Neuropathic Eye Pain … is the Doctor Right?

Do you remember what happened when your doctor was searching for a reason for your chronic eye pain? Did you hear the word “neuropathic”? Maybe your doctor prescribed pain medication. Did you take it? And did the pain stop but then return when you stopped taking the pain meds?

If this scenario sounds familiar, it’s because some doctors, ophthalmologists and optometrists alike, are now saying “neuropathic eye pain” is the cause of mysterious eye pain in the Dry Eye patient. They refer to the phenomenon as “pain without stain.” They explain that it’s a problem with the patient’s nerves. So the brain “feels” pain even when there is nothing there to cause the pain.

Reasons to Doubt Neuropathic Pain Diagnosis

It may sound plausible, but in fact there are plenty of reasons to doubt a diagnosis of neuropathic eye pain. The reasons are numerous. For example, a doctor’s diagnostic techniques may be poor, so they miss a multitude of possible ocular surface comorbidities that might be causing pain or other discomfort.

Test results may be inaccurate so even something simple like aqueous tear deficiency can be easily missed. This can happen when a Schirmer’s test or fluoresceine clearance test (FCT) is improperly administered or too swiftly abandoned (as when a test is administered just once instead of several times in succession, as necessary). Or it can be because the challenge test for pain, instilling anesthetizing drops in the eye, doesn’t actually numb parts of the ocular surface that are diseased, sometimes severely diseased and highly sensitive. So the eye will never go numb with topical eye drops.

It can be due to a reliance on fast and easy but not specific tests. An osmolarity test, for example, may indicate that tear osmolarity is sub-optimal, but what does that actually mean? Is a specific disease indicated? Maybe it is because of aqueous tear deficiency, but maybe it’s because of something else! Similarly, MMP-9 testing may indicate some level of inflammation, but why? What is underlying this positive test for the presence of inflammation, if, in fact, it is accurate?

Successful reversal of neuropathic eye pain

In his recently published paper, Dr. Steven L. Maskin describes three patients who had been diagnosed with ocular neuropathic pain by other doctors. The usual treatments were prescribed, but the patients didn’t improve. When they finally saw Dr. Maskin, and had all of their comorbidities diagnosed and treated with targeted treatments, these patients finally found relief for their debilitating and painful symptoms.

Now, I will admit much of what Dr. Maskin writes is way over my head with technical and medical words I don’t always understand.  But that said, I am sure the doctors who need to read this will understand it. And if they do, they will get better at diagnosing and treating these types of patients with massive, chronic pain. If your doctor gave you a diagnosis of neuropathic eye pain, maybe you could take a copy of Dr. Maskin’s article to them and see what they think about it.

A summary of the full article in plain English is available here, at the National Library of Medicine Pub Med.

If you want to take the deeper dive into patient’s situations, the diagnosis/treatment details and yes, all of the medical terms you can find it here at the American Journal of Ophthalmology Case Reports. 

The good news is there are better ways to diagnose and treat patients with chronic ocular surface pain. You can learn even more about these better approaches in the book Your Dry Eye Mystery Solved: Reversing Meibomian Gland Dysfunction, Restoring Hope.

If you think you would like to connect with one of our Patient Advocates to sort things out, at no cost to you, via email or by telephone just fill out this short form here.

Henry Harlow,
Dry Eye Patient
Patient Advocate, Not A Dry Eye Foundation


Meibomian Gland Probing – New Article Published

“Review of Literature on Intraductal Meibomian Gland Probing with Insights from the Inventor and Developer: Fundamental Concepts and Misconceptions” 

For the full article with a PDF download available just click this link now.

Meibomian Gland Probing – New Article

Reading research is something of a challenge for a non-scientist, non-medical person like me.  What I do first in reading an article of this type is to read the abstract.  The abstract is at the beginning of the article.  It gives sort of the bottom line of the research.  Sort of like what some call an Executive Summary.  You can see the whole abstract further below. But first a bit of “my take”.

