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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I have mild meibomian gland deficiency

I seem to have mild meibomian gland deficiency and need tear drops ever 2-3 hrs. I currently use optive eye drops, take omega-3 supplements and a multivitamin. I also do warm compresses/lid cleaning.I am a 28 year old female. 1.Are there preservative free drops available in India? I have heard of Celluvisc, but those are supposed to be thicker. Are there other preservative free drops? 3. I have also heard that mucolytic agents like N-Acetyl-L cystine can help reduce symptoms.I have read that mucolytic agents can cause ulcers/asthma and other side effects.Are they safe?I have nasal allegry and wake up with a running nose everyday, hence dont want to trigger asthma or any such thing.Can you prescribe me a low dose? 4.My schirmmers test,complete blood count ,blood and urine fasting and post-prandial sugar are normal.My TSH results are normal too. SS-A/SS-B auto immune factor,are also negative. Could inflammation be the reason? Are neuro transmitters/hormones the culprits? Is there other any test I should undergo to narrow down? 5.Can you let me know of any food supplement with anti inflammtory properties? 6.I was asked to try out doxyxycline .Is long term (say 2-3 months) of anti biotic course not harmful to the body and cause ulcers/make bacteria resistant to these or cause other side effects? 7.COuld depression have triggered it ? If so can I hope it will go away?
Sat, 2 Jan 2010
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  User's Response
's  Response
1. You should clean your lid margins every day with Johnsons baby shampoo and warm water 2. Presevative free lubricating eye drops are available in India - Refresh tears is one. 3. You can take any multivitamin supplement with minerals 4. No depression cannot cause dry eye, some antidepressant medication can worsen dry eye symptoms. 5. The problem that you have is easily treatble with the right lubricating drops
  User's Response
Dr.Mihir Shah's  Response

try Refresh Liquigel eye drops.(totally preservative free)

For more details visit

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