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  • Home
  • About Us
  • 近視控制 Myopia Control
    • the Myopia Epidemic
    • AOK 箍眼 ∙ Myopia Control
    • Screenagers
    • 近視問題
    • AOK箍眼 - 近視控制
    • Screenagers 低頭族
  • Dry Eye - MGD 眼瞼油管病
    • Dry Eye - MGD
    • MGD Treatment
    • 乾眼症 - 眼瞼油管病
    • MGD 治療方法
  • AMD 黃斑 Nutrition Genetics
  • Neuro Vision Therapy 眼腦協調
    • Neuro Vision Therapy
    • 眼腦協調物理治療
  • Advance Eye Health Exam
  • Patient Education
  • i-Blog 眼睛護理

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"Dry Eye" is the Wrong Diagnosis for Millions

Root Cause of MGD Dry Eye Disease

The 3 layers of your tear film: 

  1) inner mucus layer       2) middle aqueous water layer wets the cornea &      3) outer oil layer to prevent tear evaporation 

DED: More than 90% of patients have Dry Eye Disease. Your eyes will feel tire, dry, gritty, burning, blurry or watery if any of these layers is abnormal. 

 Chronic DED causes tear sodium hyper osmolarity & tear film instability, leading to progressive chronic inflammation & damage of your cornea. 


Meibomian Gland Dysfunction (MGD):  Blocked meibomian glands & abnormal oil secretion creates an unstable tear film with excessive evaporation. 

This eventually causes permanent functional & structural damage, including non-reversible MG loss. 


“Dry Eyes is the Wrong Diagnosis for Millions”  Multiple studies 1, 2   have shown that DED is NOT an aqueous (water) but oil layer deficiency. 

8 out of 10 patients, especially those involved in prolonged visual tasks, will have this condition due to lack of blinking and poor blinking patterns. 

dryeyeandmgd.com

Palliative Treatment



These procedures give symptom relief in the short-term. 

It does not treat the MG disease or reverse MG loss.




1. Hot Compresses  

Help temporarily open clogged meibomian glands, softens meibum oils, allowing the oil to flow to prevent tear evaporation.


2. Eye Lid Scrubs 

Kills bacteria & clean bacterial biofilm that collect on the eyelashes & lid.


3. Anti-Inflammatory Drops 

Reduces inflammation of cornea. Need your doctor to monitor treatment effectiveness & rare eye pressure rises.


4. Artificial Tears  

Non-preserved tears with Hyaluronic Acid as lubricant is the best. 

(wait 15 minutes after using anti-inflammatory drop)  


5. Other Treatments   

Some patients may need oral antibiotics, 

Restasis anti-inflammatory tears & punctal plugs.

Disease Treatment

  

Chronic MGD leads to progressive MG inflammation; blockage & permanent gland loss. 

Early treatment helps prevent further MG loss & reoccurrence of MGD.

The goal of treatment is to unblock the MG and to reduce inflammation of the MG and cornea. 


You may need one or more of these treatment procedures, depending on the severity of your disease. Clinical trials of IPL & LipiFlow® have shown >80% of treated patients have significant improvements in both MG structure, function and patient dry eye symptoms.  


1. IPL (Intense Pulse Light) a series of 3-4 MGD treatments about 3 weeks apart reduces inflammation of MG by destroying bacteria/ parasites, enhance MG cell health & liquefies meibum oils. It has been FDA approved for many years for dermological treatments.3, 4


2. LipiFlow® Thermal Pulsation for MGD Treatment is the only FDA approved procedure that restores MG function. 1, 2

It utilizes controlled vector heat pulsations to flush out & unclog congested meibomian glands, allowing them to resume its own

 natural production of lipid oils.


3. Omega 3 Triglyceride Fish Oil Supplement Daily reduces inflammation of MG. Restore MG & cornea cell health. 

Natural triglyceride form is much better absorbed than ethyl-ester (alcohol) form. 

DHA and EPA from oily fish 

(sardines, anchovies & mackerel) are the most useful fatty acids. Therapeutic effect takes about 2 to 4 months. 


Disease Treatment info

Disease Treatment: Omega 3 • IPL • Lipiflow

Dr Ng OmniTV • BlephEx • palliative (comfort) treatment

clinical studies

MGD

"Dry Eyes" is the Wrong Diagnosis for Millions. 2015 

IPL Intense Pulse Light

Lipiflow

Dry Eye Clinic

LipiView: diagnostic device for MGD dry eye

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  • Home
  • About Us
  • the Myopia Epidemic
  • AOK 箍眼 ∙ Myopia Control
  • 近視問題
  • AOK箍眼 - 近視控制
  • Dry Eye - MGD
  • MGD Treatment
  • 乾眼症 - 眼瞼油管病
  • MGD 治療方法
  • AMD 黃斑 Nutrition Genetics
  • Neuro Vision Therapy
  • 眼腦協調物理治療
  • Advance Eye Health Exam
  • Patient Education
  • i-Blog 眼睛護理

photography: stock & Dr Albert S. Y. Ng, OD, FAAO

Sept 1, 2023 OHIP Updates for Eye Exams. OHIP承保於2023年9月1日變更

While we try to inform you of your OHIP eligibility before your eye exam, we are only able to assess your final eligibility for OHIP after your doctor has examined your eyes.

Masks are still required for your visit as per the guidelines from Ministry of Health

i-Blog: April 8 Solar Eclipse Safety 日食安全

Myopia Control Information    近視控制資訊


​雖然我們會在你進行眼科檢查之前告知你符不符合OHIP檢查的資格,但我們只能夠在你的醫生進行眼睛檢查後才能夠知道你符不符合OHIP檢查的資格。

根據安省衛生廳提供最新的的指引,你仍然需要佩戴口罩。



Learn more