My biggest takeaway from the abstract, was to give me greater assurance that my decision to have Meibomian gland probing was a good one.  I only wish I had learned about it sooner than 10 years plus into my Dry Eye Disease.  Then to be honest, I probably would not have done it 10 years ago.  At that time the science on the procedure was very thin indeed.  I would not have been convinced then.  I certainly would not have been desperate enough.  After all Restasis was doing well for me in the beginning or so I thought.

The bad news I did not know, and my three well-meaning eye doctors did not tell me, was things were getting worse in the background as time marched on.  Their “standard care” was covering the core problem with some symptom relief while the core of the problem, Meibomian gland dysfunction, continued to get worse.  Thus, I was one of those, as referred to in the study, who was doing worse in spite of doing a great deal of standard care over the 10 years before I learned about Meibomian gland probing.  My story is not an uncommon story.  Here is the abstract and see what you think.


Obstructive Meibomian gland dysfunction (MGD) affects millions of patients around the world. Its effective treatment with intraductal Meibomian gland probing (MGP), was first reported in 2010. Since then, MGP has provided relief to thousands of patients globally suffering with refractory MGD. The purpose of Meibomian gland probing is restoring the integrity of the gland’s central duct by entering the gland through the natural orifice, releasing fixed obstruction thought to be periductal fibrosis, thereby establishing and/or confirming the patency of the duct, and concurrently equilibrating intraductal pressure as well as promoting gland functionality with meibum production. There may or may not be immediate secretion of meibum upon successful restoration of ductal integrity depending on the gland’s state of function and degree of atrophy. One double-blind placebo-controlled study has been conducted and, with the accumulated evidence of over 12 other peer reviewed articles in the scientific literature, overwhelmingly indicates that MGP is a safe and effective treatment for the MGD patient refractory to prior standard care and as a first-line treatment. This paper describes relevant fundamental concepts, dispels commonly held misconceptions, and provides an objective review of the current understanding and effectiveness of MGP for the treatment of obstructive MGD. Our analysis will better equip clinicians to draw informed conclusions about both subjective and objective findings reported in MGP studies and researchers to design future robust studies that provide meaningful results.

After reading this post maybe you have further questions.  Great!  That is what we are here for.  To get them answered at no cost to you by a patient advocate via email or by telephone just fill out this short form now.

Henry Harlow

Patient Advocate Volunteer

Not A Dry Eye Foundation

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Important New Book About Dry Eye and Meibomian Gland Dysfunction

Important new book about Dry Eye and Meibomian gland dysfunction.

Your Dry Eye Mystery Solved: Reversing Meibomian Gland Dysfunction, Restoring Hope.

This important new book about Dry Eye and Meibomian gland dysfunction (MGD) is a must-read for anyone seeking information about these diseases and commorbidities.

By renowned ophthalmologist Steven L. Maskin, MD.

With Not A Dry Eye Foundation’s co-founder and chair, Natalia A. Warren, MBA, MHA.

Published by Yale University Press, June 7, 2022.

For information about where you can buy Your Dry Eye Mystery Solved: Reversing Meibomian Gland Dysfunction, Restoring Hope

In the USA visit: Yale University Press

In the UK, Europe and Overseas visit: Yale University Press UK

A Trove of Information

This ground-breaking book contains a trove information about Meibomian glands and MGD. You will learn about the structure and function of Meibomian glands and discover how MGD develops, how it progresses, and how it can be reversed. You will learn how to decipher puzzling symptoms and Dr. Maskin’s meticulous approach to diagnosis.

Praise for Your Dry Eye Mystery Solved: Reversing Meibomian Gland Dysfunction, Restoring Hope

One chapter is devoted to common ocular surface and systemic comorbidities. In others you will learn about conventional and newer treatments for MGD, including Dr. Maskin’s own break-through treatment, Meibomian gland probing. Here, he explains why Meibomian gland probing effectively treats MGD and provides step-by-step instructions for correctly administering the treatment.

Throughout, the co-authors dispel myths about Dry Eye and MGD while portraying the devastating effect MGD and comorbidities can have on patient lives.

