What are /r/optometry's favorite Products & Services?

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Hey :) Have you thought about talking to a therapist about this? Sounds like OCD to me.

Edit: have looked at your other posts. Therapy is the best place to start. If you can't afford that, I'd recommend buying yourself an exposure and response prevention workbook, like this one on amazon

>Myopia typically stabilizes in your 20s.

According to this research, 50% of people between the age of 20-25 progressed by atleast 0.75D. Even in the 30s age group over 25% of contact wearers progressed by atleast 0.75D

https://www.semanticscholar.org/paper/A-retrospective-study-of-myopia-progression-in-lens-Bullimore-Jones/0bddb368b458b90505db20dc4f8441a02def037e/figure/0

My myopia increased by around -2.5 in my 20s, I don't think it is as uncommon as people make it out to be.

Why not save your money and install free software that serves this very purpose?

https://justgetflux.com/

I also have a similar app on my Android for this, called EasyEyez. There are iOS equivalents of it as well.

This is a very detailed history you are giving, but is also lacking some critical things. I am curious, has your doctor diagnosed you with blepharitis? Also, how did you get an ulcer in one eye but just abrasions in the other? Are we sure these other abrasions arent ulcers as well? If it is an ulcer you MUST be on on antibiotic drop of some kind. Any recent history of contact lens wear?

My guess? Staph marginal keratitis. You are likely having a hypersensitivity reaction to bacteria on your lid margin and it is inhibiting your wound healing. Without a full history and looking at your eyes clinically though its hard to give you proper advice, you need a specific regiment of drops/ointment/lid cleaning etc to get rid of this.

However, I would start you on avenova or hypochlor lid spray, spraying directly onto the lids and lashes twice a day and wiping away with cotton pad. You can by hypochlor on amazon: https://www.amazon.com/OCUSOFT-HYPOCHLOR-HYPOCHLOROUS-SOLUTION-SPRAY/dp/B013M57VZG/ref=sr_1_1_a_it?ie=UTF8&qid=1541219729&sr=8-1-spons&keywords=hypochlor+eyelid+cleaner&psc=1

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You cannot harm the condition by doing this and it is likely a huge missing part of the equation. I would start it and let your doctor know. It might be time to consult with a cornea specialist as well, non healing ulcers and abrasions can lead to permanent scarring. If it gets into your central cornea it could permanently decrease your vision.

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Not an optometrist, but I have had success with a program called f.lux that changes the color of the screen to a less-white/blue hue that is much easier to tolerate for long periods of time. I have mine set to a peachy hue, but some prefer a more yellow or deep orange hue. It honestly depends on your preference but it has a pretty wide spectrum. It also is timed by the hours of day so it gets darker as the day goes on.

https://justgetflux.com/

Amazon has a whole bunch of options if you just type in brown paper towels.

Paper Towels

Hello! I got diagnosed with a pinguecula last year and started using eye drops from amazon every morning and night. I keep the drops in the fridge so they are also cold. The redness has gone down immensely and my pinguecula is no longer noticeable.

https://www.amazon.com/Eyebright-Drops-Wisdom-Ages-oz/dp/B004THC2SS

I wanted to put this out there because I was very upset when I thought it would be an issue forever and it no longer is.

What eyedrops? If it's just artificial tears, I really like these because they're thick and don't have this issue. Once they get about 90% empty though, its impossible to get the remainder out.

https://www.amazon.com/dp/B09XR8WM7L?psc=1&ref=ppx\_yo2ov\_dt\_b\_product\_details

Mine was natural - sitting on the toilet when I first noticed it.

I didn't change anything about my lifestyle after it happened.

>Why have I read about and found clinical studies showing a correlation between PVD and cataracts, even glaucoma?

Trauma to the eye can cause PVD, cataracts and glaucoma. If your head/eye is jarred, it shakes things up in there, hence the PVD. A bash to the head can fracture your lens causing a cataract. A hit to the eye can damage the iris. The iris (iris root) plays a role in fluid retention which can cause intra-ocular pressure spikes, which is a factor in glaucoma.

Live images of the stages of a PVD from a scan of the retina.

A diagram of the different stages of PVD

There is no vitreous anterior to the lens (towards the front of the eye). The vitreous is only posterior to the lens.

>Read with vitrectomies this is purposefully done to protect the lens from cataracts.

Any eye surgery puts you at a greater risk of developing cataracts.

