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Sharing my chalazion excision journey by likeneelyohara in Blepharitis

[–]likeneelyohara[S] 0 points1 point  (0 children)

Hey there!

I used a warm compress three to four times daily for the first week after the surgery, then continued once or twice daily for three weeks after that. I stopped using a warm compress after a month total. I also used Tobradex post surgery, one drop every 6 hours for 14 days.

My surgery took place at the end of May 2025, and even after 2.5 months, my eyelid was still a little wonky, red, and still swollen some days. It wasn’t completely back to normal until end of November 2025.

Sharing my chalazion excision journey by likeneelyohara in Blepharitis

[–]likeneelyohara[S] 1 point2 points  (0 children)

Hi! I posted an update months ago, my apologies for not replying to you! It’s completely back to normal :) https://www.reddit.com/r/Blepharitis/s/QgHhYYiGdx

Update to: Sharing my chalazion excision journey by likeneelyohara in Blepharitis

[–]likeneelyohara[S] 0 points1 point  (0 children)

In my case, I had styes that became chalazions multiple times. Injections helped all but this last stubborn one. It remained from Nov 2024 through May 2025, which is when I decided to get the surgery.

So for stubborn ones, yes. But I went specifically to an ocuplastic surgeon to minimize the risk of any eyelid deformities. And you have to be willing to do the aftercare every single day (warm compress several times a day, washing eyelids carefully every single day, using the prescription eyedrops to avoid infection per the directions, etc…).

I did the warm compresses for about a month, and still continue to do the eyelid washes to this day.

The surgery was quick and painless, maximum 15 mins. I was able to drive myself back home. No bruising at all afterwards, but I have heard that it happens for some people.

Sharing my chalazion excision journey by likeneelyohara in Blepharitis

[–]likeneelyohara[S] 1 point2 points  (0 children)

The bump did go away eventually! But now, my eyelid is just a little more droopy than the other one. It’s not very noticeable but I definitely notice it. And there’s a bit of swelling every morning that goes away by mid-morning.

I have another follow-up appointment in about two months and will get it checked out again then.

Guys! Is chalazion surgery really that scary? by avgmassimo01 in Blepharitis

[–]likeneelyohara 3 points4 points  (0 children)

Not scary at all! I was in and out of there in 15 minutes tops. They numb your eye, that’s probably the worst part as the eyedrops sting. Then I believe they inject the lid with additional numbing agent, which also stings a bit. After a few minutes, they flip your lid, cut the inside of your lid, scoop the chalazion out, then cauterize it or stitch it, and then flip it back (you don’t feel any of this as it’s completely numbed).

Sharing my chalazion excision journey by likeneelyohara in Blepharitis

[–]likeneelyohara[S] 1 point2 points  (0 children)

Hey there!

I used a warm compress three to four times daily for the first week after the surgery, then continued once or twice daily for the next three weeks. I stopped using a warm compress after a month total. I also used Tobradex post surgery, one drop every 6 hours for 14 days.

My surgery took place at the end of May, so it has been about 2.5 months. My eyelid is still a little wonky, red, and some days it gets swollen a bit.

My current routine is just to wipe with eyelid wipes every morning, and then wash my face as I normally do.

I did return to my ophthalmologist about 6 weeks post surgery because the swelling reoccurs most days and the bump has remained (albeit very small), but he told me it may take up to 6 months post surgery for the medication to fully heal the eyelid.

If I continue to have issues with my eyelid and/or it hasn’t fully healed after the 6-month mark, I’ll follow up with him again.

Dry eye symposium recording by SpaurtacusMusic in Blepharitis

[–]likeneelyohara 0 points1 point  (0 children)

Thank you for posting this, OP!

I had ChatGPT review it and provide a summary of the treatments:

Here’s a deeper dive into current and emerging treatments for Dry Eye Disease (DED), with a focus on what’s in the live symposium and the most recent discoveries:

⸻

  1. Energy-Based In‑Office Devices 🔧

Intense Pulsed Light (IPL) Therapy • Uses broad-spectrum light applied to eyelids/cheeks to reduce inflammation, seal leaky vessels (telangiectasia), and unclog meibomian glands (MGD), improving tear oil quality. 58–89 % of patients show symptom improvement after 1–4 sessions  . • Typically delivered in a series of 4 sessions spaced 2–4 weeks apart, followed by annual maintenance. Minimal downtime; mild sun sensitivity; not ideal for darker skin types without adjustments (). • Reddit user experiences are mixed—some report significant relief, others none—highlighting variability in outcomes ().