Uncover the Mystery 

“Our collaboration represents the intersection of a doctor’s quest to uncover the mystery surrounding a common but enigmatic eye disease, and his patient’s harrowing journey with a painful, incapacitating disease,” writes Dr. Maskin in the prologue. “We hope our joint effort will shift conventional thought about MGD, its diagnosis, and treatment toward a new paradigm based on clinical evidence that reveals the true nature of this disease, and we offer this book as a beacon of hope for patients needlessly suffering with inadequately diagnosed and treated MGD.”

For information about where you can buy Your Dry Eye Mystery Solved: Reversing Meibomian Gland Dysfunction, Restoring Hope

In the USA visit: Yale University Press

In the UK, Europe and Overseas visit: Yale University Press UK

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RESTASIS Class Action Lawsuit

Anyone who used Restasis® between May 1, 2015 and July 31, 2021, may be eligible to receive money from a class action lawsuit over the price of the eye drop.

Attorneys have reached a proposed settlement with Allergan, the maker of Restasis. The lawsuit is on behalf of both consumers and third-party payers.

The defendant denies any wrongdoing. Notably, the lawsuit has nothing to do with the safety of Restasis.

“Consumers” includes anyone who purchased Restasis for their own use, in a pharmacy or online pharmacy, in one of some 32 states and the District of Columbia. Click here to learn if you are eligible.

Other restrictions apply.

You may ask to be excluded from the class action, but must do so by objecting to the class action by June 7, 2022.

Allergan has agreed to pay $29,999,999.99 into a fund to settle all claims and attorney fees.

Claims must be submitted online or postmarked by August 11, 2022.

For more information, visit or call 877-868-6810.

More About Restasis and Allergan

Since Allergan’s patent protection for Restasis ended several years ago, several companies have entered the Dry Eye market with drops that contain cyclosporine, the active ingredient in Restasis. These newer drops have different formulations than Restasis. Sometimes the concentration of cyclosporine is different and sometimes the vehicle, the liquid in which cyclosporine is suspended, is different. A generic version of the drug is also now available. For information on effectiveness, check the medication’s product information sheet. You can find the product sheet for Restasis here.

Allergan tried to delay competition for Restasis by selling its Restasis patent in 2017 to the Saint Regis Mohawk Tribe in New York. Attempts to protect the patient failed when in 2019, the U.S. Supreme Court rejected Allergan’s argument that the sovereign status of the tribe shielded the Restasis patent from U.S. Patent and Trademark Law.


Allergan loses Supreme Court fight to shield Restasis patents with Native American tribe
April 15, 2109
View the full report.


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For Dry Eye patients wearing a face mask that doesn’t fit properly can be challenging. That’s because each exhalation that blows over the eyes speeds up tear film evaporation. Then the thinner layer of tear film doesn’t protect the eyes well, so the exhalation feels like a fan blowing at full strength.

How to Wear a Face Mask When You Have Dry Eye

It’s a vicious cycle.

If you wear glasses to protect your eyes (or for vision), not only do your eyes feel bad, but your glasses fog up. They get foggier, and your eyes get even more uncomfortable, when you walk down the frozen food aisle of a supermarket.

How to Wear a Face Mask When You Have Dry Eye

Thankfully, we found a simple solution courtesy of a video by Dr. George Yang, a double board certified New York surgeon. Dr. Yang recorded the video for medical and nursing students, but Dry Eye and MGD patients can learn from it too.

In the video, Dr. Yang shows how to get a better fit when wearing a surgical mask. We tried his simple technique with three face masks, all with the metal strip that hugs the nose: procedural masks from CVS, KN-95 (the Chinese version of the N-95), and Dr.K Mask from V-Zero in Korea. (We didn’t have an N-95).

His technique worked with each mask. The masks hugged the nose and cheeks, preventing exhalations from reaching the eyes.

Watch Dr. Yang’s video: Surgeon’s Tips: Stop Fogging & Improve Seal on Medical Face Masks

Dr.K Mask

Note: if you can get them, V-Zero brand Dr.K Masks  get high marks for comfort.