I'm not an optometrist, but I am ex late night gamer and im pretty sure blue light causes your eyes to think its daytime and may cause you to have trouble sleeping. I'd suggest getting f.lux on your computer if ur having problems. It removes blue light as the day goes on so that there wont be much at night time. I've been using it for a few years now and it works great. Here's a link. https://justgetflux.com

If you end up having issues with returning or getting different frames, you can try adding these to the frames to help them sit better https://www.amazon.com/Setex-Eyeglass-Innovative-Microstructured-Fibers/dp/B081GB8F89

Thanks so much for this. I've been using Ocusoft cleaners to minimal effect, but maybe I'll try the "big bottle" or whatever. Noticing mine don't mention tea tree oil but other products from them do. Do you know if it's this one?

https://www.amazon.com/OCuSOFT-Cleanser-Milliters-Irritated-Associated/dp/B014I0FDVI

Thank you for your response!! I was just browsing Amazon and was able to find some (I think?). I would rather start there than pricey prescription glasses if it’s the same thing. Just couldn’t tell if the +0.5 prescription was the same as “0.5x magnification” I see on Amazon. (Ex: https://www.amazon.com/Reading-Glasses-Stylish-Readers-Tortoise/dp/B07TQGN7QR/ref=mp_s_a_1_4?crid=3GTWEXFENXZQP&keywords=%2B0.5+glasses&qid=1657590827&sprefix=0.5+glasses%2Caps%2C58&sr=8-4)

If you haven’t try this already, give this a try

Cliradex Towelettes - Natural Face, Eyelash & Eyelid Cleanser - Wipes for Demodex, Blepharitis, Mgd and Red Irritated Eye Lid - Tea Tree Oil Extract. https://www.amazon.com/dp/B00HBISPME/ref=cm_sw_r_cp_api_i_YB4WER6PJYFTDHFX2FYT?_encoding=UTF8&psc=1

Would something like this help at all? Eye wash really brings relief and could use with those eye cup things plus this is very affordable. For me eye wash cools my eyes down and feels much better. PhysiciansCare 32 oz. Eyewash Bottle, (24-201) https://www.amazon.com/dp/B002A615DS/ref=cm_sw_r_cp_api_i_V358YTXRE30JXSKWCB6Z?_encoding=UTF8&psc=1

And just saw this and it’s a brand known for eye care and check out the active ingredient - purified water. https://www.amazon.com/dp/B0030BWURM/ref=cm_sw_r_sms_api_i_F2HTTEGZ21PZYA9EEV2W?_encoding=UTF8&psc=1

This is what I got which is also Refresh individuals but there’s barely any solution in them. My mom’s optometrist gave her samples of some eye wash solution and they worked great so I bought this

I saw a comment recommending something similar, but if you can't go to an optical shop to get them adjusted you can try buying something like this online

https://www.amazon.com/Eyeglasses-Eyeglass-Retainer-Silicone-Effective/dp/B088MFYGCR/ref=sr_1_6?crid=3UR0U6X7S7Z2D&keywords=glasses+ear+grip&qid=1651554146&sprefix=glasses+ea%2Caps%2C162&sr=8-6

I bought some and they were very helpful when my glasses were loose! Best of luck!

You could also try something like this if you can get your parents to purchase them for you.

https://www.amazon.com/Sunglass-Adjustable-Sunglasses-Retainer-Eyewear/dp/B07MPC2DL1

Before I switched to contact lenses, I used to use something similar for while playing tennis.

I would recommend purchasing these wipes.. I have been using them for years .. great for on the go

Care Touch Wipes

(apologies for formatting, I'm doing this on my phone)

The stromal stem cell research does feel like it could be a reset button. In doing so do you think it would strengthen the interlacing between the stroma and posterior of the flap/remove the threat of flap dislocation?

Alternatively there is another group out there using stem cells and hydrogels that seem to have some early positive signs.

In non-stem cell news, there's been a few studies working to regenerate corneal nerves and sensitivity after transection. there's at least one using cyclosporin, one using FK 962 and another combining PEDF and DHA. Cyclosporin in the topically applied Restasis has been tested on humans, and I believe they're trying to find more effective delivery mechanisms. The PEDF/DHA one seems particularly fascinating because:

"Our approach is unique in that it aims at reverting the underlying physiopathologic process of these conditions"

They state that the next step is to see what exactly these regenerated nerves are sensing.

With these in mind, do you think you could offer an educated guess at the possibilities offered by this research? Could, hypothetically, a nerve regeneration technique lead to full or near full corneal reinnervation?

