface of the eyes becomes drier, which in turn stimulates the Meibomian glands to produce more moisturizing oily liquid.

In a situation where there is a lack of liquid tear fluid, overproduced secretion thickens, causing blockage of sebaceous gland ducts.

One of the risk factors for clogging the sebaceous glands in women is eye cosmetics. This is especially true if you do not thoroughly clean your eyelids and do not remove all traces of eye makeup before going to bed.

The surrounding unfavorable environment can also be a cause of MGD. Not only pollution (wood, plaster, etc. dust) can be damaging, but also air conditioners and fans, which dry out the eyes and stimulate overproduction of Meibomian glands, leading to blockage later on.

In addition, infections, wearing contact lenses, systemic conditions such as rosacea, androgen deficiency, menopause, and Sjögren's syndrome are considered risk factors for MGD.

Certain types of medications can also increase the risk of MGD - some antihistamines, retinoids, glaucoma medications, antidepressants, and postmenopausal hormone therapy.

How to detect MGD?

The diagnosis of MGD is determined by an ophthalmologist. Special forceps are used to squeeze the eyelid, thereby opening the pores of the Meibomian glands.

Observing the contents of the pores allows the ophthalmologist to determine if you have MGD. Milky and thicker secretions indicate pore blockage.

MGD treatment

Opening of Meibomian glands. The procedure takes an average of 25-40 minutes depending on the condition of the glands. First, a compress to thin the oil is applied to the eyes for 15 minutes. Then the eye surface is numbed with eye drops, the eyelids are massaged, and the Meibomian glands are emptied of thickened secretions with special roller forceps.

Then the eyes are cleaned and eye drops are instilled. Antibiotic eye drops.

Omega-3 dietary supplements.

Food enriched with Omega-3 can reduce the risk of MGD.

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