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Why Accutane Causes Dry Eyes and How To Treat It

 See All Articles for Post-Accutane Syndrome

  1. Introduction
  2. What’s the role of Androgens?
  3. Lithium and beta-catenin
  4. PPAR and dry eyes
  5. Conclusion
  6. References

Introduction

Accutane is well attested as being a potent and permanent solution to severe cystic acne, with at least one of its effects being a shrinking of the sebaceous glands on the surface of the skin. Whilst the latest scientific research has indicated that the structural changes to the sebaceous gland aren’t permanent – the reduction in lipid secretion is.

In fact, the mechanisms that underly Accutane’s efficacy are far more complex than the simple “shrinking of the oil glands” often touted by dermatologists. Whilst the reduction in lipid secretion is evidently beneficial in the context of acne, it can give rise to a very painful affliction of the eyes called Meibomian Gland Dysfunction. The Meibomian Glands are the large sebaceous glands that rim the eyelid, which secrete the oily meibum which protects the surface of the eyes by preventing the evaporation of the mixture of proteins and lipids called tears. [1]

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4 responses to “Why Accutane Causes Dry Eyes and How To Treat It”

  1. prp1tw Avatar
    prp1tw

    Hey,

    Thank you for your work.

    I have a question. So I did accutane over 15 years ago. Still have no libido but that’s pretty much the only side effect I suffer from.

    That said about 3 years ago I had a huge stye outbreak in both eyes. One turned into a chalasion and had to be surgically removed.

    A few months ago the situation repeated to the T.

    Ever since I’m using a recommended eyelid cleaner Demoxoft (I’m in Poland) and so far no new outbreaks.

    Ingredients :

    Aqua, Biosaccharide Gum-1, Olive oil PEG-7 Esters, Poloxamer 188, Panthenol, Sodium Hyaluronate, Aloe Barbadensis Leaf Juice Powder, Phenoxyethanol, Ethylhexylglycerin, Tetrasodium Glutamate Diacetate, BHT.

    Would you think this is somehow connected to Accutane induced sebaceous glands issue?

  2. prp1tw Avatar
    prp1tw

    Hey,

    Thank you for your work.

    I have a question. So I did accutane over 15 years ago. Still have no libido but that’s pretty much the only side effect I suffer from.

    That said about 3 years ago I had a huge stye outbreak in both eyes. One turned into a chalasion and had to be surgically removed.

    A few months ago the situation repeated to the T.

    Ever since I’m using a recommended eyelid cleaner Demoxoft (I’m in Poland) and so far no new outbreaks.

    Ingredients :

    Aqua, Biosaccharide Gum-1, Olive oil PEG-7 Esters, Poloxamer 188, Panthenol, Sodium Hyaluronate, Aloe Barbadensis Leaf Juice Powder, Phenoxyethanol, Ethylhexylglycerin, Tetrasodium Glutamate Diacetate, BHT.

    Would you think this is somehow connected to Accutane induced sebaceous glands issue?

  3. ari Avatar
    ari

    Hi! Interesting with the new eye drops containing Berberine! They are unfortunately not available in my country, but maybe I can find something through ebay or something.

    Anyway, I just wanted to say that it looks like one of your assumptions is that Accutane does not destroy the meibomian gland, but just prevents the gland from secreting oil properly. But, 70% of my glands are gone now after Accutane – just scar tissue left… Do you think that it is possible to recover from this?

    1. afectadosisotretinoina Avatar

      Hi Ari, so sad to hear that. I have severe atrophia of my meibomian glands as well as a result of accutane. I have been told by the ophtalmologist that unfortunately what is atrophied can not be recovered. However, I hope we may be able to protect the glands we are left with and enhance their capacity to produce oil with the supplements recommended on the site: berberine, lithium, castor oil…

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