They didn’t find scratch. I used this eye wash https://www.amazon.co.jp/-/en/dp/B000YZPACO/ref=sr_1_16?crid=1TRRR2SKOIG8L&keywords=アルガード&qid=1643801662&sprefix=アルガ%2Caps%2C204&sr=8-16 Should I be ok? It was just one time I used that while using their eye drops.

hi, yeah sure, the swelling went completely away in about 2 weeks, I applied betabioptal 2-3 times a day for like 7-8 days and bought a "heat mask" on amazon similar to this one. since then, the chalazion came back 2 more times, but in a much lighter form and in 3-4 days was gone.

I think the combination of heat mask + betabioptal (or similar) + keeping the eyes clean as much as possible kinda "works" for me, I have veerry few small left over "bumps" now and the last time I had a light chalazion was in october.

good luck with your eyes, wish you the best!

Sorry to hear that. I think I may have figured out a solution your son could try. I've used this double-sided tape before to try to seal the gaps and stop the air from blowing out of my nose and up into my eyes. But I still felt that some air was getting around the tape.

The tape I linked can get pricey, but there are many solutions to sealing the tops of the mask that people have come up with, particularly for those who wear glasses to prevent fogging.

I think the key is to make the top of the mask a tight seal, but the bottom and sides slightly loose. That way the air can escape without going up into the eyes. So if he is wearing cloth masks, buy a slightly larger size and/or stretch out the fabric along the bottom of the mask and maybe around the ears too. If he's wearing regular surgical masks, those tend to allow air out of the sides anyways.

I know that ideally we want to stop ANY air from escaping, so I'll probably get downvoted for suggesting this. But most people are already walking around blasting air out the top of their masks, so I really don't feel bad about simply changing the direction at which the air comes out of my mask. Plus, it is still better than wearing no mask at all.

Your young son may have trouble applying that double-sided tape (I imagine he has to take the mask off to eat and such at school), so maybe there's another kind of tape he could use, or simply loosening the mask at the bottom/sides may help.

As /u/ChroniclesOfYarnia said prevencia is a coating, and has nothing to do with the power of the lens. Prevencia will have a rather bright purple reflex on top of crizal's normal more subdued green reflex. They will also have a yellow cast to them, just not as strong as BluTech.

Adding clear plano power anti-reflective lenses over contacts will do absolutely nothing to reduce your eye strain. It will probably decrease performance. Could you use a little add power to reduce your accommodation need? Sure, or you could just use the 20/20/20 rule. Every 20 minutes look at something 20 feet away for 20 seconds to let your eyes relax. As far as color strain and reducing blue light, just change the color temperature of your monitor, or install f.lux and let the program do it for you.

Options: Buy an expensive fancy lens and coating combination which is mostly marketing, and is less than aesthetically pleasing, or install free program and look away from your screen every now and then. As you age and need increased ADD power, then you can look into getting task specific glasses for different focal lengths.

> Tropicamide, which is most commonly used for dilation, does reach systemic circulation rapidly but does not have a strong affinity for systemic receptors. It can be used on patients with hypertension and cardiovascular disease without any ill effects. The only contraindication to this drop is if the patient has narrow angles.

tropicamide is what my guy uses. supposedly it alone can cause rapid pulse and even mood changes, which wikipedia cites as "psychosis".

hmmm - this link says that simply closing your eyes can work to block the duct?

what you're saying makes sense (about epi), but why is fast heart rate listed as a side effect of tropicamide itself? AFAIK that is the drop which is NOT supposed to cause an increased heart rate

>I really suggest you don’t use this issue to avoid going, it sounds like you really need to.

i'm not going to avoid going, don't worry.

https://www.amazon.com/Deep-Red-670nm-Wavelength-Flashlight/dp/B08MV9XJBT
something like this that states the nm, a flashlight might be too intense though you might want to remove the mirror inside and just have the led.

I got mine at Abe Books without issue, here's a link to a copy of the second edition: http://www.abebooks.com/servlet/BookDetailsPL?bi=9014250397&searchurl=kn%3Dsystem%2520for%2520ophthalmic%2520dispensing%26sts%3Dt

Here's the alibaba http://www.alibaba.com/showroom/wooden-sunglasses.html I think all the eco stuff is up to the marketing department. It's easy to make wood "eco friendly". I think there's one company selling these things that plants trees for every pair sold.