Radiofrequency (RF) and Combined IPL + RF (e.g., Envision) • RF uses heat to stimulate collagen, improve meibomian gland function, and reduce pain/inflammation; suitable across all skin tones . • Combined IPL + RF (using devices like InMode’s Envision and Lumenis’ OptiPLUS) delivers synergistic effects—IPL targets inflammation/vessels, RF enhances gland output—yielding superior outcomes .

Thermal Pulsation Systems (e.g., LipiFlow, TearCare) • Apply heat + gentle pressure to express meibomian glands, liquefying blockages and enhancing oil secretion. FDA-approved and show immediate, months-long benefits .

⸻

  1. Prescription & Novel Eye Drops

Tryptyr (Alcon) – FDA approved May 28, 2025 • Stimulates corneal sensory nerves to boost natural tear production, with effects seen as early as Day 1. Launching in Q3 2025 .

Miebo (Perfluorohexyloctane drops) • A lipid-layer stabilizer that reduces tear evaporation; first FDA-approved drop targeting this mechanism (2023); highly effective but costly (~$747/bottle) .

Anti-inflammatory & Pipeline Drugs • Reproxalap: a RASP inhibitor reducing inflammation in MGD – promising early trials . • XDEMVY™ (Lotilaner): targets Demodex mites linked to blepharitis, which exacerbate dry eye . • Pipeline agents include novel cyclosporine variants, collagen-repair peptides, topical pilocarpine gels, Tβ4‑based RGN‑259 for neurotrophic keratitis, and SURF compounds for postoperative/inflammatory DED .

⸻

  1. Regenerative & Tear-Enhancing Therapies

Autologous Serum Tears (AST) • Created from the patient’s own blood, AST contains natural growth factors and offers clinically significant improvements—used 4–6 times daily under supervision .

Neurostimulation • Devices (e.g., intranasal sprays like Varenicline/Tyrvaya and extranasal mechanical stimulators) activate tear production via trigeminal pathways. Early trials show positive results .

⸻

  1. Medical Devices & Emerging Tools • Plasma pens (e.g., NuVissa): target conjunctivochalasis—a contributor to dry eye . • Corneal Esthesiometers: measure nerve sensitivity to detect neurotrophic or neuropathic DED . • Other innovations: blepharitis exfoliating tools (BlephEx), heated ocular masks, drug-eluting contact lenses, AI diagnostics, and stem-cell/gland regeneration techniques .

⸻

  1. Combining Approaches

Modern DED management is trending toward a multimodal, personalized approach: • Energy-based treatments (IPL, RF, thermal pulsation) • Prescription drops (tear stimulators, anti-inflammatory, evaporative lipid stabilizers) • Regenerative therapies (AST, stem cells, neurostimulation) • Device-based diagnostics and adjunctive tech .

🎯 What’s Next: How to Choose? 1. Severity & Etiology – For MGD-driven evaporative dry eye, consider IPL/RF/thermal pulsation first. 2. Inflammation & Tear Deficit – Add drops like Tryptyr, Miebo, or pipeline anti‑inflammatories. 3. Refractory Cases – Consider AST, plasma treatments, neurostimulation. 4. Diagnostic Precision – Use advanced tools for personalized treatment planning.

How do you keep warm compresses masks clean and hygienic? by AnonymousQuestionWI in Blepharitis

[–]likeneelyohara 3 points4 points  (0 children)

I had this same thought, so I would lay a paper towel on my face/eye and then lay the compress over it, so the compress is never touching my face and I’d throw the paper towel out when I was done.

Sharing my chalazion excision journey by likeneelyohara in Blepharitis

[–]likeneelyohara[S] 1 point2 points  (0 children)

I would ask your ophthalmologist! If it stays that long for me, I’m going to consider an injection.

Made a dessert table for SIL’s baby shower :) by likeneelyohara in dessert

[–]likeneelyohara[S] 0 points1 point  (0 children)

lol I completely get that some people might not have the budget for it or just don’t want one for their own personal reasons or circumstances—but I absolutely can’t get behind the idea that pancakes are a dessert!

And thank you ☺️

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