Wear to Buy Surgical Masks

Not all face masks are made alike, and by now you may have a preferred style and vendor. There are plenty available online: Walgreens, Amazon, and other retailers like

One great source is Project N95. “Project N95 is a national non-profit working to protect people and their communities during the COVID-19 pandemic and beyond.” Project N95 sells only reliable, high-quality masks that meet required standards. Masks come in a variety of styles and sizes at a variety of price points.

Preventing Air Flow with 7eye Glasses

If you can’t get a good seal between your mask and your face, 7eye glasses may be a solution. 7eye Dry Eye glasses have silicone eye cups that retain moisture and protect the eyes from wind and drafts.

Learn more about 7Eye eyewear.

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Try Tai Chi for Dry Eye

In a previous blog I described ways to direct focus away from the frustrating and painful symptoms of Chronic Dry Eye. This time I’m writing about my experience over the past two years practicing Tai Chi.

Susan Howell teaching Parting the Curtain during Tai Chi class.

Tai Chi is an ancient Chinese exercise created as a fighting art that dates back over 700 years. Although still considered a martial art, today it is no longer practiced for self-defense.

Tai Chi for Dry Eye

There are many styles of Tai Chi; the most notable are Yang, Chen, Wu and Sun. These different styles all consist of a series of exercises that focus on slow movements. The movements are accompanied by deep breathing and the gathering of Qi (pronounced chee) considered the universal life force that present in all living things. Tai Chi can improve strength, flexibility, mood and overall health and reduce inflammation, chronic pain and stress levels. Considered mediation in motion, Tai Chi can also improve concentration, memory and the ability to focus, relaxing both the mind and body.

Susan Howell’s Tai Chi students.

As a student of Tai Chi, and now an instructor, I have found that focusing on the slow movements of this exercise have reduced my Dry Eye induced anxiety and pain levels. Combined with daily eye care management and an excellent eye doctor, my Dry Eye symptoms, and all the anger and anxiety that goes along with this disease, have significantly decreased. I’m now living an almost normal life again.

Tai Chi might not be for everyone. (You should always check with your doctor first before starting any new exercise program.) Still, I would highly recommend it to anyone who suffers from chronic pain, depression, or anxiety. (If you’re staying at home during Covid-19, there are plenty of Tai Chi videos online.) Even if you don’t have these concerns and just want to feel better overall, you might try this ancient exercise. It helped me tremendously.

Susan Howell, Dry Eye Patient

Read Other Blogs by Susan Howell

Susan Howell’s Story of Hope

There’s Something in My Eye

Managing Dry Eye Today and Every Day

4 Steps for a Better Life with Dry Eye

A Stye in my Eye

Send your questions and comments to

Subscribe to our blog to keep up with Not A Dry Eye. It’s FREE!


Orange County Dry Eye Support Group 2020 Meetings

California’s Orange County Dry Eye Support Group 2020 meetings will be on May 4 and November 9, 1-3 p.m., P.T.


Both meetings will be held at Grace Hills Church, Fellowship Hall, 24521 Moulton Parkway, Laguna Woods CA, 92637. The schedule includes a speaker and presentation by the sponsoring organization. For meeting information and to RSVP: call Judi at (949) 933-2417 or email

Orange County California

The featured speaker in May will be Laura Periman, M.D., an ophthalmologist and the “doc with a heart.” Dr. Periman specializes in cornea and external disease. She is a frequent speaker at ophthalmology meetings on various Dry Eye topics and treatments.

Harvey Fishman, M.D., Ph.D., an ophthalmologist who practices in Palo Alto, will address the group in November. He specializes in cornea and external disease, glaucoma, macular degeneration, and same day emergency visits.

Both doctors have experience treating patients with severe Dry Eye.

OCDESG History

Jonathan Pirnazar, M.D., an ophthalmologist at the University of California, Irvine, started the Orange County Dry Eye Support Group (OCDESG.) It was and is the only Dry Eye support group in the U.S. In the early days, 10 members would meet at a local library. Since then the group has grown to over 200 members. Today an average of 50 to 60 people attending twice-yearly meetings. The non-profit group is not affiliated with any religious or healthcare organizations.