Does the rainbow vision look somewhat like in this picture? https://www.semanticscholar.org/paper/Measurement-of-straylight-for-glare-assessment-and-Berg/7d52671873daf9145294f3fe90c5cedb184b4165/figure/0

Hey just so you are aware, there are color changing bulbs out there, where you can set the light temperature. For example, I found these bulbs on amazon the other day. They are too pricey for me so I have not purchased them, and additionally I believe they are only 800 lumens, so I don't think they're too bright. But if you look at the little remote, you'll see options to set the light temp (5000K, 6500K, 2500K, etc.) I thought this sort of thing seemed very cool.

The other nice thing about something like this, is it will allow you to adjust the brightness level, so if it's too bright you can turn it down with the remote. That said, 800 lumens is just too dim for me so I passed on these.

I'm still on the hunt for something like this, but with more lumens.

Not sure where you’re located, but for patients with a similar history to yours, I usually recommend they check out Eyefoods, a great book written by a Canadian optometrist that discusses diet and nutrition info for ocular health as a first step along with routine monitoring.

I also have the ability to do genetic testing in my office that looks for some of the genes associated with AMD. I don’t necessarily recommend it for someone like yourself with no current signs, but if someone was quite concerned about it, I would offer it to them, the results can affect my recommendation for supplements going forward.

Eyefoods: the complete eye health and nutrition guide

Like /u/Namasiel just said, you can usually put the little lids back on. I've tried about 4 brands of single use vials, all are able to be re-capped.

However I personally hate the little fucking things, and if you want another option try these guys.

That's making an assumption that you're using drops to treat dry-eye, just ignore me if thats not the case :)

The cleaner literally says: "Rinse off throughly with fresh tap water."

I understand that soft contacts absolutely should not come in contact with tap water but I'm confused why my cleaner says this and my optometrist is fine with it. She was the one who recommended this specific cleaner with those specific instructions.

screen shot of instructions for my cleaner: https://snipboard.io/jiUazJ.jpg

Not sure if the link works! Please tell me if it doesn't!

Ah yes, The Pepsi Challenge. It works so well Pepsi discontinued it 30 years ago. Malcom Gladwell has a section of Blink dedicated to this.

https://www.amazon.com/Blink-Power-Thinking-Without/dp/0316010669

For optical science (not medical) Optics by Eugene Hect is a common text: https://www.amazon.com/Optics-5th-Eugene-Hecht-dp-0133977226/dp/0133977226/ref=mt_other?_encoding=UTF8&me=&qid=1620845238.

Thank you so much for the information my friend! I think this is great information to get us on the path to finding an answer or treatment.

For the sake of information I looked up the eyedrops she is currently using and they are these Refresh Celluvisc droplet tubes. She uses at minimum one of the cartridges per day sometimes two.

I will suggest for her to seek out those diagnostic tests for the two conditions you mentioned with her optometrist.

Thank you again for taking the time to read and offer some advice!

I'm gonna say something kinda different and maybe even unpopular here...I didn't like Optoprep and I especially didn't like KMK. Looking back, I didn't think either was worth the investment for me. For part 2, the best study material I found were ophthalmology case review books such as this. I was able to get them for free through my Optometry school's online library but if that's not an option it still looks like you could get them for a fraction of what KMK or Optoprep costs.

Maybe something like this:

https://www.amazon.com/Heating-Electric-Temperature-Control-Sleeping/dp/B07PXX45LY/ref=mp_s_a_1_13?dchild=1&keywords=eye+cover+usb+heated&qid=1613428435&sr=8-13

Just search USB Eye Warmer. Several variations and various prices.

I use Nordic Naturals omega 3. They're a little more $ than the Walmart brand but they're regarded as one of the top brands for this supplement. I tried a couple diff brands and this one seems to have an actual improvement with my dry eye

Warm, moist compresses and eyelid hygiene are your friend right now. If you’re a make up wearer, remove it nightly and replace the make up regularly (brushes too).

Tea tree oil based cleansers tend to do well like Tranquileyes or Cliradex light can be helpful.

Here’s the tranqileyes my practice carries.

https://www.amazon.com/dp/B01I064M22/ref=cm_sw_r_cp_api_fabc_YRRUFbE6ZHN9C?psc=1

everyone at my school essentially had the absolute cheapest black attache we could find on amazon (at the time the brand was Solo , but it looks like they're no longer the cheapest). Samsonite makes some nicer attaches and there seems to be a reasonable sale going on. I wish I got something nicer, but I really only used it while I was in school, I really haven't had a need for it since.

