For anyone who might know...
How can you distinguish between MGD and posterior blepharitis symptoms (besides the presence of oil orfices?). If my lids are sometimes sticky, does that indicate bacterial posterior bleph? If so, what is the best srub/ cleanser for posterior? is johnson's baby shampoo sufficient? is it possible to rid of bacterial posterior bleph?
My main problem is lid edema - not usually at the lid margin, but more around the eyes - a very tender, not so obvious edema. but it makes my eyes look dull and tired...and sometimes very odd... its there all the time, sometimes better, sometimes worse. it also gives me eye bags. does anyone have this or know if this is caused by mgd or bacteria (posterior bleph)?

thanks so much...really in need of some advice.
Ting.

Ting-
i I honestly don't know the answer to your question. For me, there is a very gray line between posterior bleph and MGD. I don't really know the difference. I thought MGD caused posterior bleph. I do think that there is a bacterial component to the bleph which is why, for me at least, scrubs seem to help some. I know that my eyes get very oily and if I do a mid-day wash in addition to morning and afternoon- my eyes feel better too. Using an pintment like Bacitracin also helps me every once in awhile. I use Cetaphil or Oil of Olay, but a very small amount on a cotton pad. I do have some lid edema but it is mostly resolved after a warm shower in the AM.

Since I have ocluar rosacea, I am trying a new thing that I heard about on another board. I am using Tea Tree shampoo and applying it to my scalp, eyebrows and eyes (closed of course) Tea tree is supposed to be a natural anti-microbial and antifungal. Thought if I had bacteria of any kind- it wouldn't hurt. So far so good

Amy

P.S.
I'm doing better again guys!! :D

Amy

thanks, amy, for answering again, as you have to my previous posts.
yeah, i'm going back to my op soon to see if there's anything else he mite be able to figure out. i just want to eliminate any other possiblities not previously thought of. what do you think the edema is caused by? irritation from the oil? hmm...
anyways, i just wanted to know whether anyone has any info on potentially detrimental effects of lid massages. since we are supposed to press down on the lids, doesnt it add pressure to the lids? would that be bad for the eyes?
alright, thanks guys and take care.

hi , i've seen the specialist and he told me to the warm thing then a massage , he tell me how to do it in details , if u want i'll try to tell u ( iam french )
we talked about one hour and he told me that if it dont work , we will try heavier treatments