Orange County California Dry Eye Support Group

Meetings are free and open to anyone interested in learning about Dry Eye. A $3 suggested donation covers room rental, printing, and mailing.

OCDESG aims to help Dry Eye patients feel better, to give them hope and a better quality of life. The group answers patients’ questions about how and where they can get help for their symptoms.

For more information visit

Not A Dry Eye Foundation is not affiliated with the OCDESG. Notice of the meetings is provided as a service to Dry Eye patients.

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Sue VandePanne Three Years Later

My name is Sue VandePanne, and it’s been nearly three years since I shared my story of hope. I suffered with Dry Eye, but with the right care, I overcame my struggles. I’m writing again today to say to those of you still struggling, don’t give up hope.

Sue VandePanne Three Years Later
Sue VandePanne Three Years Later

Over the last three years my eyes have continued to improve. It has been a slow process but today they feel better than ever. In fact, a few months ago it suddenly occurred to me that I had been going outside on windy days. A few short years ago I never would have even imagined it possible. Surprisingly, even in all that cold, Michigan, winter wind, my eyes were feeling just fine. I felt triumphant. Dry Eye was no longer running the show.

Watching Out for Fans

Even though the wind outdoors hasn’t been a problem, I’ve learned that my eyes feel better when I avoid overhead fans. For some reason air that blows from above is harder on my eyes. So now I have a mental map of all the overhead fans in my favorite restaurants and I choose very carefully exactly where I sit. Another problem solved!

I still wear wet contact lenses because enough oil from my Meibomian glands doesn’t reach my tear film, so my own tear film evaporates quickly. The wet contacts feel great. They’ve become so much a part of my daily routine that I don’t even think about them unless it’s time to order more. To maximize the amount of oil I do produce and secrete, I have my Meibomian glands probed once a year. This opens a channel for the oil to flow out and is something my doctor in Tampa, Florida will be doing once a year for the foreseeable future.

Miraculously, A Fully Functioning Individual

Miraculously, I’m now a fully functioning individual (who will never take her eyes for granted anymore). Sometimes I hear horrific stories from people who are suffering terribly and feel hopeless — a feeling that I remember well. Life with Dry Eye can seam hopeless, but I’m writing this to assure you that it doesn’t need to. Help is available. I was blessed to find a great ophthalmologist, Dr. Steven Maskin, who truly understands Dry Eye and knows how to treat it. You will find a great doctor too.

My best to all of you… there is HOPE!

Sue VandePanne, Dry Eye Patient

Read Sue’s other blog posts:

Sue VandePanne’s Story of Hope

Sue VandePanne Answers Readers Questions

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A Stye in My Eye

A few weeks ago I attended a social luncheon and noticed a friend had a stye on the upper left corner of her right eye. Her stye probably went unnoticed by everyone there.

A Stye in My Eye

But ever since my own years-long battles with Meibomian gland dysfunction and chronic Dry Eye I’ve become hyper-aware of the eyes around me. So, now I notice red eyes, inflamed eyelids, what might be anterior blepharitis, scaly skin around the eyes, dandruff in eyebrows, and yes, styes.

A few days after the luncheon I woke up with a small bump smack inside the middle of my left lower eyelid. I tried not to panic. Was it a stye, I wondered?

Breathe and Think!

“Breathe and think,” I reminded myself. I had to think!

Did I do anything out of the ordinary, like touch my eyes without washing my hands first?


Did something blow into my eyes?

A good possibility.

Should I call my ophthalmologist?

It’s Saturday morning. Oh no!

And with that thought my mind panicked and bounced even faster from thought to thought.

Maybe I should e-mail him. Is this stye a setback? Will it require another intraductal probing of the Meibomian glands in that lid? Maybe the gland is atrophied…

Stop It!

“Stop it,” I commanded myself. “Breathe and think!”

So I stopped, took a breath, and called a friend who happens to be a very experienced Dry Eye patient. Then I did some research on styes. This is what I learned.