As an artist, I don’t think it’s worth studying. If you really wanna learn it first you need to learn rental physiology then you need to learn visual function which includes neurophysiology. Unless you have a background in either of these you’re going to get really confused. Here’s my old textbook which I thought explained it clearly. There might be a more recent edition than the one I linked.

https://www.amazon.com/Visual-Perception-Clinical-Orientation-Fourth-ebook/dp/B0035X1BU2

https://www.amazon.com/Sodium-Chloride-Ophthalmic-Ointment-Compare/dp/B00FY0P53S/ref=sr_1_13?dchild=1&keywords=muro+128&qid=1597759302&sr=8-13

I'd like you to try using Avenova lid spray on the skin of your lateral canthus for at last 2 weeks and report back: https://www.amazon.com/dp/B07Q1DVG7S/ref=cm_sw_em_r_mt_dp_U_KuriFbN7FMXMQ

I apologize for not understanding, but AREDS2 is this, right?

Also, I am confused by the ingredients in the above link. What is the actual vitamin name? Note that I take multi-vitamins + lutein product before. And in that "lutein product", it claims to have: 20 mg Lutein, 4 mg Zeaxanthin which is way higher dose than the AREDS2 in the link that provided.

So if the AREDS2 product has lower lutein+zeaxanthin and it does not contain a special ingredient then am I downgrading my intake? My doctor knows that I am taking lutein and so I think I am just misunderstanding something.

https://www.amazon.com/Eye-Color-Human-Animal-Behavior/dp/1583485686

In this book, the author looks at many strengths and weaknesses of animals and humans with different-colored eyes. I'm working on a book to explain the mechanism itself.

my experience was, when the optometrist found out through annual check, it was too late, since myopia of my eyes had been developed, and this could not be reversed. @samuel, yes, Snellen Chart in play is quite good and free. And I had also found Visual Acuity Charts at https://play.google.com/store/apps/details?id=com.fonlow.VA, is better through costing a few bucks. This app could calculate the score.

True "magnifying" requires more than one lens, something like a loupe or clip-on magnifiers. I know these are clunky, and it's why dentists pay a couple thousand to make custom "telescope" glasses with their prescription ground in.

More practically, bringing work close to your eyes has the effect of magnifying, since anything that is closer "subtends a larger angle" ie makes the image on your retina bigger.

At age 30 you should be able to hold things close and keep them in focus. Later on you can't focus as well, so to keep the same effect ("relative distance magnification") you will need a reduced power in your glasses to hold things closer, something we do with bifocals. In a pinch, you could get a drastic amount of this relative distance mag by taking your glasses off and holding your work at 12 cm.

The most practical suggestion might be a table magnifier for your work area.

Hey thanks for your reply. Here is a link to the lenses I bought:

https://www.amazon.com/Exchange-Armani-0AX1017-Rectangular-Sunglasses/dp/B018E8IJD4?th=1

The size is 54mm

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Thanks for the suggestions as well. I definitely considered anti-reflective coating. Glare really bothers me sometimes. I am also on the computer more than half the day.

We sell one at my office for $20 which is a little nicer than this one in my opinion, but I tell patients about this Thermalon one for $10 on amazon all the time. Free shipping with Prime.

The remover itself is white and doesn't have the hole at the top (just compresses and lifts the RGP lens off). It was given to me by an optometry student friend around half a year ago. I've tried looking online and none of the options (mostly DMV) look like the right one. Perhaps they're only distributed to optometrists? I suspected Bausch&Lomb but couldn't find it there either.

It sounds weird to be picky over a lens remover, but in the six months I used this lens remover I felt that it really outperformed both the DMV removers I usually use as well as taking the lenses out by hand. If anyone has any idea what brand these are and where to buy them, I'd really appreciate it. Thanks Reddit :)

(Also, sorry for the poorly-lit picture - the cap at the top is dark blue, not black.)

EDIT: I think I've found the culprit here (https://www.amazon.com/General-RGP-Inserter-Remover/dp/B00012FKFC) but it's been sold out. It seems to be a generic product, but I'm trying to find a seller elsewhere, so I'd still appreciate if someone knows who the manufacturer is.

I'm in the same position as you are my friend. I have plenty of books I'm reading upon, but the best book I can refer to you is...

https://www.amazon.com/Optician-Training-Manual-David-McCleary/dp/0615193811/ref=sr_1_3?ie=UTF8&qid=1502143251&sr=8-3&keywords=abo+exam

& LaramyK online as well as quizlet.com has a bunch of study guides and practice tests people have made. check it out, I'm on the same boat as you dude, shit is tough. A lot of material to cover. Good luck!

I bought them here.

