I was diagnosed with “dry eye disease” a number of years ago after I complained to my ophthalmologist about my chronic itchy, scratchy eyes. I was informed that this condition exists when there are not enough natural tears around to provide adequate lubrication for the eyes. This is why the eye drops you see advertised, or that you find on the shelves at the pharmacy, are referred to as “artificial tears.” For the last several years, I have been using prescription Restasis eye drops to ameliorate my condition. 

For me, among the consequences of having chronic dry eyes was that I found myself reading less; plus I was writing a lot less. Also, I was aware that the closed captioning on my (Ultra HD) TV screen was slightly blurry.  All this really worried me. I could still mostly function in the world, but my experience out there was definitely more limited.

Then, one morning in June 2022, I awoke in distress upon realizing that I had very little functional vision in my left eye; everything was totally blurry. I tried not to panic while I waited to place a phone call to my eye doc. When I got his office on the phone, I was informed that my ophthalmologist was in surgery that day, hence unavailable, so I took an appointment with one of his partners. I did not know this person and the appointment did not go well; I thought the diagnosis and the advice I was given was garbage. He seemed mostly mystified by my condition although he did give me additional eye drops and suggested that I continue on with the routine of warm compresses that I had been doing for years.

Exactly one week later, I awoke with the same problem in the other eye. FUCK! Again I called. Again my regular ophthalmologist was in surgery. Once more, I foolishly consented to see the substitute which was pretty insane given the previous week’s encounter. I did finally gather enough information from him to embark on a knowledge search myself, however.

What I discovered is that I have a rather common condition called meibomian gland dysfunction (MGD). One of the most succinct descriptions I found online is as follows:

The meibomian glands are oil producing glands in both your upper and lower eyelids. The oil produced by these glands forms the outermost layer of your tear film. This oil layer protects your tears from rapidly evaporating. When these oils are reduced or eliminated, your tears evaporate from the surface of your eyes quickly and your eyes become much drier. This is especially true when you are engaged in visually intense tasks such as reading (books, magazines, newspapers), staring at a computer, cell phone, or tablet screen, watching television, driving, etc.

Once I had a label for my condition (which was not provided by the substitute eye doc), it opened up a wealth of information available online. I learned lots from watching YouTube videos, for example. 

Then, finally, the time came for my annual eye exam. My ophthalmologist was well-aware of MGD and knew what to do. Among the recommendations was a referral to a dry-eye specialist (who knew there even was such a person!). Treatments are available, I was told, although expensive and not covered my insurance. I said I really didn’t care about the cost because I needed some relief. I wanted my eyes back!

Now, a year and a half later, I can happily report that these treatments have been successful. The whole process involved some minor lifestyle changes (e.g., no more aftershave) plus in-office radio-frequency (RF) and intense-pulsed-light (IPL) treatments. I am back to reading (and writing) more. And the TV-screen captions are no longer blurry!

So, this is just to say to all of my fellow septuagenarians (and everybody else) who have bodies that are changing and eyes that are like deserts: help is available!

Soundtrack Suggestion

Doctor, my eyes
Tell me what is wrong
Was I unwise to leave them open for so long?