A Stye in My Eye

First, a stye — sometimes spelled sty — is an infection localized to the eyelids, in glands at the base of the eyelashes or in the Meibomian glands. The infected gland swells and causes a bump. Styes can be painful, red, and tender. They’re usually caused by an overgrowth of staphylococcal bacteria and are contagious, so it’s best not to share towels or pillows with someone who has one.

How are they treated? Keeping eyelids clean is super important. First wash your hands then wash the lids with a mild cleanser. Applying warm compresses helps a lot. With those impeccably clean hands, roll up a clean wash cloth and run warm to hot water over a corner of it. Without applying pressure, hold the warm, wet corner of the wash cloth against the stye for at least five minutes. Some doctors recommend applying warm compresses from 10 to 15 minutes, three to four times a day.

Whatever you do, don’t pop a stye. Plus, avoid eye makeup for a while, at least until the stye goes away, and throw away any makeup that might be contaminated. Over-the-counter pain medications won’t speed up healing, but they might reduce the pain. And if the stye doesn’t heal within a few days, it’s best to see an eye doctor.

Breathing Again

Ok, I was breathing again. No full-blown panic attack this time. All it took was a reminder to breath, a call to a good friend, some research, and a bit of common sense.

But in a week, if that stye isn’t gone, guess where I’ll be.

Susan Howell, Dry Eye Patient

Read Other Blogs by Susan Howell

Susan Howell’s Story of Hope

There’s Something in My Eye

Managing Dry Eye Today and Every Day

4 Steps for a Better Life with Dry Eye

Send your questions and comments to

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Judi Beatty – Story of Hope

My name is Judi Beatty and I’ve had Dry Eye for nearly 20 years. Until last year my symptoms included a rough feeling at the top of my eye lids, dryness, headaches, itching, depression and persistent burning in both eyes — the worst symptom of all.

Judi Beatty’s Story of Hope

But last year I finally decided to step out of my comfort zone and reach out to a well known Dry Eye doctor out of state. So in July of 2018 my husband and I flew from our home in Orange County California to see Dr. Steven Maskin in Tampa, Florida.

Judi Beatty, Orange County California Dry Eye Support Group Coordinator

I’m one of the three volunteer coordinators of the Orange County California Dry Eye Support Group. Twice a year we invite a Dry Eye doctor to speak to our 200 members. Over the last 15 years, looking for doctors to speak to our group, I have seen more doctors than I can count and I am grateful for each one of them for taking the time to learn about Dry Eye. It can be a debilitating, depressing, life-changing disease. But last year Dr. Maskin made the biggest difference in how my eyes feel.

Talking to Patients

Before my husband and I finally decided to make the trip to see Dr. Maskin, I did my homework. (Flying to Florida from California wasn’t an easy decision to make at 74, or something I wanted to do, but I did want to get better.) I read posts written by his patients on various websites. And I spoke with many of them. They were from across the U.S. and all had severe Dry Eye.

Some patients told me they hadn’t been able to find relief and their lives had been destroyed by the disease. They became housebound. Some even said they wanted to die. But when they found Dr. Maskin, and he restored their quality-of-life, they got their lives back.

The Examination

Judi Beatty

While sitting in his waiting room I noticed a map with pins that showed where Dr. Maskin’s patients had come from. The map was covered with pins because people had flown from all over the world to see him. And I thought California was far away!

On the first day of appointments, Dr. Maskin examined my eyes and performed a series of tests. While I sat at the slit lamp, he looked all over my eyes carefully, did a flourescein clearance test, and pressed on my upper and lower lids to determine the number of functioning Meibomian glands.

For the test of aqueous deficiency (dryness), after placing a numbing drop in each eye, a technician dried my eyelid margins, then put Schrimer strips in the lower pouch of each eye, being careful not to touch the corneas to prevent reflex tearing which would skew the test results. After five minutes, the technician removed the Schirmer strips. She noted the how far moisture had travelled up the strip, then repeated the test two more times, leaving the Schirmer strips in my eyes each time for five minutes.