I have a question in to the manufacturer. Do these look damaged to you? I don't see any light through them at night, even staring into a lamp, and only the sun during the day, but the wrinkles on the left side look weird.

Eye glasses can most definitely be cleaned in an ultrasonic cleaner. You might try using iSonic Jewelry & Eyewear Ultrasonic Cleaning Solution. Just a small amount of this solution combined with a tank of room temperature, tap water will clean and shine eye glasses very easily. This solution can break down oils from your skin, while also removing dirt and other residue.

https://www.amazon.com/iSonic-CSGJ01-8OZx1-Ultrasonic-Cleaning-Concentrate/dp/B00F544SJU/ref=pd_bxgy_23_img_2?_encoding=UTF8&pd_rd_i=B00F544SJU&pd_rd_r=BYSE2VQBVJ5NJC64S0EY&pd_rd_w=obtor&pd_rd_wg=6fdaH&psc=1&refRID=BYSE2VQB...

I would also recommend our D3000 ultrasonic cleaner if you do not already have one. This model comes with a 1oz sample of the cleaning solution, as well:

https://www.amazon.com/iSonic-D3000-1OZ-Touch-Sensing-electronics/dp/B01BJ7K980/ref=sr_1_1?s=industrial&ie=UTF8&qid=1493672529&sr=1-1&keywords=isonic+d3000

System for Ophthalmic Dispensing is what opticians call the Blue Bible.

It covers everything after the exam about how eyeglass frames and lenses work.

Thanks for confirmation, already have https://www.amazon.com/gp/product/B003BG9Z8I/ but picked up a 2-pack of that cleaning solution you recommended.

Also it doesn't make a difference if I go lenses-up or lenses-down does it? I tend to have to have the lenses facing down since otherwise it's kind of hard to get them fully submerged.

>But a move?

Yes, it happened to me.

>And are there any remedies beyond warm compresses and eyelid cleanser?

I struggled with it for about a year... what finally did the trick was using this product for about a month. Got it under control then finally fully disappeared after a month or two extra of use. Never had it again since. They also have the plus version which is for more severe cases. The "Plus" version can be kept on, while the normal version needs to be washed off. Think they also have some eyelid wipes which contain the formula in it but I never tried those.

Anyway, strongly recommend you try that product - the reviews speak for themselves and I personally vouch for it.

Good luck, Blepharitis is a fucking shit condition and when it's really bad makes you look like shit and feel like shit, I hated it to the max.

https://www.amazon.com/gp/product/0702054518/ref=pd_cp_0_1?ie=UTF8&psc=1&refRID=TE02D5CE3JD8MWFKB23C

I would skim through that and see if it has what you need. We don't use textbooks at my school at all so it was hard for me to give you better direction.

But seriously, that's disgusting that the school doesn't do anything. I would be livid if I spent a fortune for my education and I didn't get proper training.

Sounds good.. I'm thinking about taking these. They are cheap, should last me 4 months, and doesn't appear to contain any soy, titanium dioxide, or other fillers.

My Rx has DV circled, RE sphere of -2.25, LE of -1.50, RE Cylindar of -2, LE of -3.25 and RE axis of 017 and LE of 154.

My frames are in this general style and i got anti glare, anti oil, and a bunch others except for transitional lenses. I dont remember all that was offered but i just checked everything

This is the only pair got from zenni, and i got used to the abnormalities but it made me very dizzy for the first 2 weeks. My wife just got her first zenni pair and shes complaining about how it looks like she is on a never ending upward hill. Everything looks slanted up. I dont have her prescription but she has bigger frames and they are more square

Lipiflow is a great instrument, but for someone with mild MGD, I would not use this as my primary option. It's usually most appropriate to start with the lowest cost treatment for the patient that will provide the best benefit before moving to something that is more expensive.

Hot compresses with a heat-mask for 10 minutes a day, while massaging your eyelids after is a great way to get started. Something like this should do you a lot of good for a low cost.

Gland atrophy can occur, but you typically see this sort of thing in chronic, longstanding MGD/dry eye.

But then again, i'm not a doc, just a student a few months from graduation. Take my advice with a grain of salt 'til I have O.D. after my name.

it was similar to this: http://www.amazon.com/dp/B00S8SOCTG?psc=1

but it was just a simple J-shaped plastic hook only coming down from the strap that would hold the glasses by the bridge allowing for removal of the temples

Amazon sells masks/goggle like devices.

Have you tried using a gel at night?

I don't know much about painting or brushes. Is this something you would recommend? I'm worried about improperly scratching the lens or ruining the AR.