Meibography revealed the state of my Meibomian glands –their structure (length, width, and overall shape), whether or not they could function, or if they had atrophied. The confocal microscope showed my glands at a microscopic cellular level. Dr. Maskin explained inflammation, an underlying factor in Dry Eye, often starts here.

The Diagnosis

Next came the diagnosis. It was based on the exam and the test results, and would be confirmed after probing my eyelids. This is what Dr. Maskin said I had:

It was amazing to have such a thorough diagnosis. No wonder my eyes felt so bad for so long!

Probing, Expression, and Cautery

That same day Dr. Maskin probed the Meibomian glands in my right eye. First the technician applied an ointment containing lidocaine and jojoba oil to numb the lids and minimize discomfort during the procedure. After a few minutes Dr. Maskin started probing the glands, inserting a small metal probe into each gland as I sat at the slit lamp.

He noted the sound made by the probe as it entered each gland — spongy, pop, gritty, or no sound – while the technician took notes. After probing both lids, Dr. Maskin used an expresser tool that cleared the glands with a squeezing, rolling motion, remarking that a lot of debris was coming out of the glands. Amazingly, the number of functioning Meibomian glands more than doubled immediately after probing.

I learned a lot from Dr. Maskin on day one, and on day two I returned to have my left eyelids probed and a superficial cautery of the lower left punctum. There was no real severe pain during probing. I felt mainly pressure just like the day before. Unfortunately, there wasn’t enough time to express the glands in my left eye because we had a flight to catch.

Tweaking the Judi Beatty Daily Regimen

For the next month Dr. Maskin stayed in contact with me via e-mail — sometimes daily — helping me tweak my care program. He felt that now that my glands were open I should stop using all of my facial products because of allergies or sensitivities. So I did. No more face or eye makeup, and no more moisturizers. He had me stop Bepreve drops and Retaine ointment for the same reasons, and prescribed other products until I found something that worked but didn’t cause irritation. He also had me try various eyelid cleaners and face washes, and prescribed sterile saline for flushing my eyes periodically.

My Daily Routine

Currently I use only Oasis Tears eye drops once or twice a day and autologous serum 100% in the morning and evening. I apply warm, moist compresses twice a day, use Free and Clear Shampoo on my hair, Soothe ointment at night, and Glad Wrap to keep my lids closed while I sleep. Plus I drink lots of water, which is critical. (Dr. Maskin told me to keep a daily record of how my eyes feel, notice if they are bothersome, and “ask myself what did I just do differently” that may have caused it.)

Judi Beatty with her Husband

I am still searching for a safe moisturizer for my face and something that I can tolerate to clean my eyes to reduce blepharitis and styes, and possibly a concealer to hide the dark circles under my eyes. Thankfully, I am free of the burning in my eyes but still have occasional dryness which is easily remedied by Oasis eye drops (which I love). I continue to carefully monitor anything I put on my face or in my eyes, keeping a daily journal to help me determine if anything I use could be causing my symptoms to return.

The Best My Eyes Have Ever Felt

I have to say, that in 20 years, this is the best my eyes have ever felt, and I owe it to Dr. Maskin. Other doctors along the way also helped me a lot and I am grateful for their care.

Today my eyes aren’t perfect, but for the last nine months they’ve been 80% better most of the time. I still feel the roughness in the upper part of my eyes occasionally, probably due to the conjunctivochalasis Dr. Maskin found. Someday I may decide to have it fixed. And although I still have some dryness, it’s minimal  and resolved with my daily regimen and drinking lots of water. Thankfully the burning is completely gone.

Dr. Maskin is a brilliant teacher, ophthalmologist, scientist, detective, and someone who really cares about helping people. He diagnosed my complex condition and addressed my symptoms. Plus he helped me figure out the many things that I needed to change in my daily routine. He taught me that for me “the less I put on my face and eyes the better my eyes feel.” I have no words to express my gratitude because I am beyond grateful and so glad that I took a chance and went to see Dr. Maskin.

Judi Beatty
Coordinator, Orange County Dry Eye Support Group


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